Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Now Doppler reports thyroid nodule near isthmus left 19.4*8.7mm,right 12.6*8.7mm, now isotope reports thyroid function normal, as warm thyroid nodule. Thyroid nodule left 19.4*8.7mm, found in 05, right thyroid nodule 12.6*8.7mm, found in 07, untreated. Is it reliable that the cure rate of thyroid nodules treated with TXP antibody intervention and THY pure biologic intervention is 98.8% and 98.7% respectively? And is it reliable to treat thyroid nodules with TSH resonance intervention? I heard that surgery is prone to recurrence, what treatment option should I choose in my case? Hello: Since the two nodules have been observed for several years, there is no change and no discomfort, why should they be moved. The surgical conditions and procedures written in my scientific article are the standard accepted treatment. I don’t understand several of the concepts you mention. They are never in the textbooks or medical literature. If you don’t suspect malignancy, just observe and you may not need surgery for the rest of your life. Patient: Thank you, Dr. Luo, supplement: female, 47 years old, found a thyroid nodule in 2005, when a too small not operated, now 19.4 * 8.7mm long, 07 years found another now 12.6 * 8.7mm long, now slightly feel pressure, because surgery is easy to recur, I am very difficult. Hello: recurrence of nodular goiter after surgery is very common. Whether to operate again or not still depends on whether the pressure is strong or if malignancy is suspected. If the compression is severe, surgery should be considered. The surgery is performed by cutting off almost all of the thyroid gland, and there is no more possibility of recurrence, but after the surgery you take eugenol for life. Therefore nodular goiter is not easily operated. Patient: I decided to treat conservatively first, do you support my idea? Should I go to a tertiary care hospital to see an endocrinologist, or a major Chinese hospital to see a TCM doctor, or a surgeon? If you are confident in treating my thyroid nodules, I will be happy to see you. Please help me to settle on a hospital and doctor to see my thyroid nodules, thank you Robin: Hello: When the thyroid function is normal, you do not need to see an endocrinologist for medication. The reason is clearly written in my article, you can refer to it. Chinese medicine I do not understand. My method of treating thyroid nodules is surgery, when you need an operation I have talked to you, in addition you can read my article written clearly. For your disease, my opinion: observation, every 1 year or so review an ultrasound, the doctor feel, suspected of malignant change when surgery. Many people have nodules, but most people don’t need surgery and live like normal people, no need to obsess to the point of over-diagnosis and treatment. Patient: Thank you Dr. Luo! Through your Lai Xin guidance, I now have a preliminary understanding of thyroid nodules and how to seek medical attention. I will have a Doppler thyroid test every six months. What I am struggling with now is that although my thyroid nodules are not uncomfortable, my thyroid function is normal, and my isotope suggests a warm thyroid nodule, but my thyroid nodules were found to be very small in 2005, and now they are 19.4*8.7mm long for more than 5 years, although they are growing slowly, they are growing gradually every year. There is no good treatment to inhibit the growth of thyroid nodules or make them shrink. Hello: There are no reliable drugs or methods to make the nodules smaller, but cystic-based nodules can be made smaller by puncture. Patient: Thank you, Dr. Luo! Bin Luo: You are welcome.