Content Sources:
[1] 马名慧,吴乃君,高月,etc.Thyroid cancer的molecular 标志物[J/OL].Biochemistry,1-9[2024-04-30].https://doi.org/10.13488/j.smhx.20230926.
Symptoms, treatment and prevention of thyroid cancer[J].Renren Health,2023,(33):82-83.
[3]王峰.早诊早治是防范甲状腺癌的关键[J].群言,2023,(12):50-51.DOI:10.16632/j.cnki.cn11-1005/d.2023.12.005.
Li Yuan originally did an administrative job, but her son gradually reached the age of going to school, and the family's financial pressure was getting bigger and bigger, so Li Yuan proposed to her superiors to transfer sales, but when she arrived at the sales department, she was told that she had to make 300 calls a day, and there were still indicators to be completed every month, otherwise she would have to deduct performance.
Li Yuan made a phone call for half a month, until her throat was smoking, and she didn't have a single intended customer in her hand, so she had to pull relatives and friends everywhere to barely get together the head. For a month, Li Yuan's body and mind were tortured. After coming home from work, her husband saw her face getting longer and longer, and persuaded her to change jobs or resign if she couldn't do it.
But Li Yuan seems to have arrogance, and he prefers to grind on the sales post, and he is the last one in the department to get off work every day, so he does have some achievements, although his throat is hoarse and his throat is sore, but Li Yuan still smiled with satisfaction when he looked at the increased numbers on the payroll.
Now Li Yuan always has all kinds of throat tablets on the table, but no matter how much she eats, her throat shows no signs of improvement, Li Yuan thinks that even if she takes medicine and still makes high-intensity phone calls every day, it is normal that she will not get better. waited until the May Day holiday before Li Yuan went to the otolaryngology department of the hospital for treatment.
The doctor pressed Li Yuan's tongue with a tongue depressor and looked at the epiglottis and tonsils, no edema and inflammation were seen, and a laryngoscope was done and no problems were found.
The doctor suggested that Li Yuan do a neck ultrasound to see the condition of the thyroid gland, but the outpatient B ultrasound room was already on holiday, and Li Yuan also felt that there was no need to be in a hurry, so she only took the medicine for laryngitis and went home to recuperate. But after a holiday, Li Yuan's throat still hasn't improved, and she always feels like something is stuck in her throat when she eats.
After the holiday, Li Yuan endured the discomfort in her throat and continued to work, and when she called her previous customer, she listened to the other side for a long time before remembering which person she was: "Why did your voice suddenly change so much?" Li Yuan smiled wryly on the other end of the phone and said perfunctorily that it was just a cold, but after hanging up the phone, she stuffed a piece of laryngitis medicine into her mouth. When he was pouring water, he choked out and splashed all over the table. The colleague at the next workstation was also disturbed by this movement, Li Yuan wanted to say sorry, but her throat kept coughing, and she finally finished coughing, and she felt breathless.
When I went home at night, my husband really couldn't stand Li Yuan's strong appearance, and said cruelly: "If I don't go to the hospital tomorrow, I will resign, and if I don't resign, we will divorce!" Li Yuan had to ask the manager for half a day off, and the next day, her husband accompanied Li Yuan to the otolaryngology department again, and the doctor who received the treatment was still the last time.
After seeing the results, the doctor's face became serious and suggested that Li Yuan go to the nail and breast surgery department for a thyroid puncture. The doctor explained: "The ultrasound results show that your thyroid gland has a 7*6*9mm nodule on the right lobe, and the imaging grade is grade 5, which is very likely to be cancerous. ”
The couple was stunned when they heard this result, and the doctor continued: "The position of the thyroid gland is in front of the trachea, and there are esophageal and recurrent laryngeal nerves around it, in addition to the trachea, there will be hoarseness, when the thyroid tumor compresses the recurrent laryngeal nerve, there will be difficulty swallowing and foreign body sensation when it compresses the esophagus, and it will cause dyspnea when it invades the trachea.
A piece of the puzzle slowly closed in Li Yuan's mind, and she also felt that something was wrong, but she always thought it was the cause of laryngitis and too much work pressure, and after the nail and breast surgery was punctured, Li Yuan covered the gauze on her neck, and walked out in vain, her husband looked at her state, although he was very anxious, he didn't want to put pressure on her anymore, but slowly helped Li Yuan home.
Three days later, the hospital called Li Yuan and informed her that the results had come out and that the doctor needed to talk to her in person. Li Yuan had already guessed most of it in his heart. In the past few days at home, she has been searching for information on thyroid cancer. Thyroid nodules are divided into 6 grades, 4A and below are more likely to be benign, and once they reach grade 5, more than 85% of them are likely to be malignant. However, she said on the Internet that thyroid cancer is also called happiness cancer, because it has a high cure rate and a low mortality rate, which makes her feel a little more at ease.
Li Yuan was ready for inpatient surgery, and went to the hospital with her husband carrying large bags and small bags. The doctor told Li Yuan with a serious face that her puncture pathological results suggested that it was anaplastic thyroid carcinoma. Undifferentiated carcinoma is the worst type of thyroid cancer, with rapid development and high malignancy, with an average life expectancy of only 3-6 months and a one-year survival rate of only 5%-15%.
Li Yuan opened her mouth wide in shock when she heard this, grabbed the doctor's hand and shook her voice and held back a whimper and asked: "Didn't you say that thyroid cancer is a happy cancer, why do you only have 3 months left to live?" The doctor explained: "There are four types of thyroid cancer, of which papillary carcinoma accounts for 90%, and the prognosis of papillary carcinoma is indeed very good, but not everyone is papillary carcinoma." But don't worry, now that medical technology has developed, undifferentiated carcinoma can achieve a better prognosis after treatment. ”
Teardrops fell from Li Yuan's eyes, and the doctor didn't listen to the second half of what he said at all. In an instant, all the reasons for self-soothing disintegrated, and the brain went blank, leaving only the tick-tock countdown to life. Li Yuan's husband, who was standing on the side, also had weak legs, his hands were propped up on the edge of the table, and he asked the doctor with a strong spirit: "Is the result wrong, why is it so coincidental, we are the 10%?"
After the doctor asked Li Yuan about some of her living habits, he suddenly shook his head and sighed: "It's this bad habit that accelerates the development of thyroid cancer." The husband reacted after hearing this, and the voice of pain could be heard throughout the corridor: "At least 6 times a week, I couldn't persuade me at that time!"
It turned out that when she was just transferred to the sales post, Li Yuan was under too much pressure, and the smoking addiction when she was young came back all of a sudden, at first she just went home from work to smoke one or two, and then the pressure became more and more intense, she could smoke a pack a day, and her husband smelled the smell of smoke all over her body, but considering her mood, she could only keep her mouth shut, and after two months of sales, Li Yuan basically smoked 6 times a week, and her husband couldn't stand it and began to persuade, but it was useless to persuade her.
Although the cause of thyroid cancer is unknown, there are many risk factors and triggers that increase the likelihood of thyroid cancer. Smoking is one of them. According to studies, women are 3 times more likely to have thyroid cancer than men. Mood changes also increase the risk of thyroid cancer, and people who are often sullen and have tantrums are more likely to get thyroid cancer. In work and life, you should actively adjust your emotions, and when faced with stressful and fast-paced work tasks, do not accumulate negative emotions and relieve them in time.
Diet can also affect thyroid function, iodine is closely related to thyroid function, whether low iodine or high iodine can lead to thyroid disease, daily diet should reasonably control the use of iodized salt and reduce the intake of high iodine food. Common foods high in iodine include various seafood products such as kelp and its products.
In daily life, thyroid cancer can be prevented, detected and treated early through a series of means. Minimize or avoid contact with radiation in daily life, and if the occupation is special, it is necessary to come into contact with radiation and radioactive materials, and it is best to take reasonable protective measures.
The thyroid gland is normally not palpable, if there is an abnormal mass around the thyroid gland or the neck is thickened, you should immediately go to the hospital to complete the neck ultrasound examination, if you find another thyroid nodule, you should be judged by a professional doctor according to the imaging results graded whether a needle biopsy is needed.
(Note: "At least 6 times a week!!45-year-old woman with advanced thyroid cancer, her husband was sad and cried out: I couldn't persuade at that time.")
》The names are pseudonyms, and some of the pictures are network pictures; the article is forbidden to be reproduced or plagiarized)