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You have a nodule or goiter that is causing local symptoms compression of the trachea difficulty swallowing or a visible or unsightly mass. You have a diagnosis of thyroid cancer. Keto And Hypothyroidism Thyroid Disorders Hypothyroidism Thyroid Problems Surgery must be done if cancer is present. Thyroid goiter surgery . When the goiter is caused by a noncancerous thyroid nodule s a new technique called radiofrequency ablation rfa may be used to shrink the goiter and alleviate pressure related symptoms without the need for surgery. The doctor usually decides whether to remove all or part of the thyroid gland at this time. If you require surgery to remove the goiter your surgeon will determine the best approach for removal. Your doctor may recommend that you consider thyroid surgery for 4 main reasons. Retrosternal goiter refers to when the thyroid gland extends from the neck to the substernal portion descending below the thoracic inlet into the mediastinum. The incision cau...