Is a thyroid nodule category 3 serious, and does it require treatment?

Jul 07, 2025 Source: Cainiu Health
Dr. Yang Chuanjia
Introduction
Most category 3 thyroid nodules have well-defined margins and regular shapes, appearing solid or mixed cystic-solid on ultrasound, with a low risk of malignancy. If the nodule is less than 2 cm in diameter, does not compress surrounding tissues, and the patient has no symptoms such as a sensation of swallowing a foreign body or difficulty breathing, no specific treatment is required. Regular follow-up thyroid ultrasound every 3–6 months is sufficient, as these nodules have minimal impact on health.

Thyroid nodules categorized as Class 3 are mostly benign and generally not serious. Whether treatment is needed depends on the nodule's size and associated symptoms. If the nodule is small and asymptomatic, treatment is usually unnecessary. However, if the nodule is large or shows signs of potential malignancy, intervention may be required. If abnormalities are detected, timely medical consultation is recommended. Detailed analysis is as follows:

Most Class 3 thyroid nodules have clear boundaries and regular shapes, appearing solid or mixed cystic-solid on ultrasound, with a low risk of malignancy. If the nodule's diameter is less than 2 cm, it does not compress surrounding tissues, and the patient experiences no symptoms such as a foreign body sensation during swallowing or difficulty breathing, special treatment is usually unnecessary. Regular thyroid ultrasound follow-ups every 3–6 months are sufficient. These nodules have minimal impact on health, and maintaining regular作息 (作息 translates to作息 habits or作息 schedule, but may be omitted for smoother English phrasing)作息 and a balanced diet is generally all that is needed.

When a Class 3 thyroid nodule exceeds 2 cm in diameter, it may compress the trachea or esophagus, causing discomfort in breathing or swallowing. If the ultrasound reveals blurred nodule margins, calcifications within the nodule, or abnormal blood flow signals, malignancy should be suspected. Further diagnostic evaluation with fine-needle aspiration cytology of the thyroid is required. If malignancy or a precancerous condition is confirmed, timely treatment such as surgical removal is necessary to prevent disease progression.

Upon diagnosis of a Class 3 thyroid nodule, excessive anxiety should be avoided. Patients should strictly follow medical advice for regular follow-up examinations. Dietary iodine intake should be adjusted according to thyroid function, and neck trauma should be avoided. If symptoms such as rapid nodule growth or hoarseness occur, immediate medical attention is necessary.