Color Doppler ultrasound is a very good examination method for thyroid nodule screening. It is economical and has no radiation. If conditions permit, it can be used as the first choice for thyroid physical examination for ordinary people. According to the medical report. The thyroid color Doppler ultrasound TI-RADS reported by the physical examination will show which type of thyroid nodules are, so as to judge whether they are benign or malignant. There are also different ways of coping for different categories.
Category 1: Normal thyroid, no malignancy risk is 0.
Category 2: Diagnosed benign thyroid nodules with 0 malignancy risk, and long-term (12-month) interval follow-up is recommended clinically.
Category 3: benign and possibly larger thyroid nodules, the risk of malignancy is less than or equal to 3%, and mid- and long-term (6 months) interval follow-up is recommended.
Category 4A: thyroid nodules with a certain possibility of malignancy, the risk of malignancy is between 3% and 30%, and short-term (3-month) interval follow-up is recommended in clinical practice; fine needle aspiration is the second choice. Biopsy; if biopsy is negative, continue short-term follow-up.
Category 4B: Thyroid nodules with considerable possibility of malignancy, the risk of malignancy is between 31% and 60%, and fine needle aspiration biopsy is recommended in clinical practice; if the biopsy result is negative , Repeat puncture at short-term intervals, or consider surgical treatment.
Category 4C: Thyroid nodules with a high possibility of malignancy, the risk of malignancy is between 61% and 94%, and surgical treatment is the first choice in clinical practice; fine needle aspiration is the second choice. Surgery after biopsy.
Category 5: Malignant thyroid nodules that can be diagnosed, the risk of malignancy is >94%, and immediate surgical treatment is recommended.
Category 6: Pathologically proven malignant nodules.
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