As thyroid B ultrasound has become a routine item in physical examinations, more and more people have found that thyroid nodules are found. Some people are "feared when talking about thyroid nodules", especially when B-ultrasound indicates calcification of thyroid nodules, they are even more "feared when talking about calcium". Many people think that calcification of thyroid nodules is thyroid cancer . Is this true?
Patient case
32-year-old Mr. Zhang found thyroid nodules during the company's physical examination in 2018. Since many colleagues found nodules, Mr. Zhang ignored it. However, during this physical examination this year, it was found that the size of the nodules did not change, but the ultrasound showed nodules calcification.
He thought it was because the pressure was a little too high recently, so the nodules had become cancerous? In this era of rapid increase in cancer incidence, is nodule calcification a precancerous lesion? Should treatment be done? A series of problems made Mr. Zhang unable to sleep or eat, so he decided to go to the hospital for help.
Is thyroid nodules with calcification cancer?
Many people think that thyroid nodules with calcification must be malignant, but this is not the case. Although the probability of calcification of malignant nodules is indeed higher than that of benign nodules, benign thyroid nodules can also be accompanied by calcification.
Calcification is classified into types, be careful of slight calcification!
Thyroid calcification refers to calcium deposition in the thyroid nodules. Calcification is the product of tissue metabolism - calcium salt deposited. Normal glands and tumor lesions can be produced.
Figure originated from the Internet
Different forms of calcification have different meanings, and are distinguished according to size and diameter:
① Slight calcification, diameter <2mm;>
② Coarse calcification, diameter >2mm;
In addition to these two categories, there are marginal calcifications.
Calcification of thyroid nodules does not mean that there must be "thyroid cancer". In addition, to assess whether the nodule is malignant, it is also necessary to consider the size, nature, single or multiple occurrences, location, as well as whether the boundaries are clear, whether there are adhesions, and blood flow inside the nodule.
malignant nodules are mostly single-shot, unclear boundaries, irregular shapes, and rich blood flow signals.
How to treat calcification of thyroid nodules?
After detailed analysis, Mr. Zhang gradually calmed down and decided to receive treatment. The treatment steps are as follows:
1, further check
for blood tests such as color ultrasound and A-technology.
After a detailed examination, it can be seen from Mr. Zhang's examination results that there is a low echo nodule about .74*1.05cm on the left side of the thyroid gland. The boundaries are unclear, the shape is irregular, and strong echoes are scattered in dot-like. is more likely to be a benign lesion.
2, minimally invasive treatment
Since Mr. Zhang’s nodules are relatively small, they already tend to become malignant. After a joint consultation with Director Yang, a minimally invasive treatment expert in our hospital, he finally gave microwave ablation treatment without surgery, surgery time, and no side effects.
010 at 2 pm on October 27, Director Yang of our hospital performed microwave ablation on him. The entire ablation treatment process was very fast and it took only 20 minutes to end. There was no obvious discomfort after the operation. Mr. Zhang was discharged from the hospital that day.
Special reminder
Calcification may be related to thyroid cancer. Calcification may not be cancerous, and nodules are also divided into benign and malignant. If thyroid nodules have slight calcification, especially sand-like calcification, it is likely to be malignant nodules. Further examination is recommended.
In addition, when calcification of thyroid nodules, you must go to a professional hospital to avoid missed diagnosis.
