Is a cystic solid nodule in the left lobe of the thyroid gland requiring surgery?

Thyroid nodules are divided into two categories: benign and malignant, benign nodules account for the vast majority, generally do not need surgical resection, can be used external application, acupoint physiotherapy, instrument directional introduction, plus oral Chinese medicine to **, and the operation is traumatic, only local**, easier**, so not as the first choice**method, unless the nodule deteriorates or rapidly increases when the surgery needs to be considered, I wish you an early **.

I think surgery should be done, after all, the nodule is now, the indicators of surgery have been met, and taking medicine is ineffective! However, ultrasound showed a posterior comacry sign, which is a benign feature! It is necessary to think clearly, it is not a good thing to keep it after all, even if it is a benign nodule, it is still possible to evolve into a malignant nodule.

Hello, cystic solid nodules in the lateral lobes of the thyroid gland, if the ultrasound shows no signs of irregular shape, signs of malignant disease, and normal thyroid function, it is usually possible to observe it, and it is not necessary to over**, otherwise surgery is recommended. I hope mine can help you.

Left subtotal thyroidectomy is done.

Should thyroid nodules be operated on?

I heard that Dr. Mao, a traditional Chinese medicine doctor of Shijiazhuang Alliance, is**thyroid, family secret recipe**, you can go to consult.

I think it's best not to ask in the know, because you don't know what your identity is and what level you are, you still want to see a doctor or go to a regular hospital, and don't go to those hospitals that treat what diseases with a lot of advertisements, ask more and listen to doctors, B super doctors can only do ultrasound diagnosis, only doctors can do clinical diagnosis, many ultrasound diagnoses will add a sentence "combined with clinical", that is, let doctors also combine clinical further diagnosis.

Cystic nodules in the right lobe of the thyroid gland are a type of thyroid nodules. A thyroid nodule is an abnormally growing mass of the thyroid gland that can move up and down with the swallowing activity of the thyroid gland. Cystic nodules in the right lobe of the thyroid gland are cystic in nature on the right side of the thyroid gland, which is generally more likely to be benign thyroid nodules.

In such a clinical situation, it is necessary to combine the grading of other descriptions of thyroid ultrasound, and if necessary, a fine needle puncture of the thyroid gland can be done to determine whether the cystic nodule in the right lobe of the thyroid gland is benign or malignant. If it is benign, it can be observed, and if it is malignant, surgery is required**.

1. The thyroid gland is a very important gland in vertebrates and belongs to the endocrine organs. In mammals it is located below the thyroid cartilage in the neck, on both sides of the trachea. The human thyroid gland resembles a butterfly and resembles a shield, hence the name.

2. The thyroid gland controls the rate at which energy is used, makes proteins, and regulates the body's sensitivity to other hormones. The thyroid gland relies on the production of thyroxine to regulate these responses, including triiodothyronine (T3) and thyroxine, also known as tetraiodothyronine (T4). Both regulate metabolism, growth rate, and other body systems.

T3 and T4 are synthesized from iodine and tyrosine. The thyroid gland also produces calcitonin, which regulates the balance of calcium in the body.

3. The thyroid parenchyma is mainly composed of many thyroid follicles. Follicular epithelial cells synthesize, store, and secrete thyroid hormones. The main role of thyroid hormone is to promote the body's metabolism, maintain the normal growth and development of the body, and have a great impact on the development of bones and nervous system.

Fourth, when the secretion function of the glands is low, the basal metabolic rate of the body is low, and myxedema may occur. If the thyroid secretion function is lost during the fetus or infancy, the development of the bones and brain is arrested, which is manifested by short stature and mental retardation. In hyperthyroidism, rapid heartbeat, insomnia, irritability, and hand tremor may occur, which are related to increased sympathetic and central nervous system excitability.

5. Blood supply of the thyroid gland: The thyroid gland is supplied by a pair of superior thyroid arteries and inferior thyroid arteries. The superior thyroid artery originates from the external carotid artery or the common carotid artery, and the external branch of the superior laryngeal nerve descends to 1 2 cm above the upper pole of the thyroid gland and is divided into 2 3 glandular branches distributed in the gland.

The inferior thyroid artery originates from the thyroid trunk and branches into the gland from the posterior side of the common carotid artery to the back of the left and right lobes of the thyroid gland.

6. The inferior thyroid artery is closely related to the recurrent laryngeal nerve, the left artery is mostly located in front of the left recurrent laryngeal nerve, and the artery on the right side passes behind the right recurrent laryngeal nerve; However, it is more common for branches of arteries to cross nerves. In addition to the above two arteries, the inferior artery of the thyroid gland (or thyroid artery) originating from the brachiocephalic trunk, common carotid artery, or internal thoracic artery, or directly from the autonomic arterial arch, can be seen to the lower part of the gland.

Look at your test sheet, only two problems are more obvious, the nodule is not small, and then the boundary is not clear, you already have a feeling of discomfort, if you are afraid, you will be surgically removed, but you have to take thyroid tablets for life, wait for the puncture pathological results, if there is nothing, there is no need for surgery, although it is not a major operation, but it is troublesome to take medicine, this disease is not terrible, there are too many people, there is no need to have a psychological burden.

No need to do surgery**, the drug ** is ineffective, anti-fraud, regular re-examination is fine.

Analysis:

Hello. The routine before surgery generally includes electrocardiogram, chest X-ray, abdominal ultrasound, etc., as well as blood routine blood drawing, coagulation time, liver and kidney function, and HIV syphilis tests. These are the things that all surgeries do.

For the thyroid gland, the first thing to rule out hyperthyroidism is to do a thyroid function test. Color ultrasound can know the size of the nodule, whether it is unilateral or bilateral.

Guidance: It is not hyperthyroidism, and medication is not required before surgery. It is generally 2 to 3 days before the operation, and 5 to 6 days after the operation.

Thyroid nodules that are malignant require surgery, and most of them can heal on their own.

So so**. Benign nodules.

Follow-up observations. The doctor does a physical exam and thyroid function tests at regular intervals. If the size of the benign nodule has not changed, no intervention is usually necessary.

Thyroid hormone suppression**. The aim of this is to control the patient's thyroid-stimulating hormone (TSH) levels and prevent further growth of benign nodules.

Surgery. For large thyroid nodules that cause difficulty swallowing or breathing at the same time, surgical resection is considered.

Nodules that can cause hyperthyroidism.

For those nodules that secrete thyroid hormones, doctors will target the patient's abnormal hormone levels**, including the following three options:

Radioactive iodine. Radioactive iodine is absorbed by the thyroid nodules, causing them to shrink.

Antithyroid drugs. Patients need to take antithyroid drugs for a long time to adjust their hormone levels. However, some drugs have strong liver and kidney toxicity, and long-term use will cause adverse effects on liver and kidney function, and patients must strictly follow the doctor's prescription**.

Surgery. If the first two methods are not effective, consider surgery to remove these thyroid nodules, and if the disease is severe, consider removing part of the thyroid gland.

Malignant nodules. The conventional** method of malignant nodules is excision. Not only the nodule but also some of the surrounding thyroid tissue, or even most or all of the thyroid gland, will be removed.

There is a potential risk of damage to the laryngeal nerves during surgery, and the doctor will fully inform the patient of the risk before surgery. After surgery, some patients need to take levothyroxine for life to maintain normal levels of thyroid hormones.

Drugs**. If the nodule causes hyperthyroidism, radioactive iodine**, compound iodine oral solution (lugol solution), etc., or antithyroid drugs can be used to suppress the secretion of thyroid hormones. At present, commonly used antithyroid drugs are thioureas, including propylthiouracil (PTU) and methylthiouracil (MTU) of the thiouracil and methiocapazole and carbimazole of the imidazole group.

After surgery**, some patients may need to take levothyroxine for a long time to maintain normal thyroid levels.

Surgery. Total thyroidectomy.

This surgery requires the removal of the entire thyroid gland, which can achieve the goal of completely removing the lesion. At the same time, there is a risk of damage to the laryngeal nerves and perithyroid tissues.

Postoperative patients are prone to hypothyroidism and need to take medication for a long time**.

How else can I help you?

The first thing to see is whether it is benign or malignant, if it is benign, regular physical examination and observation is OK, and the nodule is very small, such as less than 1 cm, just observe it regularly.

Question: Mine is already 3 cm, just did a B ultrasound, has not done other examinations, answer: the nodule is 2 4 cm, according to the personal situation and personal wishes and the doctor's comprehensive assessment to determine whether to remove. If it is larger than 4 cm, it must be removed.

Okay, do a further check. After a comprehensive evaluation, let's make further plans.

Thyroid nodules are caused by genetic factors, acquired dietary factors, environmental factors, and some underlying diseases of the thyroid gland. Once a nodule is formed, it is an irreversible lesion that cannot be eliminated by medication and can only be carried out by surgical intervention**, but not all nodules require surgery.

If the patient's thyroid nodule is relatively large and has compressed the trachea, esophagus or nerves, this condition must be operated, otherwise it will cause the patient to have difficulty swallowing, dyspnea and hoarseness, if the nodule has the possibility of malignant transformation, it also needs to be surgically removed as soon as possible to avoid some serious consequences. However, if the thyroid nodule is relatively small, the patient has no obvious clinical symptoms, and there is no corresponding sign of malignant transformation, this situation can be done without surgery. Thyroid nodules generally require surgery because the thyroid nodules themselves are caused by some special lesions in the parenchyma of the thyroid gland.

Thyroid nodules are operated on under general anesthesia during hospitalization. Depending on the size and location of the nodule, different surgical methods are chosen.

At the same time, during the operation, a rapid pathological examination of the nodule is required, and according to the results of the pathological examination, it is necessary to determine whether the next step of enlargement surgery or the end of the current surgery is required.

After the operation, it is generally necessary to continue to stay in the hospital for a period of time, and only after the physical condition gradually returns to normal and the incision heals well can be discharged, and finally achieve the goal of **thyroid nodules.

The need for surgery for thyroid nodules depends on the nature and size of the nodules. malignant thyroid nodules, requiring surgery; For benign thyroid nodules, surgery or isotope ** can be chosen, if it is a nodular goiter, surgery is not required within centimeters, it can be conservative between centimeters and 4 centimeters**, surgery is recommended for more than 4 centimeters**.

If the thyroid nodule is relatively small, does not affect thyroid function, and does not cause physical discomfort, it means that it is a benign nodule and does not need it for the time being. Regular follow-up examinations are needed to observe changes in the nodules. If the thyroid nodule is relatively large, it will adversely affect the thyroid function and cause uncomfortable symptoms in the human body.

For example, if a patient has symptoms such as hyperthyroidism, surgery is required as soon as possible**. If the thyroid nodule has calcified spots, it may have become cancerous and requires surgery as soon as possible**, followed by radiotherapy.

Thyroid nodules are divided into multiple nodules and single nodules, generally single nodules if the size and volume is more than one centimeter, and the boundary between the single nodules and the surrounding tissues is not clear, the tendency to consider malignancy is relatively large, and surgery is recommended**. If it is a multiple nodule and the volume is relatively small, no more than one centimeter, surgery is not recommended, but regular check-ups should be done.

Thyroid nodules include benign nodules as well as malignant nodules. For benign nodules smaller than 4 cm, surgery is generally not considered. If the patient is more concerned about the anterior cervical bulge due to cosmetic needs, minimally invasive surgery or laparoscopic thyroid nodule resection can also be performed.

For thyroid malignant nodules, any thyroid malignant nodule larger than 1 cm needs to be surgically managed. For the management of thyroid malignant nodules less than 1 cm, close observation is recommended if there is no invasion of the capsule and there is no swollen lymph nodes in the periphery. After 3 months to 6 months, if the nodule has significantly enlarged, immediate surgery is recommended, or if the nodule has other changes, such as swollen peripheral lymph nodes, immediate surgery is also recommended.

Therefore, for patients with thyroid nodules, once a malignant thyroid nodule is found, a formal evaluation must be carried out to determine that the nodule has an impact on the patient, and the risk is relatively high, and immediate surgery is required. Therefore, it is more likely that a malignant thyroid nodule will require surgery. There are many types of thyroid nodule surgery, including cosmetic surgery with a small incision and a relatively long incision neck dissection.