Bilobar cystic thyroid nodules are nodules found in both lobes of the thyroid gland during imaging and are cystic in nature, which means that the nodules are filled with fluid. Cystic thyroid nodules are often seen in degenerative thyroid disease, inflammation, autoimmunity, etc. and are mostly benign.
When cystic thyroid nodules are small, there are no obvious clinical symptoms, and they are more likely to be benign, so they can be followed up regularly under the guidance of a specialist according to the TI-RADS classification of the ultrasound. If they are accompanied by thyroid function abnormalities, they need to be treated with medication, such as antithyroid drugs like propylthiouracil for hyperthyroidism, or levothyroxine sodium tablets for hormone replacement therapy for hypothyroidism.
If the size of the nodule is large, compression symptoms can occur, making the patient breathing difficulties, swallowing difficulties, hoarse voice, etc., at this time, depending on the situation, need to do surgical treatment. If the nodule increases rapidly, accompanied by calcification or the boundary of the nodule is not clear, there is a possibility of malignant transformation, and further thyroid puncture examination is needed to clarify its benign or malignant nature, so as to determine the surgical plan.
When there are cystic nodules in both lobes of the thyroid gland, you should go to the hospital in time and be treated under the guidance of your doctor.