In recent years, more and more people have been found to have "nodules" somewhere in the body during physical examinations.
People always seem to associate nodules and lumps with cancers and tumors, and once they find out and feel the nodules, they start to be very anxious:
Fear that the nodule is cancer!
Fear that the nodule will turn into cancer in the future!
Is a nodule cancer? Can it turn into cancer?
First of all, the "nodules" on the physical examination report are not a disease diagnosis, but an imaging observation.
Locally inflamed, which may appear to be a small clump;
Old inflammation, which may appear to be a small lump;
Tissue growth of its own, which may appear to be a small clump;
There is a tumor, whether it is benign or malignant, it still looks like a small lump. ……
There is a nodule on the medical report, which only means that you have a small lump in your body. Nothing can be said until the doctor makes a comprehensive diagnosis.
Speaking of this, you may be panicking again, nodules represent something growing in the body, is there any danger? Will it become cancer? If you're not afraid of 10,000, you're afraid of what if! What are the signs that we should pay attention to?
Generally speaking, the description of "burrs, unclear nodule borders, and abundant blood supply" in the report is more dangerous.
Of course, specific to different nodules, specific analysis is required.
Whether you already have an examination report or feel a nodule or lump on your body, do not self-diagnose and relieve it on your own, so as not to delay diagnosis and treatment, accelerate the deterioration of the condition, and ask the doctor is the most reliable.
Now in the online consultation of Lilac Doctor, there are three top three doctors in the country to help you interpret the report, judge the severity of the condition, give treatment plans and suggestions in daily life, so that everyone can clearly understand their nodules, and the first order of the newcomer is limited to 9.9 yuan.
Physical examination of nodules, cysts, polyps?
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Interpretation of the top three doctors online
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* Online consultation should provide medical records with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.
The three most prevalent nodules
Don't panic too much
Thyroid nodules, breast nodules, and pulmonary nodules are the three most common nodules in the physical examination report, and many young people will also encounter them.
➊ Thyroid nodules
Image source: Zhan Kuhailuo
Thyroid nodules are one of the most common thyroid abnormalities. Surveys of unscreened subjects with ultrasound found that 20%~76% of women had at least 1 thyroid nodule, and the detection rate of thyroid nodules in men was also high.
Malignant Risk:
The vast majority of thyroid nodules are benign, and only 4%~6.5% are cancerous overall, but it does not mean that they do not need treatment if they are not cancer.
Red flags:
If the following happens:
- Palpitation, fear of heat and sweating, abnormal stools, poor sleep at night, and irritable temper
- Difficulty breathing or obstruction of swallowing may be due to a large nodule compressing the tracheoesophagus
- Hoarseness is usually caused by the compression of the recurrent laryngeal nerve by the nodule, and the probability of malignancy is relatively high
Or if the following words appear on the inspection report, it must be dealt with in time.
- The nodule borders are not clear
- Abnormal lymph nodes on the ipsilateral side of the nodule
- Low echo
- Gravelous (fine sand)-like calcifications
- The anterior and posterior diameters are larger than the left and right diameters (aspect ratio misalignment)
What to do:
Click on the diagram below to consult an endocrinologist or thyroid and breast surgeon for a specific diagnosis, and the doctor will help you determine whether it is serious, whether surgery is needed, and how to treat it.
Actively review and monitor nodules.
Thyroid nodules consult a thyroid breast surgeon
Upload the physical examination report and the doctor will interpret it online
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* Online consultation should provide medical records with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.
➋ Breast nodules
Image source: Zhan Kuhailuo
Breast nodules are mostly benign breast lumps. It is a general term for a large group of benign breast lesions, including fibroadenoma, simple cyst, mastitis, etc.
Malignant Risk:
Most breast nodules are benign tumors, and 4%~10% are malignant.
Red flags:
A BI - RADS classification is usually written on the medical examination report, which we can simply understand as a malignancy score. If it is greater than category 4, the nodule is too unfriendly and needs further investigation.
In addition, it is necessary to be vigilant when the following words appear on the report.
● The nodule has unclear borders and irregular morphology
● Burr-like edges
● Rear attenuation
● Clustered calcification
● The aspect ratio is greater than 1
What to do:
Click on the diagram below to consult a thyroid breast surgeon for a specific diagnosis.
If the doctor judges that the malignancy is not likely to be large, and the nodule does not appear to grow rapidly in a short period of time, it only needs to be rechecked regularly, and there is no need to blindly remove it.
Consult a thyroid breast surgeon for breast nodules
Upload the physical examination report and the doctor will interpret it online
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* Online consultation should provide medical records with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.
➌ Pulmonary nodules
Image source: Zhan Kuhailuo
The case of pulmonary nodules is relatively special, because of the improvement of examination accuracy, the nodules that can be detected are getting smaller and smaller, and a large number of them have been found in physical examinations in recent years.
Malignant Risk:
Since there are many causes of lung nodules, people with bad habits such as smoking and alcohol abuse that can clearly cause cancer, and people who work in toxic and harmful jobs (such as dusty factories, etc.) need to pay more attention.
Red flags:
Pulmonary nodules usually occur without obvious symptoms and are usually discovered unexpectedly during a physical examination or during a lung examination for another illness or discomfort.
If the following words appear on the lung test report, it is recommended to consult a doctor immediately for confirmation.
● The nodule border is unclear, lobulated and burr
● 结节大小 ≥ 8 mm
● The nodule is ground-glass in shape
This is especially true for ground-glass nodules with a solid component
● The density is uneven, and the solid composition is high
What to do:
In general, if the lung nodule is detected in the physical examination, there is no need to be overly anxious. Once a pulmonary nodule is found, pulmonary nodule evaluation is the focus.
Click on the figure below to consult a respiratory physician online to make a timely and effective differential diagnosis of lung nodules, quickly identify their benign and malignant nodules, remove malignant nodules as soon as possible, and avoid unnecessary overtreatment.
Consult a respiratory physician for pulmonary nodules
Upload the physical examination report and the doctor will interpret it online
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* Online consultation should provide medical records with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.
I don't know if you have noticed that whether it is a thyroid, breast or lung nodule, these danger signs such as "burrs, unclear demarcation, and abundant blood supply" are high-frequency keywords.
Not only these three types of nodules, but also if these conditions occur in other parts of the body, be vigilant as well!
For these nodules and lumps, the most reliable thing is to ask a professional doctor, so that the doctor can help you diagnose and give you a treatment plan.
This is the most effective solution between "delaying the disease" and "worrying"!
Ask a professional doctor online
Professional diagnosis, treatment plan, life coaching
Seeing this, I believe that friends will still have a lot of questions:
Does it matter if the boundaries are clear, but the morphology is irregular?
Will I need surgery for this nodule on my report?
What should I do if I have a recurrence after surgery?
How often do I need to go for a follow-up examination for nodules?
The doctor said there was no need for surgery, so what could I do?
Do the lymph nodes in my neck need to be checked?
Does a bad mood really cause nodules?
Because each person's definition of physical discomfort is different, lifestyle habits, family medical history, and physical condition are also different, and each person's examination report shows even more different.
The most reliable and rigorous way is to let the doctor make a judgment for you according to your situation.
You only need to upload the examination report, describe the problems and demands on the Lilac Doctor, and you can receive a reply from the professional doctor, and the smooth communication will gradually increase.
Not only nodule problems, but also thyroid problems, breast problems, and respiration-related problems, you can quickly get professional diagnosis, treatment plans and life guidance in just 4 steps on the Lilac Doctor platform.
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* Online consultation should provide medical records with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.
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