Should benign thyroid nodules need surgery?

Question
Hello doctor,
I had a benign thyroid nodule, had a biopsy, the doctor told me to follow up without taking medicine. So the doctor asked me if a benign thyroid nodule should be operated on? Can I burn high frequency waves? Thank you doctor.
Anonymous customer
Answer
Answered by Specialist II Le Thi My - Department of Diagnostic Imaging and Nuclear Medicine, Vinmec Times City International General Hospital.
Hello,
With the question “Is a benign thyroid nodule should be operated on? ", the doctor would like to answer as follows:
Thyroid nodules are solid nodules or a combination of solid and fluid components formed in the thyroid gland. Thyroid nodules can be benign or malignant. Your case has been subjected to cytology for benign results so the direction of management and treatment will be as follows:
With nuclei < 2cm in size, do not cause neck symptoms such as choking, swallowing problems, or pain the front area of ​​the neck,... then you can continue to follow up periodically every 6 months - 1 year without any treatment or intervention. With thyroid nodules > 2cm in size with the above neck symptoms, you can treat with high-frequency ablation. Radiofrequency ablation of thyroid nodules is a method of destroying tumors with heat, causing homophones, the friction of ions in the tissue under the influence of high-frequency alternating current. Radiofrequency ablation for thyroid nodules is a highly safe treatment method, because it does not have to be invasive skin incisions and does not require anesthesia, so the process of monitoring and re-examination after implementation is also simple. simpler. After the procedure is over, the patient only needs to stay in the hospital for 30 minutes to 1 hour, then he can leave the hospital and resume normal activities without abstaining. You should go to a specialist facility to have a doctor monitor and carefully evaluate the status of thyroid nodules and give reasonable advice. The Thyroid Pathology Center of Vinmec Hospital has experts in thyroid disease diagnosis and intervention and modern equipment and machinery that can help you manage and give specific advice for your case. friend.
If you still have questions about benign thyroid nodules, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!