What is the recommended treatment for multinodular goiter or toxic adenoma?

The recommended treatment for multinodular goiter or toxic adenoma is radioactive iodine ablation. This treatment is particularly suited for hyperthyroid conditions caused by these types of thyroid nodules, as it effectively targets and reduces the hyperfunctioning tissue. Radioactive iodine is taken up by the overactive thyroid tissue, leading to its destruction while preserving the surrounding normal thyroid function.

In cases where the multinodular goiter or toxic adenoma is causing significant symptoms related to compressive effects, surgery could be considered, but that is usually reserved for specific situations such as large goiters, suspicion of malignancy, or when other treatments are not appropriate. Antithyroid medications might manage hyperthyroidism temporarily, but they do not provide a permanent solution for multinodular goiter or toxic adenoma. Observation is generally not recommended unless there are no symptoms or significant abnormalities since untreated hyperthyroidism can lead to serious complications.