Physical examination report suggests thyroid nodules, how to judge benign and malignant?

At present, many people will find thyroid nodules during physical examination. Thyroid nodule refers to one or more lumps with abnormal structure that move up and down with the thyroid gland when swallowing. Thyroid nodule is a common clinical symptom, which can be caused by many factors, such as thyroid hyperplasia, thyroid tumor, thyroid inflammation, hyperthyroidism and so on. However, the vast majority of patients with thyroid nodules have no obvious symptoms or manifestations in clinic, and very few people will go to the hospital for examination because of throat discomfort or obvious lumps in the neck caused by nodule compression.

Whether thyroid tumor nodules are benign or malignant is the focus of patients' attention, and it is also the focus and difficulty of clinicians' diagnosis and treatment. Generally speaking, if the color Doppler ultrasound shows low echo, irregular shape, unclear boundary, internal calcification, micro-calcification in needle-like dispersion or cluster distribution, gravel-like change, aspect ratio greater than 1, rich internal blood flow and abnormal infiltration of ipsilateral lymph nodes, it is likely to be malignant. If it is pure cystic, strong echo, coarse calcification, abundant blood flow around the nodule and spongy change, it is basically benign.

Of course, the above judgment is not absolute, although in real life, most nodules are benign, but once found, it is best to seek medical treatment in time, and the cure rate is higher if found early and treated early.

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