42-year-old Ms. Li accidentally discovered a painless tumor in front of her neck more than a year ago, about the size of a pigeon egg, without any special discomfort. After traveling to multiple hospitals, he was diagnosed as thyroid nodule through B-ultrasound. According to Ms. Li, her spirit, appetite, and sleep are OK, her urination and defecation are normal, and her weight has no significant changes. But as time goes by, the tumor gradually increases. In order to further diagnose and treat, Ms. Li came to the Red Cross Hospital in Wuzhou City, Guangxi Province for treatment.
After examination, it was found that Ms. Li’s left thyroid can pave a tumor of about 9×6×4cm in size, with medium texture, clear boundaries, smooth surface, no tenderness, low local skin temperature, good mobility, and can move up and down as you swallow. The enlarged lymph node was not touched on both sides of the neck. After further B-ultrasound, it was diagnosed as thyroid nodules Ti-Rads grade 3 .
Ms. Li’s ultrasound report
To clarify the symptoms, the hospital arranged for Ms. Li to improve the CT enhancement examination, and the results showed that the trachea was subjected to pressure and shifted to the right.
and further puncture biopsy showed no cancer cells.
Although Ms. Li's thyroid nodules are large, combined with cytology examination , B-ultrasound and CT results, benign diagnosis is considered. Based on the above situation, Director Huang Tianbin informed the patients in detail about the risks related to traditional thyroid nodules and microwave ablation surgery. Considering that the ablation surgery has little trauma, quick recovery and few complications, Ms. Li and her family unanimously asked the doctor to adopt thyroid nodule microwave ablation.
One month after the operation, Ms. Li came for a follow-up examination accompanied by her family. The ultrasound results showed that there was no obvious blood flow signal inside nodule , indicating that the ablation was thorough and the thyroid function was completely normal. Seeing this result, Ms. Li was very happy.
m3rtlm13mdlm11mdlmdlm12
Ms. Li compared thyroid function before and after the operation. Thyroid function had no effect
in accordance with the doctor's requirements. In accordance with the doctor's requirements, Ms. Li came for a follow-up visit three months after the operation, and the ultrasound showed that the nodules had shrunk by half.
Let’s take a look at the actual shot comparison of Ms. Li’s neck before and after the operation: not only the protruding tumors on the neck are eliminated and invisible, but there are no scars on the neck. This treatment effect made her very satisfied, and she was particularly glad that she chose microwave ablation.
According to Director Huang Tianbin, who is responsible for this operation, microwave ablation of thyroid nodules is a thin microwave ablation needle punctured through the skin into the thyroid nodules under real-time ultrasound guidance. The needle tip of the ablation needle can generate heat (and only generate heat at the needle tip). The heat generated causes the nodules to form coagulation necrosis and "kill" the thyroid nodules. The damaged nodules will gradually be absorbed and disappeared by the body over time (usually 6 months to 1 year after the operation).
Compared with traditional open surgery and laparoscopic surgery, the advantages of microwave ablation in the treatment of benign thyroid tumors are: minimally invasive, good effect, no scar left; safety, few complications; and no affecting thyroid function. At the same time, some low-risk thyroid microcarcinomas can also be considered for ablation after strict evaluation.
It is worth mentioning that this year, under the leadership of the Chinese Medical Education Society, the head and neck surgery department of Wuzhou Red Cross Hospital has just held the CCMA-CSIMIT National Tumor Microwave Ablation Premium Training Class ( Wuzhou Station) with Nanjing Yigao Medical Technology Co., Ltd. Being able to host training classes at national-level associations reflects the comprehensive strength of the head and neck surgery department of Wuzhou Red Cross Hospital. Minimally invasive surgery is a new direction for the high-quality development of hospitals. Wuzhou Red Cross Hospital is increasing the pace of development of minimally invasive interventional technology.
Expert introduction
Huang Tianbin
Wuzhou Red Cross Hospital Head and Neck Surgery Director, Deputy Chief Physician, Postgraduate Education
is mainly committed to the clinical diagnosis and treatment of head, neck, oral, maxillofacial tumors, laryngeal tumors, and thyroid tumors. He has rich clinical experience in the research on residual or recurrence after radiotherapy of nasopharyngeal carcinoma, and has profound attainments in the multidisciplinary comprehensive diagnosis and treatment of head and neck tumors. He is good at using various skin flaps to perform plastic surgery repair and functional reconstruction of defects in postoperative tissues of head and neck tumors. Have extensive clinical experience in minimally invasive thyroid ablation surgery.
Welcome patients in need to come for treatment!
