Ms. Wang was just 32 years old this year, she found a bean-sized lump on her neck unintentionally, but she didn’t care about it because it didn’t hurt and didn’t feel any discomfort, and she was busy at work. A few months later, she found that the “pouch” had grown to the size of a walnut and was accompanied by hoarseness, so she thought of going to the hospital. The doctor removed the entire thyroid gland and asked her to undergo further radioactive iodine 131 treatment and to take medication for life and follow-up. In fact, we often encounter this kind of situation in our clinic: many people find small lumps on their neck (thyroid gland) unintentionally or during a CT scan of the cervical spine, which are not painful or itchy and do not affect their lives, so they usually do not get the attention they deserve. Although most of these “pouches” are benign, if not examined by a specialist, some early malignant lesions may develop into middle or late stage lesions, which may affect the survival and quality of life of patients. According to statistics, the incidence of thyroid cancer is increasing year by year, but if timely and standardized treatment can be received at the early stage of the disease, it is completely curable again and the quality of life is basically unaffected. Therefore, once you find a lump on your neck, you should not be negligent and should seek a specialist for examination and treatment.