With the popularity of physical examinations, many people find thyroid nodules during physical examinations, and need to undergo regular review of B ultrasound. But in addition to this, there are some inspections that may also need to be paid attention to.

There is a situation in which
pay more attention to 3 tests
—
If a B ultrasound observes thyroid nodules that tend to benign, a subsequent regular review of B ultrasound may not be enough. It is best to improve three blood test items as soon as possible: thyroid stimulating hormone (TSH), calcitonin (Ct), carcinoembryonic antigen (CEA) .
1. Check thyroid stimulating hormone: mainly evaluates whether there are thyroid abnormalities, such as hyperthyroidism or hypothyroidism.
If there is hyperthyroidism, further evaluate whether it is caused by nodules and treat it. If hypothyroidism is present, evaluate whether treatment is needed.
In addition, thyroid nodules accompanied by elevated TSH will have a slightly increased malignant risk. If there are indications for puncture, puncture biopsy should be performed as soon as possible.
2. Calcitonin and carcinoembryonic antigen : mainly screens for medullary thyroid carcinoma.
medullary thyroid carcinoma is a type of thyroid cancer with a higher degree of malignancy, and the mortality rate is higher than that of papillary thyroid carcinoma .
However, it is difficult to diagnose medullary thyroid carcinoma early through B-ultrasound. Many patients have already had cervical lymph node metastasis after a clear diagnosis. Therefore, if possible, it is recommended to screen for medullary thyroid cancer with neck ultrasound, calcitonin and CEA. If myeloid cancer is indeed suspected, a thyroid puncture will be arranged for diagnosis.
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