How to treat thyroid cystic tumors?

Written by Luo Juan
Endocrinology
Updated on March 22, 2025
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Thyroid cysts refer to fluid-filled sac-like formations or lumps found in the thyroid, generally round in shape, typically painless or only mildly painful, and move up and down with swallowing. Most are solitary nodules, with multiple nodules being less common. Most thyroid cysts do not exhibit obvious clinical symptoms unless the cyst is large or there is bleeding within the cyst, which may lead to symptoms of compression such as pain, difficulty swallowing, difficulty breathing, and hoarseness. Therefore, the treatment of thyroid cysts primarily involves understanding their nature. If a thyroid cyst is malignant, prompt surgical removal should be undertaken; if benign, generally it is sufficient to monitor the cyst through follow-up observations.

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Written by Luo Juan
Endocrinology
1min 1sec home-news-image

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 Zhang Li
Endocrinology
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What are the symptoms of thyroid cysts?

Thyroid cysts generally refer to a cystic mass found in the thyroid, typically containing a mixture of fluid or semi-solid fluid. The mass usually has clear boundaries and is painless. It can move up and down with swallowing, which distinguishes it from some subcutaneous nodules. Thyroid cysts generally do not show obvious symptoms or clinical signs and are mostly discovered when looking in the mirror or during a physical examination. However, larger thyroid cysts may cause compression symptoms, such as pressing backward against the trachea or esophagus, leading to symptoms like breathlessness and discomfort swallowing. A small portion may also exhibit signs of thyroid dysfunction, such as hyperthyroidism or hypothyroidism, although this is relatively rare in clinical settings.

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Written by Luo Juan
Endocrinology
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Which department to see for thyroid cysts?

For which department to consult for thyroid cysts, firstly if it is just a routine physical examination and a thyroid ultrasound reveals a thyroid cyst, it is recommended to first consult the endocrinology department. An assessment of thyroid function should be conducted to see if the thyroid is functioning normally or abnormally. If it is confirmed to be simply a thyroid cyst, then the size of the cyst should be considered in deciding the next steps for treatment. If the cyst is not large and thyroid function is normal, it might be advisable to observe it for some time. If the cyst causes symptoms due to compression, surgical treatment in the department of surgery might be necessary, or dealing with the thyroid cyst using techniques such as radiofrequency ablation could be considered. Therefore, it is advised to first visit the endocrinology department and, based on the opinion of the endocrinologist, if surgical intervention is needed, then consult the breast and thyroid surgery department.

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Written by Zhao Xin Lan
Endocrinology
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Can thyroid cysts be treated with minimally invasive surgery?

When the cyst is smaller than 5cm, minimally invasive treatment can be used. Thyroid cysts are generally benign lesions and rarely become malignant. A thyroid cyst refers to a fluid-containing cystic structure in the thyroid, commonly known as a blister. This blister can be large or small, and is usually asymptomatic when small. For its treatment, when the cyst is smaller than 5cm, a minimally invasive procedure involving fine needle aspiration can be performed to withdraw fluid from the cyst, followed by the injection of anhydrous alcohol to close off the cyst cavity and prevent recurrence. However, if the cyst is larger than 5cm, surgical treatment is recommended for complete removal.

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Written by Luo Juan
Endocrinology
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Are thyroid cysts dangerous?

Generally speaking, thyroid cysts are benign lesions and are not dangerous. First, let's understand what thyroid cysts are. A thyroid cyst is a fluid-containing cystic formation found in the thyroid gland. Typically, the lump is round, smooth, painless, or may cause slight pain, and can move up and down with swallowing. Most cysts are solitary nodules, and it is less common to find multiple nodules. Additionally, if the cyst is large or if there is bleeding within the cyst, it can cause symptoms of compression such as pain, difficulty swallowing, difficulty breathing, and hoarseness. We know that about 10% of cystic nodules are malignant, hence, it is important to understand the nature of a thyroid cyst. If it is malignant, surgical removal is necessary. Furthermore, if the nodular cyst is large and causes compression symptoms, surgery is also required. However, most are benign lesions, and thyroid function is within the normal range, so no special treatment is needed, just follow-up observation. Therefore, whether thyroid cysts are dangerous depends on the circumstances.