Guangdong Enping , 59 years old, found the right thyroid nodule on the right, about 1cm, with calcification foci . The doctor recommended close medical observation and 3 months of re-examination of thyroid color ultrasound.
3 months later, the local thyroid color ultrasound was checked. The doctor once again emphasized that there are calcification lesions in nodules and malignant lesions, and they tend to have malignant lesions, and they must be closely observed.
Ms. Li began to get nervous. In 2019.06, we went to the largest central hospital here for review and ultrasound. It showed multiple nodules in the thyroid gland and multiple dotted calcifications in the right nodule. TI-RIDS 4b category.
Ms. Li checked online and found that thyroid TI-RIDS 4b class is 50% malignant. Isn’t this the legendary thyroid cancer? Why did it fall on me!
Ms. Li began to become anxious, and her whole head was buzzing. The doctor continued to recommend medical observation. If necessary, puncture biopsy , but Ms. Li was completely unable to listen to the advice given by the doctor. She asked the doctor, can you guarantee that my nodule is benign?
. Of course, doctors cannot guarantee that the nodules are benign, because in clinical practice, they look super like malignant tumors, and the final pathological results may also be benign.
Ms. Li no longer trusts our local doctors. She went to the provincial capital to find the most famous thyroid expert professor, hoping that the professor can guarantee her that the nodule is benign, or help her cut the nodule.
The provincial capital professor believes that surgical treatment is not required for the time being, and puncture biopsy or regular color ultrasound examinations can be performed.
Ms. Li asked, does the puncture biopsy ensure that the results are accurate? Professor
replied: The accuracy rate of puncture biopsy is still very high, with a diagnosis rate of more than 80%.
Ms. Li: There is still a 20% chance to miss it!
Ms. Li left the provincial capital and started to have a meal after returning home. The first thing she did when she woke up every day was to look at her neck with a mirror, afraid that the nodules would grow up all of a sudden. After three months, she lost 20 pounds and her temper began to become irritable. She usually likes to talk and laugh, but suddenly she becomes silent. She also goes to the hospital for color ultrasound regularly. Every time she sees the word "calcification stool" report, she becomes nervous.
Because of an acquaintance, Ms. Li found me. When I was also able to continue the color ultrasound review or puncture biopsy, she completely collapsed in front of me. She has done 9 color ultrasounds in the past year. Each color ultrasound is a torment and a punishment for her, and she can no longer bear this pain.
According to my evaluation, Ms. Li’s nodules should be benign. Ms. Li is heart-diseased, and her heart is in this tiny thyroid nodule.
I made a decision and decided to help Ms. Li with the surgery. The person who tied the bell must untie it.
The operation went very smoothly. When the final pathological result was declared to be a benign lesion, Ms. Li felt relieved and finally got a stable sleep that night.
Sometimes heal and comfort him at all times. Treating diseases is a science and an art.
Doctor and patient harmony, jointly fight back the disease
Due to the popularity of color ultrasound, the detection rate of thyroid nodules in the general population exceeds 70%. Therefore, it is very common for everyone to detect thyroid nodules, and most of them do not require medical treatment.
In addition to the thyroid nodules found after examination, how do ordinary people find out by themselves?
4 simple steps to easily check thyroid nodules!
Preparation before self-examination: a mirror, a cup of warm water
1. The mirror is aimed at the neck, and the thyroid gland is located below the Adam's apple and above the clavicle.
2. The neck leans back slightly.
3. Take a sip of water, pay attention to your neck when swallowing, check whether there are protrusions in the thyroid gland, and drink water repeatedly 3-5 times.
4. If any protrusion is found, you need to consult a doctor for further examination in time to confirm whether there is goiter or thyroid nodule.
When we detect thyroid nodules, since thyroid nodules have a risk of malignant lesions, how should we ordinary people evaluate the risk of thyroid nodules?
"Guidelines for Thyroid Nodules and Differentiated Thyroid Cancer" points out that CT/MR is not recommended as a routine examination for evaluating thyroid nodules, and it is suggested that all thyroid nodules should undergo thyroid ultrasound examination.
Ordinary people will be confused when they see the description of thyroid color ultrasound. The doctor teaches everyone to see the important knowledge point , that is, TI-RADS rating.
In order to simplify and unify standards, most hospitals mainly evaluate thyroid nodules through thyroid imaging report and data system (TI-RADS) rating. The higher the TI-RADS rating, the higher the possibility of thyroid nodules being malignant.
TI-RADS level 1, directly ignored and not dealt with; Level 2, color ultrasound check once a year; Level 3, color ultrasound check once a half year, or fine needle aspiration biopsy, surgical treatment if necessary; Level 4, fine needle aspiration biopsy is strongly recommended, which is very likely to require surgical treatment; Level 5, surgical treatment.
one more thing, in the evaluation, the anxiety caused by the potential malignancy of thyroid nodules should not be underestimated. This anxiety brings much harm to people than the nodules itself. For friends who are anxious, I usually use Zhang Zhongjing’s Ganmai Dazao Decoction for treatment.
records a prescription in " Jinkui Yaolue ": Ganmai Dazao Soup, "Women are irritable, happy and sad, and want to cry, like a god, and are not stretched out, Ganmai Dazao Soup is the main one."
is especially suitable for menopausal women. The mental depression and various strange symptoms of sadness and crying caused by the appearance are related to the psychological and physiological pressures that women endure at this age, as well as the changes in qi, blood, yin and yang in the internal organs.
Therefore, this prescription can be used for any symptoms such as sadness, depression, irritability, insomnia, and anxiety caused by insufficient heart qi, and anxiety.
This prescription is also very simple to use. Several common medicines are also foods: licorice , wheat and jujube; Among them, Huai wheat is the monarch, which has multiple effects such as nourishing the heart, replenishing the middle, and calming the mind. Licorice nourishes the heart qi, harmonizes the middle and relieves the urgency. Jujube nourishes the qi and blood, and also has the effects of regulating the stomach, calming the mind and calming the mind.
How to prevent thyroid nodules? Remember 3 living habits to help you stay away from diseases!
1. Stay away from radiation
Try to stay away from the radiation environment at work and in life. For example, when taking X-rays on mobile phones and computers, try to avoid the thyroid area.
2. Go to bed early and
Staying up late, nervous and anxious, and work stress can all cause thyroid disease.
3. Pay attention to diet and exercise
Food should be mainly fresh vegetables to avoid fatty and spicy. Actively exercise your body and improve your ability to resist diseases.
Finally, I hope that all thyroid nodules can be treated well by us. #Health Science Qualification Competition#
