With the improvement of people's health awareness and the advancement of medical technology, more and more people have found thyroid nodules, is thyroid nodule a precursor to thyroid cancer, does it need treatment?
The thyroid gland can regulate metabolism, if the secretion of hormones is less, people will become fat, slow response; if the secretion is more, the metabolism is accelerated, people will become thinner, temper become grumpy.
The role of the thyroid gland can control body temperature, regulate cholesterol levels, regulate the female menstrual cycle, growth and development, regulate the secretion of other hormones, heart activity, etc.
All lumps on the thyroid gland are called thyroid nodules. There are many causes of thyroid nodules, such as thyroiditis, thyroid tumors, thyroid cysts, thyroid cancer. The proportion of thyroid nodules that become thyroid cancer is 5% to 10%.
1. Take a look
After sitting up straight, see if the neck is symmetrical, whether there is a bulge, and whether the skin color is uneven.
2. Two touches
When touching, do not grasp hard, use three fingers to touch, gently touch the submandibular lymph nodes, neck lymph nodes, armpit lymph nodes, are three fingers lightly touched, see if there is something swollen.
3. Swallow three times
Gently placed on the edge of the ring cartilage, feel a very small thing moving while swallowing, this is very normal, if you feel that the hands are particularly full, quite large a lump, you have to hurry to the doctor.
How thyroid nodules are judged to be benign or malignant requires ultrasonography.
1. Gravel-like fine calcification
If there are long nodules on the thyroid gland, most of which are solid or cystic in the low echo area, and sometimes a mixture of solid and cystic, then there may be some irregularities or small calcifications, that is, there will be some small calcification points on the thyroid gland.
2. There is no abundant blood supply
If there is blood flow, and the blood flow is particularly rich, it is necessary to pay high attention to it at this time.
3. Look at dynamic changes
It's what it was like, and what it's like three months later.
4. Thyroid function
In some areas, nodular goiter caused by iodine deficiency is caused by iodine deficiency, and it is necessary to supplement a certain amount of iodine, which is slowly retracted, to see the thyroid function.
5. Number of nodules
Morphology, boundaries, internal structure and internal echoes are judged.
If the nodule has certain malignant features, further examination is required, one is blood pooling to test thyroid function, and the other is puncture biopsy.
Benign thyroid nodules that require regular re-examination for 3-6 months;
If thyroid nodules are combined with hyperthyroidism, it is necessary to take medication or surgery;
Surgical removal is generally recommended if the nodule is large, has difficulty breathing and swallowing, or affects aesthetics.
Ultrasound is a key test to determine the nature of thyroid nodules, if you can't understand what is written on the report, and want to know how the situation is, you can directly look at the ti-rad classification on the report:
Level 0: cannot be assessed and requires further examination;
Level 1: "negative" means that no nodules are found and no further examination is required;
Grade 2: benign nodules, predominantly cystic or solid, morphologically regular, well-defined, or typical benign nodules. No further examination is required, clinical observation is sufficient.
Grade 3: may be benign (the general malignancy rate is less than 5%), there is no typical malignant feature, and it is recommended to repeat after 6-12 months.
Grade 4: may be malignant, with one or more features of a malignant nodule, which can be subdivided into 4a, 4b, and 4c, and the probability of malignancy is gradually increased; close follow-up (usually every 3 months) or further evaluation is required, including ultrasound-guided fine needle biopsy, which may require surgery.
Grade 5: High suspicion of malignancy (80% to 90% probability) requires further evaluation (e.g., fine needle puncture) or surgery.
Grade 6: Thyroid cancer that has been confirmed by fine needle aspiration.
Internal treatment method - two mothers knot soup
Composition: Zhejiang shellfish, soil shellfish, summer dry grass, oysters, turtle shells, incense, frankincense, myrrh, chai hu composition.
Efficacy indications: it has the effect of clearing heat, detoxification, dispelling stasis and loosening knots.
Mother of the earth: detoxification, detoxification, dissipation
Zhejiang shellfish: clear heat and dissipate knots, dissolve phlegm and relieve cough
Summer dry grass: liver clearance, loose knots, reduce swelling, prevention and treatment of nodules, polyps cancer
Oysters: phlegm, soft and firm, loose knots
Turtle nails: soft and firm, loose knots
Incense: qi, liver, depression
Frankincense: activates blood and relieves pain, reduces swelling and muscles
Myrrh: relieves pain with stasis, and reduces swelling and muscles externally
Chai Hu: Relieve liver depression and lift yang qi
External treatment - turtle nail ointment
Composition: Composed of turtle shells, oysters, cat's claw, the cause of nodule formation is due to stasis and spleen deficiency.
Effect: Chinese medicine patches make the drug absorbed through the local skin and acupuncture points to achieve the effect of internal and external adjustment.
Clinical cases of thyroid nodules treated in traditional Chinese medicine:
Ms. Huang, 40, works for a state-owned enterprise. In the 2016 unit physical examination, 2 thyroid nodules were found, the largest of which was 0.4 cm in diameter, because the size of the nodules was not large at that time, and the doctor recommended regular follow-up observation.
For 3 consecutive years of physical examination, the nodules are relatively stable and there is no change. Until 2020, the 2 nodules suddenly enlarged, the larger nodules increased to 0 .6cm, and the physical examination doctor recommended going to a specialist hospital for re-examination. When I went to Beijing Top 3A Hospital for examination, the doctor's advice was to look at it again.
Since 2017, nodules have been growing slowly, but they have been changing. Because Ms. Huang has a family history of thyroid cancer, she is more worried and has been anxious.
Because a colleague had seen lung nodules in my place before, he recommended Ms. Huang to come to me for conditioning.
After the face-to-face consultation, I learned that Ms. Huang usually has a more urgent temper and loves to be angry. First calmed her emotions and said to her: Thyroid nodules are relatively slow-growing, there will not be much change in the short term, as long as actively cooperate with treatment, there is no problem.
From the perspective of the disease mechanism, Ms. Huang's thyroid nodule is mainly due to the stagnation of phlegm obstruction, which is mainly based on gasification phlegm and soft and firm loose knots.
Composition: Cangshu, Baishu, Poria, Banxia, Tiannanxing, Xiangzhizi, Peach Kernel, Safflower, Huang Yaozi, Sanling, Curcuma, Angelica Tail, Danshen, Tangerine Peel, Licorice.
From July 2020, Ms. Huang began to drink Chinese medicine conditioning, probably conditioned for nearly half a year, when the review was again, the doctor in charge of thyroid color ultrasound said that the nodules became smaller, reduced to 0.3cm, this situation is rare, asked Ms. Huang how to regulate, she said that she has been drinking Chinese medicine conditioning.
Seeing that her thyroid nodules were obviously reduced, Ms. Huang's mood suddenly relaxed, and at the same time insisted on continuing to take traditional Chinese medicine, I believe that soon, her nodules can be eliminated!
If you have nodules, polyps, tumors and other diseases that you want to consult, you can ask me questions through private messages, click "Learn More", and I will reply to everyone's questions as soon as possible after the visit!