In recent years
Thyroid nodulesbecome the 2nd on the medical report form after “three highs“
Big regulars
Related medical data display
In Chinese adults
the incidence of thyroid nodules is about 20%~76%
equivalent to 1 per 5 people
Many people hear “nodule”
There will be many questions
Can thyroid nodules become cancerous
How to distinguish benign from malignant
Do I need surgery
……
So today, Uncle Jiu will talk about
thyroid nodules
01
< p>Why do I get thyroid nodules
The nodule is plain It is a pile of proliferative tumors
The reasons for stimulating thyroid nodules
are roughly as follows:< /span>
Long-term emotional anxiety and stress
iodine deficiency or excessive intake< /span>
Exposure to radioactive material
familial
02
What should I do after a nodule is found?
nodules are either benign or malignant
Different nature of the diagnosis and treatment plan is also different
through the routine 4 thyroid examinations
basically can Determining the quality of a nodule
palpation: a preliminary determination of whether there is a nodule
span>Neck examination
can initially assess the condition of the nodule
Blood tests: assessing normal thyroid function
( but cannot diagnose benign/malignant nodules)span>
p>
Thyroid Ultrasound: Preliminary Determination of Nodule Nature, Size and Quantity
The TI-RADS classification on the ultrasound diagnostic report
can be a good way to evaluate the thyroid nodules Security
>If the nodule is TI-RADS grade 4 and above
needle biopsy is recommended for further Determine whether
is a malignant nodule
and if
The following words appear on the medical report form, also pay special attention
needle biopsy: good or bad conclusion
Tissue specimens drawn by fine needle aspiration
Cytopathological examination
can effectively differentiate benign and malignant thyroid nodules
< p>Reduce unnecessary surgery
the entire puncture operation
< p>Only minutes to complete
doesn’t cause significant trauma
< /p>
in clinical data
Less than 5% of nodules
have the potential to develop into thyroid cancer
(the remaining 95% are benign)
even if unfortunate Diagnosed with thyroid cancer
mortality was also lower
only 0.076 /100000
The condition can be controlled as long as it is treated in time
03
Do I have to have a nodule surgery?
If the nodule is small in the early stage
can be treated without surgery
but every 3~6 months
regularly check thyroid hormone levels, B ultrasound
If benign nodules continue to grow
(more than 4cm in diameter)
with pressure, hoarseness, dysphagia< /span>
and malignant nodules
required surgery strong>
If the thyroid function is abnormal
Take hyperthyroidism as an example
It is necessary to take antithyroid drugs
supplemented with Radioactive iodine therapy or surgery
Alleviation and control
p>
04
How to prevent and control
Regular check-ups are required
healthy adults
Especially for adult women over 35 years old
It is recommended to do a thyroid function test and B-ultrasound every 5 years
strong>
with a history of thyroid nodule p>
At least once a year thyroid checkup
>
ionizing radiationthyroid nodule formation
and an important cause of carcinogenesis
so try to stay away from
Reduce possible radiation exposure
Controlling dietary iodine intake
Insufficient or excessive iodine intake
both cause nodules
Thyroid nodules with hyperthyroidism
should choose non-iodized salt and reduce consumption of seafood< /p>
thyroid nodule with hypothyroidism
span>
Optional iodized salt
It is recommended to consume Shanghai products more than 2 times a week
Such as fish, shellfish, seaweed and kelp
<600"> /p>
Overall
A thyroid nodule is not a big deal
Regular review and cooperation with treatment
can better control the condition
But in life
cancerous nodules due to missed re-examination opportunities
hospital misdiagnosis leads to unnecessary misdiagnosis Surgery
occasionally
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because So if you or your family members
have the following questions during treatment:
•think about yourself The disease may be misdiagnosed or missed by the doctor
•Worry about the risks of surgery when diagnosed with surgery
•Think that a certain treatment recommended by the doctor is not necessary
• Unsure about the diagnosis (eg, being diagnosed with a serious disease such as cancer)
•When the doctor recommends a treatment with greater risk or strong side effects
p>
A second opinion service is available
< /p>
Currently patients can use
39 Health Network menu bar“Expert secondary diagnosis”entrance
perform authoritative expert secondary diagnosis service span>
Click ↓↓↓View Details
References:
[1] Liu Mao. Wang Peihua. Analysis of influencing factors of thyroid nodules. [J] Jiangsu Preventive Medicine, 2017, 28(6)
[2] Yang Tao. Don’t take thyroid nodules as Heart nodules, 95% are benign , Diagnosis and Treatment Guidelines (2016 Edition)[J].China Journal of Lung Cancer,2016,19(12):793-798.
[4] Rong Xueyu. Ji Hongtao . Preliminary application of three-dimensional ultrasonography in the differential diagnosis of benign and malignant breast nodules.[N]. 2008(024),008
[5]Kaliszewski et al. “American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer : The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer.” (2017).
[6] Cooper, David S et al. “Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer.” Thyroid : official journal of the American Thyroid Association 19 11 (2009): 1167-214 .
[7]Stavros, Athanasiou et al. “Solid breast nodules: use of sonography to distinguish between benign and malignant lesions.” Radiology 196 1 (1995): 123-34 .