3 years ago, Ms. Xie's nodule grew almost as big as a table tennis ball. She always felt a foreign body when eating. Ms. Xie went to the hospital for examination and treatment, and finally some thyroid was removed. However, a daily review recently found that there were nodules in the thyroid gland. Ultrasound showed that the maximum thyroid nodule in the left lobe was 3.8 cm, and the largest in the right lobe was 3 cm. If you still have resection treatment, you can only remove all thyroid glands. Ms. Xie didn't want to lose the remaining thyroid gland, so she came to Beijing directly with her family to see if there were any other treatment options.
When I saw Ms. Xie, I could see that Ms. Xie was very depressed. Ms. Xie told me that I don’t know what’s wrong. Some of the thyroid glands have been removed before, so why do nodules still grow? I told Ms. Xie that as long as the thyroid tissue exists, structural lesions will occur and nodules will grow. And in fact, there is no need to be removed for the previous nodules. If there is no malignant change, microwave ablation can be performed.
I checked Ms. Xie again and confirmed that the properties of the nodules are still benign and can be microwave ablated. I told Ms. Xie that ablation is minimally invasive and does not require removal of the thyroid gland. It only requires an ablation needle. In addition to some malignant lesions, almost all nodules can be ablated. In addition to:
1, papillary cancer
For ordinary people, if they have thyroid cancer , the most likely one is papillary thyroid cancer. According to incomplete statistics, 80% of thyroid cancer cases are papillary cancer. Papillary cancer generally grows slowly, but it is prone to spread to the lymph nodes of the neck. Even so, the cure rate of papillary cancer is the highest, with a 10-year survival rate of more than 90%.
2, follicular carcinoma
Follicular carcinoma and papillary carcinoma are both differentiated cancers, which means that the degree of differentiation is very high and the degree of malignancy is low. Follicular cancer accounts for 10% to 15% of all thyroid cancers. It can spread to lymph nodes and is more likely to spread to blood vessels, resulting in distant metastasis.
3, medullary carcinoma
thyroid medullary carcinoma accounts for about 4% of thyroid cancer cases. It can be discovered in the early stage because medullary cancer can produce a hormone called calcitonin . In the early stage, calcitonin can be checked for this type of tumor, but the degree of malignancy is relatively high.
4, anaplastic carcinoma,
anaplastic thyroid carcinoma is undifferentiated type of thyroid carcinoma. This type of tumor has a low degree of differentiation, high degree of malignancy, and strong invasiveness. Multi-organ metastasis can occur in the early stage, with a poor prognosis and the most difficult type to treat. However, the incidence of undifferentiated atherocarcinoma is very low.
[If you have any related questions, please leave a private message and reply after seeing it]
#Health Science Competition# #How should thyroid nodules be handled when you find a physical examination?#
