How to cure thyroid nodules

Written by Zhang Jun Jun
Endocrinology
Updated on April 27, 2025
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The treatment of thyroid nodules is primarily based on whether the nodules are benign or malignant. For nodules that are highly suspected to be malignant clinically, or are confirmed to be suspiciously malignant or malignant through thyroid fine needle aspiration, surgical treatment is required and generally yields good results. The second type is benign nodules, for which studies have shown that treatment with levothyroxine can suppress and reduce the size of the nodules, but this is only effective in some iodine-deficient areas. Another type is hyperfunctioning hot nodules, which can be treated with isotope therapy and radioactive iodine. Additionally, if the thyroid nodule causes compressive symptoms, appears behind the sternum or within the mediastinum, and is associated with high-risk factors for thyroid cancer, surgical removal is recommended. For benign thyroid nodules, usually, only regular follow-up with thyroid ultrasound is required; if the ultrasound follow-up shows more than a 50% increase in the size of the thyroid nodule, further thyroid fine needle aspiration is needed, and surgery may be necessary if required.

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What is a thyroid nodule?

The thyroid is an endocrine gland located in the neck of the human body. If some abnormal nodules appear in it, they are referred to as thyroid nodules. Based on histological classification, they can be divided into follicular type, papillary type, and mixed type. A common characteristic of these types is that they generally appear as solitary nodules with a relatively complete capsule; the tumor cells differ from the surrounding thyroid tissue; and the cellular structure inside the tumor is relatively consistent. Generally speaking, middle-aged women are the demographic most prone to developing thyroid nodules.

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How to treat thyroid nodules calcification.

The treatment of thyroid nodule calcification in clinical practice is based on the size of the calcification lesions. Because large calcified thyroid nodules have a very small possibility of malignancy, the routine clinical approach is to continue observation and perform cytological examination through thyroid fine-needle aspiration. For small calcified thyroid nodules, which have a higher likelihood of malignancy, active surgical treatment is usually adopted. During surgery, the next steps of the treatment plan are determined based on the pathological findings.

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Written by Chen Xie
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The difference between thyroid enlargement and thyroid nodules

Thyroid enlargement generally refers to simple thyroid enlargement, which is typically diffuse thyroid enlargement, mainly caused by iodine deficiency, commonly seen in endemic goiter and physiological thyroid enlargement. Thyroid nodules, on the other hand, are nodular hyperplasia of the thyroid caused by certain physical and chemical factors. Thyroid nodules can manifest as benign hyperplasia or malignant hyperplasia. Therefore, the risks associated with thyroid nodules are relatively greater than those of thyroid enlargement. However, some patients with thyroid enlargement, as the disease progresses, can develop nodular hyperplasia of the thyroid. These are the differences between the two.

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Does thyroid nodule puncture hurt?

Fine needle aspiration is an invasive examination, but it is currently an important and most efficient method for assessing benign and malignant conditions, generally conducted under ultrasound guidance. Thyroid nodule aspiration does not cause much pain, similar to that of an injection. Anesthetics are used during the procedure, so the pain is not very noticeable. However, as the effect of the anesthetic wears off, there may still be some pain at the puncture site, but the patients do not need to carry a heavy psychological burden.

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Post-thyroidectomy complications

In clinical practice, for large thyroid nodules that cause compressive symptoms, such as difficulty swallowing, breathlessness, and hoarseness, thyroid nodule excision surgery can be performed. However, this surgery can have sequelae. First, if the excised thyroid tissue is too large, it can easily lead to reduced thyroid function, requiring lifelong supplementation with thyroid hormones for treatment. Secondly, due to the sensitive location of the thyroid gland, which is surrounded by various glands and nerves, injury during surgery can lead to complications such as seizures and hoarseness, which are considered post-surgical sequelae.