Thyroid nodule is clinical common signs especially in women. With People health awareness enhancement, doctors will meet patients who ask them whether need surgery or not. Then we should judge it on the basis of auxiliary examination and own disease history, even going to surgical, cancer medicine, endocrine, B ultrasound and related department to diagnosis. At last, it will decide whether need surgical treatment or not.

For the children receiving radiation and having thyroid cancer familary history, their ages are more than sixty or less than fifteen years old, the malignant risk of nodules will increase obviously, even visible nodules are less than 1cm and also need comprehensive inspection. At the same time, you should need detailed examination and check whether cervical lymph node enlargement and nodules adhesion with the surrounding tissue or not.

As to auxiliary examination, high quality distinguish color doppler ultrasound has an important significance of identifing benign or malignant nodules. Low echo, Micro calcification, unclear boundary, Irregular form and combining with color doppler ultrasound shows; blood flow increasing and irregular, you should doubt whether it is malignant or not. Then, no matter nodules are single or multiple, you have to do the surgical treatment. For example, there is a patient whose nodules increase recently, such as it is solid nodules by B ultrasound. He should do the surgical treatment. As to which surgery method, it will be decided in accordance with local technology level. If the patients don’t want to do the surgical treatment or have disease that cann’t endure surgery, it should be guided by B ultrasound and at the same time you should do examination on three thyroid nodules and decide next step is surgery or observation.

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