A hospital held a thyroid clinic, and a pregnant woman who was more than 40 days pregnant happened to pass by and underwent an ultrasound examination. thyroid surgery. So, the question is, did the pregnant woman and her family do the right thing? Let’s take this story to learn the ATA (American Thyroid Association) recommendations for the management of thyroid nodules in pregnant women. Recommendation: FNA should be performed in pregnant women with normal and hypothyroid thyroid nodules. For patients with suppressed serum TSH levels that persist after the third trimester, FNA should be postponed until after secretion and after cessation of breastfeeding, when a radionuclide scan may also be performed to evaluate nodule function. From this recommendation, it is correct to recommend the FNA test for this pregnant woman, as her nail function was normal at the time and she was in full compliance with the treatment procedure. Recommendations: (a) Nodules found early in pregnancy with cytology suggestive of papillary carcinoma should be closely monitored by ultrasound and if they grow significantly by 24 weeks of gestation (defined as a 20% increase in nodule diameter and an increase of at least 2 mm in two or more directions), surgery should be considered immediately. However, if there is no significant change by mid-pregnancy or in patients with thyroid cancer diagnosed in mid-pregnancy, surgery may be delayed until after delivery. (b) Levothyroxine therapy to maintain TSH at 0.1-1 mU/L can be considered for pregnant women with suspicious FNA results or confirmed PTC. From this recommendation, it is controversial whether surgery should be performed after delivery or in mid-pregnancy when thyroid cancer is detected. This needs to be decided based on the follow-up observations. It is possible to take eugenol suppressive therapy first, which can also be effective. However, in any case, it is not recommended to go for abortion first, and unfortunately a little life is eventually terminated before it comes into the world. Therefore, “you can’t go to the doctor”, you can find a professional doctor to discuss and communicate, for the correct, scientific point of view to accept sincerely, to avoid similar tragedies.