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2000
Volume 20, Issue 5
  • ISSN: 1574-8855
  • E-ISSN: 2212-3903

Abstract

Background

Selenium is an essential trace element that plays a role in the regulation of the metabolism of thyroid hormones. This study was designed to evaluate the effect of selenium on the volume of thyroid nodules in euthyroid patients.

Methods

In this Randomized clinical trial, a total of 60 euthyroid patients with benign thyroid nodules (solitary or multinodular goiter) and normal serum selenium were randomly divided into the intervention and control (n=30 each) groups. The intervention group received selenium 200 μg/day while the control group received placebo for 3 months. A thyroid ultrasound was used to measure thyroid nodule volume.

Results

Selenium supplementation (200 µg/day) retained the serum selenium levels of participants in the intervention group (=0.251), while the control group showed a significant drop in serum selenium levels (=0.002). Moreover, the thyroid nodule volume in the intervention group showed a significant decrease after selenium supplementation (=0.004); however, a nonsignificant increase was observed in thyroid nodule volume in the control group (=0.262).

Conclusion

Selenium supplementation may reduce benign thyroid nodule volume in euthyroid patients.

Clinical Trial Registration Number

IRCT20170710035001N2.

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2025-09-23
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References

  1. HaugenB.R. AlexanderE.K. BibleK.C. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid cancer.Thyroid2016261113310.1089/thy.2015.0020 26462967
    [Google Scholar]
  2. MarquseeE. BensonC.B. FratesM.C. Usefulness of ultrasonography in the management of nodular thyroid disease.Ann. Intern. Med.2000133969670010.7326/0003‑4819‑133‑9‑200011070‑00011 11074902
    [Google Scholar]
  3. HegedüsL. Clinical practice. The thyroid nodule.N. Engl. J. Med.2004351171764177110.1056/NEJMcp031436 15496625
    [Google Scholar]
  4. PopoveniucG. JonklaasJ. Thyroid Nodules.Med. Clin. North Am.201296232934910.1016/j.mcna.2012.02.002 22443979
    [Google Scholar]
  5. BomeliS.R. LeBeauS.O. FerrisR.L. Evaluation of a thyroid nodule.Otolaryngol. Clin. North Am.2010432229238vii.10.1016/j.otc.2010.01.002 20510711
    [Google Scholar]
  6. TanG.H. GharibH. Thyroid incidentalomas: management approaches to nonpalpable nodules discovered incidentally on thyroid imaging.Ann. Intern. Med.1997126322623110.7326/0003‑4819‑126‑3‑199702010‑00009 9027275
    [Google Scholar]
  7. EzzatS. SartiD.A. CainD.R. BraunsteinG.D. Thyroid Incidentalomas.Arch. Intern. Med.1994154161838184010.1001/archinte.1994.00420160075010 8053752
    [Google Scholar]
  8. BurmanK.D. WartofskyL. Thyroid Nodules.N. Engl. J. Med.2015373242347235610.1056/NEJMcp1415786 26650154
    [Google Scholar]
  9. FratesM.C. BensonC.B. CharboneauJ.W. Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement.Radiology2005237379480010.1148/radiol.2373050220 16304103
    [Google Scholar]
  10. BalochZ.W. CibasE.S. ClarkD.P. The National Cancer Institute Thyroid fine needle aspiration state of the science conference: a summation.Cytojournal200851610.1186/1742‑6413‑5‑6 18394201
    [Google Scholar]
  11. GharibH. GoellnerJ.R. Fine-needle aspiration biopsy of the thyroid: an appraisal.Ann. Intern. Med.1993118428228910.7326/0003‑4819‑118‑4‑199302150‑00007 8420446
    [Google Scholar]
  12. MehdiY. HornickJ.L. IstasseL. DufrasneI. Selenium in the environment, metabolism and involvement in body functions.Molecules20131833292331110.3390/molecules18033292 23486107
    [Google Scholar]
  13. AmaralA.F.S. CantorK.P. SilvermanD.T. MalatsN. Selenium and bladder cancer risk: a meta-analysis.Cancer Epidemiol. Biomarkers Prev.20101992407241510.1158/1055‑9965.EPI‑10‑0544 20807831
    [Google Scholar]
  14. PetersU. TakataY. Selenium and the prevention of prostate and colorectal cancer.Mol. Nutr. Food Res.200852111261127210.1002/mnfr.200800103 18763256
    [Google Scholar]
  15. Institute of Medicine Panel on Dietary A, Related C. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. In: Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington (DC): National Academies Press (US) 2000. Copyright 2000 by the National Academy of Sciences. All rights reserved.
    [Google Scholar]
  16. RasmussenL.B. SchomburgL. KöhrleJ. Selenium status, thyroid volume, and multiple nodule formation in an area with mild iodine deficiency.Eur. J. Endocrinol.2011164458559010.1530/EJE‑10‑1026 21242171
    [Google Scholar]
  17. WintherK.H. RaymanM.P. BonnemaS.J. HegedüsL. Selenium in thyroid disorders — essential knowledge for clinicians.Nat. Rev. Endocrinol.202016316517610.1038/s41574‑019‑0311‑6 32001830
    [Google Scholar]
  18. VenturaM MeloM CarrilhoF Selenium and thyroid disease: from pathophysiology to treatment.Int J Endocrinol 2017201710.1155/2017/1297658
    [Google Scholar]
  19. DrutelA. ArchambeaudF. CaronP. Selenium and the thyroid gland: more good news for clinicians.Clin. Endocrinol. (Oxf.)201378215516410.1111/cen.12066 23046013
    [Google Scholar]
  20. DuranteC. CostanteG. LucisanoG. The natural history of benign thyroid nodules.JAMA2015313992693510.1001/jama.2015.0956 25734734
    [Google Scholar]
  21. StancioiuF. MihaiD. PapadakisG. TsatsakisA. SpandidosD. BadiuC. Treatment for benign thyroid nodules with a combination of natural extracts.Mol. Med. Rep.20192032332233810.3892/mmr.2019.10453 31322200
    [Google Scholar]
  22. BrunnJ BlockU RufG BosI KunzeW ScribaP Volumetric analysis of thyroid lobes by real-time ultrasound (author's transl).Deutsche Medizinische Wochenschrift (1946)198110641133840
    [Google Scholar]
  23. MoradiS MohammadiSM NamiranianN Afkhami-ArdekaniM Afkhami-ArdakaniO The effect of oral selenium on the size of thyroid nodules in patients with benign thyroid nodules: A brief study.Iranian journal of diabetes and obesity202210.18502/ijdo.v14i4.11229
    [Google Scholar]
  24. WintherK.H. BonnemaS.J. ColdF. Does selenium supplementation affect thyroid function? Results from a randomized, controlled, double-blinded trial in a Danish population.Eur. J. Endocrinol.2015172665766710.1530/EJE‑15‑0069 25740851
    [Google Scholar]
  25. SchomburgL. KöhrleJ. On the importance of selenium and iodine metabolism for thyroid hormone biosynthesis and human health.Mol. Nutr. Food Res.200852111235124610.1002/mnfr.200700465 18686295
    [Google Scholar]
  26. SamirM. AwadyM.Y. Serum selenium levels in multinodular goitre.Clin. Otolaryngol. Allied Sci.199823651251410.1046/j.1365‑2273.1998.2360512.x 9884803
    [Google Scholar]
  27. DerumeauxH. ValeixP. CastetbonK. Association of selenium with thyroid volume and echostructure in 35- to 60-year-old French adults.Eur. J. Endocrinol.2003148330931510.1530/eje.0.1480309 12611611
    [Google Scholar]
  28. ZuoY. LiY. GuX. LeiZ. The correlation between selenium levels and autoimmune thyroid disease: a systematic review and meta-analysis.Ann. Palliat. Med.20211044398440810.21037/apm‑21‑449 33894732
    [Google Scholar]
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  • Article Type:
    Research Article
Keyword(s): euthyroid; Selenium; serum selenium levels; supplementation; thyroid; thyroid nodule volume
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