Zhejiang 23-year-old girl Sisi is a student majoring in nursing . Shortly after graduation, she successfully applied for a nurse job in in a tertiary hospital. Unexpectedly, life played a huge joke with her.
happily notified his parents about the results of the entry into the school and participated in the entry physical examination on time. However, a nurse with a certain medical knowledge was shocked when she saw the result of her thyroid ultrasound.
According to the results of the thyroid ultrasound, the thyroid on the right side of the girl has an nodule with a diameter of about 0.8 cm, and the nodule morphological characteristics are 4a. This shows that nodules may be malignant. But Sisi still has a certain degree of luck, so she will do a puncture first. But when the puncture result came out, the little girl squatted on the ground and cried...
The puncture result clearly shows: papillary thyroid cancer .
Theoretical knowledge tells Sisi that papillary thyroid cancer is easier to treat in all thyroid cancer . Moreover, as long as there is no lung metastasis, metastatic cancer such as bone metastasis and survives for a long time, which is considered to be a better prognosis. However, for a 23-year-old nurse, her future life has just begun, and who can accept that she has cancer immediately!
The cancer found by the entry physical examination temporarily destroyed Sisi's confidence in future life. After thinking about it, she still notified her parents. After the parents arrived at the hospital, the family was confused about the plan given by the doctor...
According to the results of the B-ultrasound examination of the young patient, the girl's right cervical lymph node was swollen and , and there was an unclear boundary with calcification point. what does that mean? There is high suspicion of lymph node metastasis in the thyroid gland. The difficulty lies here: lymph node is too small to be punctured.
Sisi's parents took her to several of the most famous hospitals in Zhejiang Province, but the result was all the same. The solution is to complete thyroidectomy and large-scale neck dissection.
What should I do? It turns out that for this 23-year-old girl, her dream is to successfully join the job, work smoothly, find a good boyfriend, and reach the peak of her life.
But in the face of disease, her dream has changed. Now, Sisi just wants to at least protect the thyroid gland on one side, and don’t make a large incision. After all, the cancer I suffered from is nicknamed "lazy cancer", which means "slow incidence and low malignancy". So can you observe it again?
If this happens to others, the quasi-nurse will say: Treating "lazy cancer", people cannot be lazy! And it has been suspected of being transferred, so it is better to take the surgery as soon as possible.
But this happened to her, and the young girl hesitated... She decided to find a doctor who could give other treatment plans!
often have diarrhea? Frequent blushing? The doctor asked a question and found out that there was a cancer
with this mentality and went to , the First Affiliated Hospital of Zhejiang University School of Medicine, for treatment. In the clinic of the thyroid surgery department, the expert followed the patient's strong wishes and decided to help the young girl.
The current treatment plan is: small incision surgery, only the right thyroid is cut off, and the left thyroid is retained. Cleaning is not done on a large scale anymore, only accurate cleaning is done. At that time, based on the rapid pathological results of the sample selected during the operation, decide whether to expand the scope of dissection.
Compared with the previous surgical plan, is more conservative, but it basically guarantees the little girl's physical safety. was already relieved of his heart, and he felt that things were almost settled. Unexpectedly, the doctor's question overturned all this.
Looking at the experts who have passed the inspection report, they noticed a special point. After the little girl had blood checked, the results showed that the calcitonin index was relatively high. And according to her self-report, she has always experienced diarrhea for no reason in the past or two years.
What do you think? There is nothing unusual, it's just like ordinary diarrhea. What are the specific times? There are several times every month.Strangely, the results of the gastroenterology test show that everything is normal . So the little girl didn't take it seriously.
However, this information was noticed by the doctor!
He continued to ask Sisi: What about diarrhea for no reason? Any other uncomfortable places? Do you blush easily?
Facing the doctor's questioning, the little girl was also stunned. What's the problem? Is blushing related to diarrhea?
But she still answered the question honestly: There are no other exceptions. When you have diarrhea, your stomach doesn't hurt either. It can be cured without taking medicine. I don't know if I don't blush. It seems that my classmates have said it once or twice, but I didn't pay attention.
no reason diarrhea, flushed complexion, abnormal calcitonin indicators... These information points to a more terrible possibility that the patient may also suffer from a cancer, a rarer medullary thyroid cancer! The prognosis of cancers such as
is much worse than that of previously diagnosed papillary thyroid cancer, and the risk level is greatly increased. If micro-medullary cancer metastasis occurs, if the puncture occurs, the result cannot be determined and the iodine 131 treatment cannot be treated, which is even more complicated! The previous surgical plan of
has been overturned. The scope of lymph node dissection must be expanded, the operation must be performed quickly, and the pathological test results must be checked. Sure enough, when the pathological results came out, things were exactly the same as what the doctor expected.
The girl suffers from two types of cancers at the same time, and only one lymph node papillary cancer metastasis, so the situation is not too bad. Regular follow-up is required afterwards.
thyroid cancer, not as gentle as you think
In the past two years, many people have heard of the name of thyroid nodule . But in the hearts of many people, most thyroid nodules are benign. Even if it is vicious, it is nicknamed "lazy cancer", so there is no big problem.
But in fact, this is only half true.
Some thyroid cancers, such as medullary thyroid carcinoma and undifferentiated thyroid cancer, are not as gentle as we imagined, have high harm and are very hidden.
Like the medullary thyroid carcinoma MTC that Sisi suffers from, it is a type of neuroendocrine tumor , which secretes certain substances, such as calcitonin CT, corticotropin ACTH, carcinoembryonic antigen , and vasoactive peptides, etc. This is why the doctor smelled a dangerous signal when he saw the blood test indicators.
1/3 of the patients with this cancer will have the same situation as Sisi. This is because secreted substances can stimulate intestinal peristalsis and cause diarrhea. But once I had a gastroenteroscope, I couldn't find anything. Such ordinary and hidden symptoms may be cancer with a high degree of malignancy. How terrible!
Dr.X says
Nowadays, many people who have thyroid nodules think it is "lazy cancer", so they take it lightly. But even when faced with "lazy cancer", people cannot be lazy!
