If a thyroid nodule is detected, should it be cut or not? Is there a high chance of cancer? A text teaches you to distinguish

In recent years

thyroid nodulesbecome after the “three highs”


The second most frequent visitor on the medical report

Relevant physical examination data show

in Chinese adults

thyroid nodulesThe incidence rate is about 20%~76%

equivalent to 1 in 5 people

Many people hear “nodule”

Many questions arise:

Can thyroid nodules become cancerous?

How to distinguish benign from malignant?

Do I need surgery?

Don’t panic

Today, Uncle Jiu will talk about

several important questions about thyroid nodules

01 Why Thyroid nodules


speaking bluntly, it is a pile of proliferative masses

The reasons for stimulating thyroid nodules

are roughly as follows:

  • < span>Long-term emotional anxiety and stress;
  • iodine deficiency or excessive intake;
  • < li>Exposure to radioactive material;

  • familial inheritance;
  • ul>

    02 What should I do after a nodule is found?

    There are benign and malignant nodules

    different nature

    diagnosis and treatment plan Also different

    pass routine4 thyroid tests

    Basically you can judge the quality of the nodule


    < p>Preliminary judgment on whether there are nodules

    The doctor passed the neck examination< /span>

    Preliminary assessment of nodules

    ②blood test< span>:

    Assess for normal thyroid function

    Cannot diagnose whether the nodule is benign or malignant p>

    ③Thyroid Ultrasound:

    < span>Preliminary judgment on the nature, size and number of nodules

    on the ultrasound diagnosis reportTI-RADS classification

    Good review assessing the safety of thyroid nodules

    if nodule levelGrade 4 and above

    recommendedneedle biopsy< /strong>Come onStep by step to determine

    whether it is a malignant nodule

    in addition

    Pay special attention if the following “words” appear on the report

    ④Puncture biopsy:

    Determine the quality of the nodule

    < p>Tissue specimens drawn by fine needle aspiration

    cellspathological examination< /p>

    Can effectively distinguish benign from malignant thyroid nodules

    reduce unnecessary surgery

    The entire puncture operation

    only takes a few minutes to complete

    no noticeable Trauma

    in clinical data

    < strong>Less than 5% of nodules

    probability of developing thyroid cancer

    The remaining 95% are benign

    even if diagnosed with thyroid cancer< /span>

    The death rate is also lower

    only 0.076/100000

    As long as timely treatment, most of the disease can be controlled

    03 If there is a nodule, is surgery necessary?

    If it is found in the early stage Small nodules

    can be treated without surgery

    but needevery 3 ~6 months

    Regularly check thyroid hormone levels, B-ultrasound

    if benign nodules continue to increase Large

    more than 4cm in diameter

    with pressure, hoarseness, and difficulty swallowing Situation

    or malignant nodules are found

    surgery should be considered

    In addition

    If the thyroid function is abnormal< /span>

    also needs treatment

    Take hyperthyroidism as an example

    needs Taking antithyroid drugs

    combined with radioactive iodine therapy or surgery

    relief and control the disease

    04 How to prevent and control?

    ①Regular check-ups are required

    healthy adults

    EspeciallyAdult women over 35 years old

    It is recommended to have a thyroid function test every 5 years and B-ultrasound

    Persons with a history of thyroid nodules

    thyroid examination at least once a year

    ②Stay optimistic and positive

    < span>The state of the immune system

    is directly linked to the health of the thyroid

    When a person is long-term

    When you are in negative emotions such as anxiety and depression

    it is easy to cause immune dysfunction

    finally Involves the thyroid


    Less anxiety and learn to relieve stress


    ③Keep away from radiation

    Ionizing radiation is associated with thyroid nodule formation

    and cancerous Important incentives for birth


    try to stay away from your life as much as possible

    reduce possible radiation exposure

    ④Control the iodine intake in the diet

    Insufficient or excessive iodine intake

    can cause nodules

    thyroid nodules associated with HyperthyroidismPatients

    should choose non-iodized salt

    And reduce seafood

    thyroid nodule with < /span>hypothyroidismpatients

    iodized salt is optional

    It is recommended to consume Shanghai products more than 2 times a week

    such as fish and shrimp, shellfish, seaweed and kelp


    A thyroid nodule on physical examination is nothing Major event

    Regular review and cooperation with treatment

    can better control the disease

    < p># Yao Zero Zero Plan#


    [1] Liu Mao. Wang Peihua. Analysis of influencing factors of thyroid nodules. [J] Jiangsu Preventive Medicine , 2017, 28(6)

    [2] Yang Tao. Don’t be careful with thyroid nodules, 95% are benign. [N]Modern Express, 2020-6-30

    [3] Zhou Qinghua, Fan Yaguang, Wang Ying, et al. Guidelines for Classification, Diagnosis and Treatment of Pulmonary Nodules in China (2016 Edition) [J]. China Journal of Lung Cancer, 2016, 19(12): 793-798.

    [4]Rong Xueyu. Ji Hongtao. Preliminary application of three-dimensional ultrasound in the differential diagnosis of benign and malignant breast nodules.[N]. 2008(024), 008

    [5]Kaliszewski et al. “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.” (2017).

    [6]Cooper, David S et al. “Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer.” Thyroid: official journal of the American Thyroid Association 19 11 (2009): 1167-214 .

    [7 ]Stavros, Athanasiou et al. “Solid breast nod ules: use of sonography to distinguish between benign and malignant lesions.” Radiology 196 1 (1995): 123-34.