Have you ever felt that there are more and more people with thyroid nodules around you? This is not an illusion. In my country, about 1 out of every 5 people who have a physical examination is diagnosed with a thyroid nodule. In the variety show “Oh Good Body”, many post-95 stars such as Song Yanfei and Wang Ziyi expressed that they have thyroid nodules. In December 2021, Park Sodan, the heroine of “Parasite”, was diagnosed with papillary thyroid cancer when she was only 30 years old. According to the data from the National Cancer Registry, my countryThe incidence of thyroid cancer among women in urban areas is women4th among all malignant tumors. Multiple thyroid nodules, Thyroid cancer rates are on the rise, making it the closest cancer to young people. Many people also develop “thyroid anxiety”. Let’s talk about this articleHow do we deal with thyroid problems? 01One out of every five people has a thyroid noduleAs an important endocrine organ in the human body, the thyroid gland plays an important role in regulating the physiological functions of the human body. However, its presence has always been relatively weak, and many people only noticed it because of the frequent appearance of “thyroid nodules” in the medical report. According to the results of the 2020 “Epidemiological Survey of Thyroid Diseases in Community Residents”, the incidence of thyroid nodules in my country exceeds 20%, which means that every every In 5 physical examinations, 1 patient with thyroid nodule will be found. The etiology of thyroid nodules is still not fully understood. span>Diet structure, emotional stress, obesity and genetic factors are related. Contemporary young people live under high pressure, and it is normal for their daily routine to be irregular, which is also an important reason for the prevalence of thyroid nodules among young people. In addition,with the advancement of medical technology, the frequency of physical examinations has increased< /span> is also the main reason why the incidence of thyroid disease continues to rise. Medical techniques such as neck ultrasound, CT scan and MRI make thyroid disease easier was checked out. In addition, people pay more and more attention to their health, and they will undergo a detailed and comprehensive physical examination, which will lead to a greater chance of receiving a thyroid ultrasound. Based on data from recent years, thyroid cancer has become the most common cancer diagnosis in Korean women since the introduction of ultrasound. In my country, after thyroid disease screening was incorporated into routine physical examination items, the detection rate also increased rapidly. And thyroid problems are more prevalent in women,women are about 3 to 4 times more likely to develop thyroid problems than men. with data display, >The incidence of thyroid cancer in women in major countries in the world is on the rise. In China, the incidence of thyroid cancer has also jumped to the fourth place among womenall malignant tumors. The incidence of thyroid cancer continued to rise, but the mortality rate did not change much. There is even a downward trend in some areas. For example, in Hong Kong, the deaths of women from thyroid cancer in 1970 The incidence rate was 1.5/100,000, and by 2010 this figure dropped to about 0.4/100,000.This trend is obviously inconsistent with the continued increase in the incidence rate, which also triggered a discussion of medical experts on overdiagnosis of thyroid cancer.
02Overdiagnosed Thyroid CancerThyroid Cancer Also Known As As “lazy cancer” and “happy cancer”.Most thyroid cancers are differentiated thyroid cancers, which grow relatively slowly, and serious complications are rare. Post survival rate is high.A “lazy cancer” like this,may not cause death in a lifetime, or even have no symptoms. In other words, thyroid cancer doesn’t have a particularly big impact on our livesus. However,in recent years, the detection rate and incidence rate have continued to rise. March 2020, IARC Cancer Surveillance 25 countries survey,Analyze the reasons for the rapid increase in the incidence of thyroid cancer, especially papillary subtype cancer, in recent years, span>is made by< strong>caused by overscreening for the disease. The December 2019 article in the Medical Journal of Australia also discusses this issue. An Australian study analyzed more than 30 years of national medical data and concluded that the five most common cancers (breast, thyroid, kidney, prostate and melanoma) About 20% of are “overdiagnosed” results. Estimated number of overdiagnosed cancers in Australian women in 2012. There is also an overdiagnosis of thyroid cancer in my country. In 2020, an article on the global incidence trend of thyroid cancer published in The Lancet concluded that between 2008 and 2012, < /span>About 87% of women with thyroid cancer in my country are overdiagnosed. Faced with the current situation of overdiagnosis of thyroid cancer and the rising incidence, the insurance industry has also reformed critical illness insurance in 2020. Compared with other major diseases, the cost of surgery for thyroid cancer is very low, generally 20,000-30,000 yuan. Before 2020, if you buy critical illness insurance, you can get full compensation after suffering from thyroid cancer with less cost of treatment, so it is called “cancer-friendly”. At the end of 2020, the insurance industry will identify diseases such as thyroid cancer with low diagnosis and treatment costs and good prognosis as mild diseases. , the payout limit is changed to 30% of the sum assured. 03How to deal with thyroid disease correctly ? First of all, let’s be clear, the thyroidNodules are very common medical conditions. thyroid nodules found in physical examination, 90% Those above do not require treatment (including non-surgical methods). If there are no signs of malignancy, there is no need to remove it. There is no need to panic, you can think of this thyroid nodule, as a “mole” that will not go away. The mole on the skin will recover quickly, but when the thyroid nodule is removed, the normal thyroid tissue will be removed together, and the thyroid is It is an important endocrine organ of the human body, and the artificial removal of the thyroid gland will cause the original secretion of thyroid hormones to decrease, and it may be necessary to take exogenous thyroid for life after surgery hormone.
and more than 90% of thyroid cancers are benign, it is not rigorous and exaggerated to say A delay of a year and a half or even a few years may not result in lifelong regrets. So generally when a thyroid nodule is found in physical examination, ultrasound examination will grade the nodule, < span>Generally grade 4 or even above grade 4b (especially if there is cervical lymphadenopathy), it is recommended to consider further thyroid fine needle aspiration (FNA). Take a piece of thyroid tissue with a needle to see if there are any specific tumor cells in it. It should be mentioned that thyroid puncture is invasive, and it is like taking a mouthful of burning fairy grass from a straw. We did not inhale peanuts (tumor cells), which does not mean that it does not exist at all, puncturing Negative results do not mean 100% no problem, so thyroid biopsy is not recommended for routine use. When thyroid ultrasound, especially regular review ultrasound, suggests a malignant tendency, it is too late.
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