Lymph node swelling caused by goiter should first find the cause of goiter, through the treatment of the cause of the original disease to alleviate the symptoms, common causes are subacute thyroiditis, thyroid cancer, etc., the common treatment methods are drug treatment and surgical treatment. 1. Subacute thyroiditis: patients can use non-steroidal drugs, such as ibuprofen, aspirin, acetaminophen, etc., and glucocorticosteroids can be used to relieve the serious condition, such as dexamethasone, prednisone, triamcinolone, etc., which generally do not require surgical treatment. 2. Thyroid cancer: patients can undergo chemotherapy under the guidance of doctors, commonly used chemotherapeutic drugs are paclitaxel, anthracycline, and thyroxine tablets can be used for treatment, and surgical resection is also available. Specific medication should be selected under the guidance of doctors after going to the hospital for examination. In addition to the treatment with Chinese patent medicines, western medicines or surgery can also be carried out.