Can thyroid cysts be massaged?

Written by Zhao Xin Lan
Endocrinology
Updated on May 16, 2025
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Thyroid cysts refer to fluid-filled sac-like structures that appear in the thyroid, which are usually benign. The fluid contained within is often referred to as a blister. These blisters can be quite large, over five centimeters, or quite small, less than one centimeter. They should not be massaged, as massage does not offer any benefits to them. If the cyst is relatively large, massaging the area can stimulate it, causing bleeding within the cyst. Consequently, the cyst may rapidly and temporarily enlarge, potentially causing localized pain, compression, and even difficulties in breathing and swallowing. Therefore, it is advised not to massage thyroid cysts.

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Written by Lin Xiang Dong
Endocrinology
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How to treat thyroid cysts?

Thyroid cysts refer to fluid-filled sacs found in the thyroid, generally round in shape and varying in size, with no significant clinical symptoms. They can appear as a single nodule or multiple nodules. Typically, when thyroid cysts are detected, high-resolution thyroid ultrasonography can be used to observe their ultrasonographic appearance. Thyroid cysts are generally considered benign thyroid nodules and usually do not require treatment. Regular follow-up with thyroid ultrasound is sufficient. If the thyroid cyst is too large and causes compressive symptoms, such as difficulty in breathing or swallowing, hoarseness, etc., surgical removal can be considered.

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What should I do if my thyroid cyst is painful?

Thyroid cysts generally do not have any clinical symptoms, but if untreated and continuously growing, there is a risk of hemorrhage within the cyst. Therefore, when a thyroid cyst becomes painful, it may be due to excessive internal pressure and bleeding inside the cyst, causing pain. At this point, it is necessary to go to the hospital emergency department for a comprehensive thyroid ultrasound to observe the size of the cyst, and to provide emergency surgical treatment or local puncture to aspirate the blood and relieve pain.

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Written by Zhang Li
Endocrinology
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Does thyroid cyst affect pregnancy?

Thyroid cysts generally do not affect pregnancy because they are merely morphological changes, meaning enlarged cystic nodules found in the thyroid. These nodules are typically fluid-filled and often non-functional, so they do not significantly impact pregnancy. However, since the thyroid can develop such cystic nodules or cysts, there might also be some functional manifestations. In other words, there could be both cysts and other thyroid function issues concurrently, which might affect pregnancy. Therefore, when thyroid issues are detected, it is necessary to undergo thyroid function tests before planning a pregnancy to determine whether it is safe to conceive and if there will be any impact on pregnancy.

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Written by Luo Juan
Endocrinology
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Can thyroid cysts drink soy milk?

Patients with thyroid cysts can generally drink soy milk. First, let's understand what a thyroid cyst is. A thyroid cyst is a fluid-containing sac found in the thyroid gland. The lump is usually round, with a diameter of 2-5 cm, smooth, and generally painless or slightly painful. Most are solitary nodules, with multiple nodules being rare. Thyroid cysts usually do not display symptoms unless the cyst is large or there is some bleeding inside the cyst, which may cause symptoms of compression such as pain, difficulty swallowing, difficulty breathing, and hoarseness. Therefore, for thyroid cysts, if malignant, surgical removal is required; if benign, they are typically observed with follow-up. Thus, patients with thyroid cysts can drink soy milk.

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Written by Li Lang Bo
Endocrinology
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Which department should I go to for a thyroid cyst?

It is generally recommended to see a general surgeon, or an endocrinologist, as thyroid cysts are usually benign tumors that essentially remain stable in nature. Surgery is only considered when the cyst becomes very large and causes compressive symptoms, such as compressing the trachea leading to breathing difficulties, or compressing the esophagus causing difficulty swallowing. In such cases, you should consult a general surgeon. For a typical thyroid cyst, it is necessary to check thyroid function to ensure it is normal and to regularly review with ultrasound to monitor any changes in the cyst. If there is a sudden increase in size or significant compressive symptoms, it is advisable to seek surgical treatment from a surgeon.