Do thyroid nodules need surgery?


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Thyroid nodule surgery depends on the nodule size, location, nature, patient's age, symptoms and other factors, generally by the doctor according to the specific circumstances after weighing the pros and cons of the decision. Not necessarily. Thyroid nodule surgery depends on the nodule size, location, nature, patient's age, symptoms and other factors. Generally speaking, the following conditions need surgery: 1. The nodule is large, causing compression symptoms, such as dyspnea, dysphagia, etc. 2. The nodule is suspected of malignant transformation, such as unclear nodule boundary, irregular shape, microcalcification, aspect ratio greater than 1, etc. 3. The nodule grows rapidly, or does not shrink significantly after drug treatment. 4. The patient has strong cosmetic needs, or other reasons affect the appearance of the neck. The following conditions can be temporarily not operated, regular observation: 1. Small nodules, no obvious symptoms, normal thyroid function. 2. Benign nodules may be large, such as clear nodule boundaries, regular shape, no microcalcification, aspect ratio less than 1. 3. Patients are older, or accompanied by other serious diseases, can not tolerate surgery. 4. Patients refuse surgery. It is important to note that the management of thyroid nodules should be individualized, weighing the pros and cons and making the most appropriate choice for the specific situation. Before deciding whether to operate, patients should fully communicate with their doctors to understand the risks and benefits of surgery and other treatment options.