How to determine whether a thyroid nodule is benign or malignant

When it comes to thyroid nodules, they are clinically divided into benign and malignant. Generally speaking, when determining the two, we can make judgments based on the following aspects.

(1) Clinical evidence suggesting possible benign lesions

① Family history of Hashimoto's thyroiditis or autoimmune thyroid disease.

② Family history of benign thyroid nodules or thyroid enlargement.

③Hyperthyroidism or hypothyroidism.

④There is local pain or tenderness in the nodule.

⑤The nodules are soft in texture, regular in shape, smooth in surface and well movable.

(2) Clinical evidence suggesting possible malignancy

①History of neck radiography treatment.

② Family history of medullary thyroid carcinoma or MEN2.

③ Aged less than 20 or over 70.

④Male.

⑤The nodule increases significantly in size within a short period of time.

⑥ Local compression symptoms occur, including persistent hoarseness, dysphonia, dysphagia, and dyspnea.

⑦ The nodules are hard in texture and irregular in shape.

⑧Nodule fixation.

⑨Vocal cord paralysis.

⑩Accompanied by enlarged cervical lymph nodes.