What kind of surgery is better for thyroid nodules in adult women?

Thyroid nodules are more common in middle-aged women. Thyroid nodules are divided into two categories: benign and malignant, with benign nodules accounting for the vast majority and many malignant nodules. Thyroid nodules can be solitary or multiple, with multiple nodules having a higher incidence than single nodules.

In general, it is surgical**, and it can be minimally invasive with thyroid needle**.

1. For some benign nodules, you can follow the doctor's advice for regular follow-up, and do thyroid ultrasound examination every six months to one year.

2. If the diameter of the benign nodule is large, combined with thyroid function problems, or there is a tendency to malignant transformation, you can consider whether minimally invasive or open surgery is necessary under the advice of a professional doctor. Minimally invasive application technology has been relatively mature in China, in addition to thyroid disease, it is also widely used for liver, kidney, adrenal and other organ tumors. Our hospital uses thyroid microwave ablation technology**Thyroid nodules, and the technology is relatively mature.

Thyroid preparations can be tried for simple nodular goiter in general, whether it is a single nodule or multiple nodules, warm nodules or cold nodules**. Give thyroid powder (tablets), divided into 1 to 2 oral doses per day. Or use levothyroxine sodium (L-T4) tablets, 1 2 times a day.

**Posterior enlarged nodules can be continued to be used until they disappear completely, **Posterior nodules do not disappear, thyroid nodules should be resected**, **During which thyroid function changes should be observed.

Patients with functional autonomy for hot nodules should also be surgically surged**, and changes in thyroid function should also be observed after surgery.

A small number of cold nodules are hypothyroid, thyroid preparations can be tried**4 6 months, if the nodules shrink, surgery can be exempted**, if the nodules do not shrink, but grow rapidly, involving the surrounding tissues, should be considered as malignant cancer, and strive to operate as soon as possible**. Surgery** is often thoroughly dissected, and there is often hypothyroidism after surgery, which must be replaced with thyroid hormone for life**.

Your current nodular goiter is not very large, [ZJP] can be operated on, and now I have heard about other methods, you can go and find out.

If it's not very big, it doesn't need surgery, and now I heard that it's okay to take medicine, you can go and find out, [zjp].

1 Generally speaking, if it is a single solid nodule, regardless of whether there is a capsule or calcification and abnormal blood flow, if the size of the thyroid nodule exceeds 1cm, surgery can be considered.

If the nodule is a cyst, it can be relaxed to about 3 cm before considering surgery, because the nodule will continue to enlarge and the silver joint will cause compression symptoms and may make the operation more difficult and increase the chance of injury.

For multiple nodules, the surgical pointer can be moderately relaxed, and generally speaking, the maximum solid nodule is greater than 1-2 cm before considering surgery**.

2. Thyroid nodules do not have to be operated on**, because surgery ** will bring more sequelae to the patient, so in non-essential cases, it is generally recommended to be conservative**, but in the case of the following surgical guidelines, surgery ** or even surgery must be considered**.

31.Patients with thyroid nodules who have breath-holding or difficulty swallowing may need surgery as soon as possible**.

2.Surgery should also be performed if any of the nodules are calcified or have abnormal blood flow.

3.If the thyroid nodule does not become smaller, but increases in size or changes in primary selection during the drug**, the drug should be discontinued.

4.If you have hyperthyroidism and have nodular fluid after a specialty**, you should have surgery**.

5.Surgery should be performed for either a giant nodular goiter or a retrosternal goiter**.

6.For those who have had thyroid surgery before and are now, whether to operate again can also refer to the above indications, but the size can be relaxed, and the drug can be controlled first, if not, surgery is being considered.

7.As long as the head and neck have had radiation in the past**, have a family history of medullary thyroid cancer or multiple endocrine tumor type II, age 70 years old, male, nodules grow rapidly or suddenly increase in a short period of time, nodules are hard and the margins are not clear, nodules are fixed, hoarseness, cough, dysphagia, dyspnea and other symptoms should be operated as soon as possible**.

Thyroid nodule surgery** will cause certain pain and impact to the patient, and may also leave the following sequelae.

41.Nodules that are too small are difficult to detect and remove with the naked eye, and the chance of post-surgery** is higher.

2.The thyroid tissue is surrounded by abundant blood vessels and nerves, and the risk of surgery is high, and there will be a scar of 8-10cm after surgery, so doctors do not advocate surgery.

3.If too much thyroiding is removed, it can cause lifelong hypothyroidism, and you will need to take medication for life after surgery.

4.Thyroid nodules are prone to numbness in the hands and feet after surgery, mainly because some blood vessels and nerves must be cut during thyroid nodule surgery, resulting in numbness in the hands and feet.

5.The incision of thyroid nodule surgery will cause wound edema and hardness, especially in some middle-aged and elderly women, because of laxity and more fatty tissue, resulting in wound edema.

6.Thyroid nodules are more difficult to speak after surgery, mainly because in order to avoid the recurrent laryngeal nerve during the operation, the edema of the recurrent laryngeal nerve affects the blood**, resulting in difficulty in speaking.

7.Thyroid nodules surgery can experience a swallowing sensation or even coughing, mainly because of the reaction to the contraction of the normal scar after thyroid nodule surgery.

It is written in textbooks that surgery is considered if it is 1 cm or more, but it depends on the situation.