Physical examination is more and more valued by the public, cherishing life, and annual physical examination has been a health concept respected by many people. When a thyroid nodule is detected, it will be down instantly, and I don't know what the nodule isIt's okay to leave it alone.
What is a thyroid nodule?
Literally, a thyroid nodule is a lump in the thyroid gland that moves up and down with the act of swallowing, and is the result of abnormal proliferation of thyroid cells. Thyroid nodules can be multiple or single, and multiple nodules are more common than single nodules and are mostly benign lesions, usually without obvious symptoms.
Are you a little relieved when you see that there are no obvious symptoms?In fact, it's not that simple, on the physical examination reportTi-RADS classification, yesAssess the degree of benign and malignant natureThe focus.
Let's talk about the meaning of the TI-RADS classification of thyroid nodules in detail, and check to see if your nodules are okay.
First of all, let's understand what are the malignant signs of thyroid nodules
Signs of suspicion of malignancy include: Vertical growth (aspect ratio 1);Microcalcifications;Very low echo;Simple solid echo (especially when hypoechoic is predominant);The morphological structure is irregular, the border is not clear, and it is accompanied by abundant blood flow signals.
Level:This means that there is no nodule in the thyroid gland and there is no need to deal with the problem.
Class:Indicates that the thyroid gland has benign lesions, regular morphology, clear borders, and benign. It can be dissolved by Chinese medicine.
Class:Solid thyroid nodules are the mainstay, and most of them are still benign, which can be dissolved or ablated by traditional Chinese medicine.
Class:Indicates suspicious malignant nodules, which are subdivided into 4a, 4b, and 4c, representing % 90% malignant risk, respectively. At this stage, it is necessary to get a good grasp of intervention.
Class:There is a high probability that the nodule is already malignant, and there are more than 4 signs of malignancy, and the risk of malignancy is high, so it is generally necessary to perform a needle biopsy or direct surgery. There are also a few who can do Chinese medicine**.
Class:It has been pathologically confirmed to be a malignant nodule and requires surgery.
Summary: Nodules within category 3 do not need to be too worried, and generally do not become malignant. But we can't ignore it, and we must pay close attention to the dissolution of traditional Chinese medicine. In particular, some nodules about 3 cm in size will form a local bulge on the surface of the neck, which will affect the appearance, and can also cause swallowing disorders and affect daily life.
Class 4A nodules do not necessarily mean that they are cancerous, and Class 4A nodules have 1 sign of malignancy and have a 2% 10% risk of malignancy, if doneNeedle biopsy, the nature of the nodule is further clarified, and the puncture result is malignant (nodule diameter less than 1 cm and no lymph node metastasis) or benign noduleThyroid ablation may be performedOr Chinese medicine to dissolve. If the puncture result is malignant (the nodule is larger than 1 cm and the lymph nodes have metastasized), surgical removal is necessary.
Thyroidectomy
Thyroid surgical resection, one is the complete resection of one side of the thyroid gland, the other is partial resection, thyroidectomy often retains all or part of the contralateral thyroid tissue to maintain the required physiological function, but after thyroidectomy, it will not only leave scars that affect the local aesthetics, but also cause short-term complications and long-term complications, causing varying degrees of damage to oneself. It can also be hypothyroidized for life.
Therefore, there is no need to worry about the detection of thyroid nodules, let alone let it go. Nodules with low grades should be treated as soon as possible, and should not be allowed to develop to the point where surgery is necessary.