thyroid is human body larger endocrine glands, but also the most prone to disease one of the gland.Beijing union medical college hospital surgical director doctor LiuYueWu basic points out, from the standpoint of surgery, thyroid disease into thyroid gland tumor, nodular thyroid is swollen, hyperthyroidism, chronic lymphatic sex thyroid inflammation and thyroid carcinoma.
"the thyroid disease high age focused on-years old, with the female is in the majority, is probably The Times or so. Although male high incidence of thyroid disease, but its prognosis is good, as long as the early detection, standardized treatment, patients with thyroid cancer survival rates for about ten years. %."
vigilant of thyroid nodule cancerous
"the incidence of thyroid nodule is, the incidence of a disease is very high % (such as stomach cancer is only,)."
LiuYueWu introduction, thyroid nodule is grown on a thyroid nodule kind of thing, its nature may be tuberous thyroid is swollen, or granulation is swollen, thyroid inflammation, thyroid tumor or thyroid cancer, in no qualitative commander-in-chief called before thyroid nodule.
thyroid nodule appear several situations need to alert:. More dangerous than a single nodules;. A single nodules hard, fixed, not pain;. Grow fast;. Ultrasonic tip nodules have microcalcification point;. Ultrasonic tips for low echo nodules and borders are not clear, low echo nodules in, high echo than malignant nodules possibility;. Solid nodules than cystic or pouch or solid nodules dangerous;. Neighboring cervical and swollen;. Cause compression symptoms appear or voice hoarse.
size isn't the only operation index
"thyroid nodule whether to need surgery, size isn't the only index. If look like from ultrasonic nodules, then we in benign nodules-cm of time would consider remove it. If there is a tendency, it needs to malignant cut off as soon as possible. If colour to exceed tip is thyroid adenoma, also had better surgical resection, thyroid gland tumor growth because in the process of % will have cancer."
LiuYueWu points out, now many hospital in the method of thyroid nodule take one size fits all, as long as is found to have nodules, resort to surgery, so the approach is not advisable.Like some tuberous thyroid is swollen, itself to belong to multiple nodules, and almost no cancer, if in-centimeter or so it resection, do more harm than good.
"multiple of thyroid nodule, general is large in diameter to cause neck is beautiful, or oppression tracheal, or cause hyperthyroidism, they need to do the operation."
LiuYue Mr Wu said tuberous strumous postoperative easy long again nodules, because after the operation adhesion, and once again the recurrent laryngeal nerve damage caused by the operation of a significant increase in the risk, leading to a hoarse voice.For example, the first operation, the probability of recurrent laryngeal nerve damage is about. %, the second is.
thyroid cancer cure rate high
LiuYueWu pointed out that with the people to the health the attention, neck ultrasonography technical updates and other such as the environment, diet and personal mood of the factors such as change, in recent years, the incidence of thyroid cancer is almost the past %.
"the thyroid cancer cancer cell growth speed slow, and malignant degrees and is not very high, again a thyroid cancer is the most common papillary carcinoma, not easy to transfer from blood, mainly is lymphatic move, so most patients only in the neck metastasis and recurrence, facilitate the treatment."
LiuYueWu said, the prognosis of thyroid cancer early, good effect, after surgical treatment, ten years of survival in % or so.However, the effect of thyroid cancer postoperative outcomes is they will just be affected.In addition, some tumor even smaller, but if growth position near the recurrent laryngeal nerve or trachea, early infringes nerve and will lead to voice hoarse, and if infringe upon the trachea words will make operation cut not cancer, easy relapse, this case is not rare.
hashimoto disease on the basis of the nodule easy cancerous
chronic lymphatic sex thyroid inflammation, also called hashimoto's disease, the most common thyroid inflammation of a type.It is the body produces lymphocytes against his thyroid, belong to an autoimmune disease a.
LiuYue Mr Wu said hashimoto disease have disease slow, patients generally no special feelings, often in discovering accidentally strumous, general symmetry is diffuse enlargement, and may also be a side enlargement is obvious.
"thyroid function in the normal range, a few more can appear hyperthyroidism, such as stress, heart palpitations, fear heat, etc. As the disease progresses, when the thyroid damage to a certain extent, more than half of the patients can be late hypothyroidism symptoms, such as afraid of the cold, lack of power, weight gain, etc."
LiuYueWu said, in hashimoto disease on the basis of the nodule malignant transformation rate grow more average of thyroid nodule is high, there is that the study of a cancerous rates as high as.So, for thyroid inflammation merger of thyroid nodule, surgical indications need to relax restrictions on some.
thyroid performed best once a year
LiuYueWu points out, thyroid disease have certain occult, early not easy to find, so, early detection, prevention early appear quite important.
"especially the stress of women, in a routine physical examination, and do the best thyroid colour to exceed the diagnosis JiaZhuangXianBing. Colour to exceed the best means, in addition to very accurate, but also the economy, no gen."
and has already been diagnosed with thyroid nodule of benign, also had better see a every half a year of specialized subject doctor, do a regular check and accept the appropriate treatment.MiaoHui
(responsibility editor: WangHuiMing)
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