Thyroid nodules surgery removal of thyroid

Thyroid nodules should be removed according to the size, nature, location, patient age, symptoms and other factors, need to fully communicate with the doctor and conduct detailed examination and evaluation. Thyroid nodules need surgery to remove thyroid, should be based on the size, nature, location, patient age, symptoms and other factors, can not be generalized. Node size: In general, the larger the nodule, the higher the risk of malignancy and the greater the likelihood of surgical removal. But the nodule is smaller (e.g. less than 1 cm) and without obvious symptoms, surgical removal may be necessary, especially if the nodule grows rapidly, with calcification, ill-defined boundaries, rich blood flow and other suspicious malignant features. Nature of the nodule: Determine whether the nodule is benign or malignant by fine needle biopsy or other examination methods. Malignant nodules usually require surgical removal, while benign nodules can be observed regularly. Location of nodules: If the nodule is located on the dorsal side of the thyroid, isthmus or near important structures such as trachea and esophagus, surgical resection may be more conducive to complete removal of the lesion and protection of surrounding tissues. Age of patients: Young patients with relatively active thyroid function may require lifelong thyroid hormone replacement therapy after surgical resection. For older patients or patients with other health problems, the risk of surgery may be relatively high and needs to be evaluated more carefully. Symptoms: Surgical removal may be necessary if the nodule causes hyperthyroidism (hyperthyroidism) or if it causes symptoms of stress such as breathing difficulties or swallowing difficulties. In addition to the above factors, the doctor will also consider the patient's personal wishes, family history, treatment risks, etc. Before deciding whether to surgically remove thyroid nodules, patients usually need to undergo detailed examination and evaluation, and fully communicate with doctors to understand the risks and benefits of surgery. For some special groups, such as pregnant women, lactating women, children, etc., the decision to surgically remove thyroid nodules may need to be more cautious because thyroid function is critical to the development of the fetus or child. In these cases, the doctor will develop a personalized treatment plan based on the specific situation. It is important to note that the management of thyroid nodules should be individualized and different for each patient. If there is any doubt about the management of thyroid nodules, it is recommended to consult a professional endocrinologist or thyroid surgeon for more accurate advice and guidance.