thyroid is located in front of the neck, shaped like a butterfly. In recent years, with the popularity of health examinations, especially the popularity of thyroid ultrasound examinations, more and more patients have been found to have thyroid nodules. According to surveys, doctors palpated the proportion of thyroid nodules and 19% to 67% of thyroid nodules.
Thyroid nodules are relatively "heavy girls over men". Most of them are middle-aged and older women with a high detection rate. Thyroid function tests and thyroid ultrasound have become indispensable items for screening for thyroid diseases during physical examinations. However, most examination results will have the following prompts: "Abnormal, calcification, hypoechoic, cystic solidity, etc.", and some people are even very worried about whether there is a "big problem" in the thyroid gland. To this end, I will focus on interpreting the concerning nodule calcification and other issues in the thyroid examination report.
Let me tell you first: What is calcification of thyroid nodules?
thyroid nodules calcification refers to the hyperplasia and woven thyroid tissue cells. Within a unit volume, the cell content significantly exceeds the normal value. High light spots, strong spots or strong halos can be seen under ultrasound. In clinical practice, by observing the characteristics of calcification of thyroid nodules, it may have a certain predictive effect on some thyroid cancer and thyroid tumors.
[Clinical Classification] According to the size and morphology of thyroid nodules calcification foci in ultrasound imaging, it can be divided into the following three situations:
① Minor calcification: refers to gravel samples, particle samples, needle tip samples, and dot-shaped calcification points with diameters less than or equal to 2 mm.
②Coarse calcification: refers to strong echo light balls accompanied by sound shadows and strong echo light balls with patches, spots, arcs or other irregularities, with a diameter of more than 2 mm.
③Edge ring calcification: refers to eggshell-like calcification or peripheral curved calcification.
Generally speaking, coarse calcification is generally more likely to be benign; tiny, needle-like calcification should be more vigilant and eliminate malignant possibilities.
symptoms of thyroid calcification are obvious
① Thyroid Mass appears in the gland . The mass has a hard texture, no pain, rough surface, irregular shape.
② It can grow rapidly in a short period of time, and it is difficult to move up and down as you swallow. The sound is hoarse, swallowing and breathing is difficult, and the local lymph nodes will be swollen and metastasize to the distance.
③The nodules in the thyroid gland are different in size, they can be single or multiple. The nodules often extend behind the ear, and there is a clear sense of compression and pain in the onset.
[Cancerification Warning] The shadow characteristics of thyroid nodules calcification may have the following relationship with cancer classification:
① Sand-like calcification, thyroid nodules calcification is almost shared by thyroid malignant tumors, and thyroid nodules calcification is often a characteristic manifestation of papillary adenocarcinoma.
② Among the thick calcified images, about 10% to 20% are cancer, of which follicular adenocarcinoma accounts for a large proportion.
③ Calcification affects the shadows and is blurred, which are mostly malignant thyroid tumors, which are thyroid cancer.
④Mellowy carcinoma is often mixed with coarse particles and calcifications of sandy particles.
⑤ Generally, calcification images of benign thyroid tumors are mostly dense with clear edges, while malignant tumors are faint and blurred.
Next, I will give a solution to patients with nodule calcification:
The most correct way is to go to a specialized hospital for treatment and conduct more professional and detailed examinations. If necessary, puncture cytology and other examinations are also required to clarify the diagnosis.
1. Treatment methods for thyroid nodule calcification - If the strong spot is large, first puncture and pathology check to determine whether the properties of the nodule are benign or malignant.
2. Treatment methods for thyroid nodule calcification - If it is found that it is papillary thyroid carcinoma , if the lesion is less than 1 cm and there is no metastasis, combined with the diagnosis of multiple clinicians, multimodal ultra-minimal invasive interventional treatment can be selected.
3. Treatment methods for thyroid nodule calcification - If it is Hashimoto's disease, the antibody is significantly increased in the examination results, and it can be treated as Hashimoto's disease. Generally, immune intervention + late multimodal treatment is best. The cure rate is high after treatment and there are no side effects.
