How should thyroid cysts be treated?

Written by Chen Xie
Endocrinology
Updated on September 27, 2024
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Thyroid cysts refer to fluid-containing sac-like formations found in the thyroid gland. For their treatment, thyroid cysts are a type of benign tumor of the thyroid. In imaging studies, if the nodule's diameter is less than one centimeter, it usually presents no clinical symptoms or signs. Regular follow-ups with thyroid ultrasonography and thyroid function tests are advised. If there is no trend of enlargement, continued observation without surgical intervention can be appropriate. However, if the nodule's diameter is greater than one centimeter, or if it is located on the surface of the thyroid, the local skin may show a protrusion or bulge, and the cyst may continue to grow, pressing on the trachea or even the esophagus, causing symptoms such as chest tightness, difficulty breathing, a feeling of swallowing, and obstruction. It is important to seek medical attention in a timely manner, undergo a fine needle aspiration biopsy if necessary, and surgical treatment may be required if needed.

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Written by Chen Xie
Endocrinology
41sec home-news-image

Do thyroid cysts require medication?

Patients with thyroid cysts who have normal thyroid function do not need oral medication treatment; they only need regular monitoring of thyroid function and thyroid ultrasound. However, patients with thyroid cysts accompanied by hyperthyroidism need to be treated for hyperthyroidism, either with oral medication, iodine-131, or surgery. When thyroid cysts are accompanied by hypothyroidism, oral hormone replacement treatment is also required to bring the thyroid function back to normal levels. Therefore, whether patients with thyroid cysts need medication depends on the results of their thyroid function tests.

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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 Zhang Li
Endocrinology
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Do thyroid cysts require surgery?

Thyroid cysts are relatively common in clinical practice. Whether surgery is necessary depends on two factors. On one hand, it depends on whether the cyst is malignant. If the ultrasound reveals small calcifications within the cyst, or other signs of malignancy, then a fine needle aspiration of the thyroid should be carried out for a pathological examination. If the cyst is confirmed to be malignant, surgery is generally recommended. However, if the examination indicates that the thyroid cyst is benign with a low malignancy level, surgery is usually not required. However, if the thyroid cyst is large, affects appearance, causes significant swallowing difficulties or hinders neck movement, surgery can also be considered.

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Written by Zhang Li
Endocrinology
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What causes thyroid cysts?

Thyroid cysts currently have no definitive cause identified. Previously, most believed they were possibly related to iodine deficiency, as such deficiency leads to thyroid hyperplasia and an increase in thyroid cysts. However, it was later discovered that in some high-iodine coastal areas, the incidence of thyroid cysts remains high. This suggests that variations in iodine levels, such as switches from low to high iodine or from high to low iodine, can also lead to the occurrence of thyroid cysts. Additionally, it is currently believed that there might be some connection with radiation and the use of mobile phones and computers, but there is no definitive conclusion. Regardless, once thyroid cysts occur, it is important on one hand to eliminate the possibility of malignant features, ruling out thyroid cancer, and on the other hand to ensure thorough thyroid function tests to understand if there are any abnormalities in function and whether treatment is needed.

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Written by Zhao Xin Lan
Endocrinology
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Can people with thyroid cysts eat seaweed?

Thyroid cysts generally do not show any symptoms clinically and are mostly benign. They are usually solitary, but occasionally multiple cysts could be present. Currently, the exact cause of thyroid cysts is not completely understood. Some scholars believe that the formation of thyroid cysts is related to iodine deficiency. Others suggest that in areas with a high incidence of thyroid cysts, the iodine content is also relatively high, indicating that both exceptionally low or high levels of iodine could potentially be a cause of thyroid cysts. Seaweed is a food high in iodine. Eating seaweed occasionally should not have a significant impact, but consuming seaweed daily could lead to excessive iodine levels in the body, which is not advisable during periods of thyroid cyst affliction.