Thyroid cyst


Can you get pregnant with a thyroid cyst?
Thyroid cysts refer to sac-like formations within the thyroid gland that contain fluid, typically benign with rare cases of malignancy. The fluid inside these cysts, also known as blisters, has no secretory function and does not affect thyroid function, making it possible to become pregnant with a thyroid cyst. However, it is important to note that during pregnancy, if the cyst rapidly enlarges or if there is localized pain, it could be due to bleeding inside the cyst which requires urgent treatment. Aspiration of the cyst fluid can be done through fine needle aspiration to relieve pressure, and ethanol ablation can be used to close the cyst cavity. This minor surgery is generally tolerable and does not affect pregnancy.


How to treat thyroid cystic tumors?
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.


Can thyroid cysts become cancerous?
Thyroid cysts can potentially become cancerous. Initially, thyroid cysts may arise from various thyroid diseases such as nodular goiter, Hashimoto's disease, thyroid adenoma, and thyroid follicular cancer, which form through degeneration, liquefaction, and hemorrhage. They are one of the common diseases of the thyroid. In the population, at least 4% of people can feel thyroid nodules larger than one centimeter. Among these nodules, about 5% to 20% are cystic. Statistics show that even benign lesions causing cysts have a 4%-5% chance of becoming cancerous when the diameter of the individual exceeds 4 centimeters. Therefore, thyroid cysts can potentially become cancerous.


The difference between thyroid cysts and nodules
Thyroid cysts are a benign change in the thyroid, and are generally classified as first or second level in clinical analysis. Thyroid nodules may be solid or may have mixed echogenicity. The biggest difference between a thyroid nodule and a cyst is their composition: cysts usually contain fluid, whereas nodules may contain other substances. Secondly, the vast majority of cysts are benign, classified as sub-level. Nodules, however, may potentially be malignant, and are classified as third, fourth, or even fifth level. If it is a thyroid cyst, there is no need for excessive worry. If it is a thyroid nodule, it is crucial to complete an ultrasound classification and then schedule regular follow-up exams.


Will thyroid cysts recur after surgery?
Thyroid cysts refer to fluid-filled sac-like structures that occur in the thyroid gland. Typically, thyroid cysts do not exhibit any clinical symptoms. However, if they continue to grow, there is a risk of bleeding within the cyst. Therefore, when the cyst is larger than 3 centimeters, surgical treatment is often recommended. Generally, surgical removal is quite safe and reliable, and the prognosis after surgery is usually good with a low risk of recurrence. However, there is still a chance of recurrence, and if it recurs, surgery can be conducted again. Hence, thyroid cysts are relatively mild and benign lesions. If the cyst is smaller than 3 centimeters, alcohol sclerotherapy can also be performed.


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.


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.


Can thyroid cysts eat kelp?
It is recommended to eat in moderation. Thyroid cysts are one of the common benign occupational lesions of the thyroid gland. The growth of cysts is very slow, and generally, there are no uncomfortable clinical symptoms. Occasionally, when there is bleeding within the cyst, there can be local pain and a rapid increase in the size of the mass. The cause of thyroid cysts is not yet very clear, and it may be related to iodine metabolism. Some scholars believe it is related to iodine deficiency, while others think it is related to excessive iodine intake. Seaweed contains a very high amount of iodine. It is advisable to eat seaweed appropriately, but it is not recommended to eat seaweed daily. Eating seaweed daily can lead to an excessive intake of iodine, which might further develop the thyroid cyst or cause multiple thyroid cysts to appear.


Can people with thyroid cysts eat sea fish?
The exact cause of thyroid cysts is not very clear, but some scholars believe it is related to iodine metabolism. Therefore, in areas where iodine is particularly lacking or particularly abundant, the incidence of thyroid cysts tends to increase. Hence, the diet should avoid both too low and too high iodine intake. As for eating sea fish, occasional consumption should be acceptable. However, eating sea fish daily may lead to excessive iodine intake, potentially causing further development of the cysts.


Do thyroid cysts require surgery?
Thyroid cysts are generally benign lesions and are typically classified as below 3B level in thyroid ultrasound grading, which means they are categorized as class 1, 2, or even 3. The decision to perform surgery depends primarily on the size of the thyroid cyst. If the cyst is large enough to cause compressive symptoms, then surgical treatment is necessary at that time. Secondly, if the development of the thyroid cyst is rapid, and fine needle aspiration of the thyroid reveals malignant changes, then surgery is also required. For routine thyroid examinations, if the thyroid cyst is relatively small, classified at a lower level, and there are no associated thyroid functional abnormalities, regular follow-up is generally sufficient without the need for surgical intervention.