Thyroid nodules with surgery?

Whether surgery is needed to remove thyroid nodules should be comprehensively considered factors such as nodule size, location, shape, number, benign and malignant, and cannot be generalized. Whether surgery is needed to remove thyroid nodules should be judged comprehensively according to nodule size, location, shape, number, benign and malignant factors, and cannot be generalized. The following are some factors that need to be considered: In general, nodules larger than 1 cm in diameter, especially those with calcification, abnormal blood flow or enlarged neck lymph nodes, are more likely to be malignant and need surgical resection. Nodes smaller than 1 cm in diameter can be reviewed regularly by ultrasound to observe their changes. 2. Node location: If the nodule is located behind the sternum or in the mediastinum, the operation is more difficult and risky, so it is necessary to choose the operation carefully. 3. The nodule shape: irregular nodule shape, unclear boundary, aspect ratio greater than 1, etc., indicating a greater possibility of malignancy. 4. Number of nodules: If it is multiple nodules, especially those caused by autoimmune thyroid diseases such as Hashimoto's thyroiditis, surgery is generally not required. 5. Benign or malignant nodules: If ultrasound or other examinations suspect that the nodules are malignant, or if biopsy proves malignant, surgery should be performed. 6. Age, gender, family history of the patient, etc.: Factors such as younger age, female gender, and family history of thyroid cancer also increase the risk of thyroid cancer and require closer observation and evaluation. In short, a comprehensive assessment and decision on whether thyroid nodules need surgical removal should be made under the guidance of a doctor. If there is any doubt about the nature of the nodule or treatment options, consult a doctor promptly for more professional advice and guidance. It is important to note that surgical removal of thyroid nodules is an invasive treatment and may cause complications such as bleeding, infection, hypoparathyroidism, etc. Therefore, before deciding on surgery, it is necessary to fully understand the risks and benefits of surgery and conduct detailed communication and discussion with the doctor. For some special populations, such as pregnant women, lactating women, patients with other diseases, etc., the risks and benefits of surgery need to be more carefully evaluated and weighed.