Guidance Expert: Huang Xueyang Chief Physician Guangdong Provincial Hospital of Traditional Chinese Medicine Vascular Thyroid Surgery
Thyroid gland shaped like a butterfly on the neck. It is a very beautiful organ. It is also a regulator of body metabolic activities and is also known as the "body engine." However, in recent years, the incidence of thyroid disease has been rising, with problems such as nodules, , cysts, hyperfunction or depression, and even cancer, emerging one after another. According to surveys, 30% to 68% of people have thyroid problems.
, especially , thyroid cancer , has a significantly higher incidence. According to data released by the National Cancer Center in 2019, thyroid cancer has ranked fourth among the tumors that are high in women, and the overall cancer incidence has ranked seventh. It is a common tumor and one of the most common cancers in young people.
1. Is it difficult to detect thyroid cancer in the early stage?
When thyroid cancer begins, most people have no symptoms. Some people just feel discomfort in front of the neck or pressure in front of the neck. Once it occurs in the late stage or late stage, it will invade the recurrent laryngeal nerve and will show symptoms of hoarseness. If it invades the esophagus, it will cause esophageal compression. If it invades the trachea, blood coughing up or trachea compression will occur.
You can massage and touch it yourself to see if there are hyperplasia nodules in the middle of the neck or both sides. If you feel nodules, or feel a sense of compression in front of your neck, or a foreign body sensation, go to the hospital for B-ultrasound in time, or have a check-up by a specialist.
2. thyroid nodules will become cancerous?
Some people hear that thyroid nodules will develop into thyroid cancer, so they are very panicked as soon as they see the physical examination form that says "thyroid nodules". They think they feel relieved if they have cut them early, but they are not.
When the ultrasound doctor describes the nodule's envelope, the shape is relatively regular, the echo is relatively uniform, there is no calcification foci in , or there is a solid cyst change, and there is no echo. The liquid state is a cyst, which is called a benign thyroid nodule.
If the sonographer describes that the nodule boundary is unclear, the shape is irregular and even burrs are present, it invades the thyroid dorsal membrane, and there are a bit of strong echo calcification inside the nodule, which has a rich blood supply and a high hardness. At this time, it is necessary to consider that the nodule may be thyroid cancer, which is a malignant thyroid nodule. In addition, the longer the nodule lesions are, the more likely it is to become malignant.
3. Is thyroid cancer really a happy cancer?
There is a saying in the medical world: If everyone must get a cancer in their lifetime, I will get thyroid cancer. In this regard, Huang Xueyang, chief physician of the Department of Vascular Thyroid Surgery at the University Town Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, explained: Relatively speaking, the malignancy of thyroid cancer is relatively much better than that of high-incidence cancer such as gastric cancer, , liver cancer, lung cancer, etc.
The most common thyroid cancer is papillary carcinoma . The experimental survival rate of papillary carcinoma can reach 97%-98% in the early stage. Therefore, if thyroid cancer is detected early, especially papillary cancer, the effect of this treatment is very good.
Of course, we must also realize that thyroid cancer is not just papillary cancer, because generally papillary cancer is between 85% and 90%, and is papillary. The so-called papillary carcinoma generally has better differentiation and low malignancy. However, there are also high malignant cancers, such as undifferentiated cancers. Undifferentiated cancers generally range from discovery to death of patients, which may take about three months to six months.
If it is medullary thyroid carcinoma or undifferentiated carcinoma, the prognosis is relatively poor. If it is undifferentiated cancer, it must be treated comprehensively. It cannot rely solely on surgery, but also on biological treatment or targeted drug treatment. Before the treatment of this thyroid tumor, it is necessary to clarify what nature of the thyroid tumor is and make corresponding treatments based on its corresponding pathological diagnosis.
So, don’t just think that thyroid cancer is a cancer with low malignancy. Not all thyroid cancers have good differentiation and low malignancy, which is a wrong understanding. #Medical Media Super Group##Qingfeng Plan#
