Thursday, December 24, 2009

Neck nodules differentiate between friend and foe

Bacillus No. 989 Dongfang Road, Hoi Yin: I recently discovered that thick neck, go to the hospital examination showed goiter, there are multiple nodules. I am now 30 years old, these nodules is a big problem? How is it treated?
    
Tenured professor Zhang Huashan Hospital Order: Thyroid nodules can occur in endemic goiter, based on the result of many due to iodine deficiency, thyroid cells, could not have gained enough thyroid hormone synthesis. Distributed to individual people or families as a result the body's physiological requirements for thyroid hormone increases (such as puberty or pregnancy, women), or certain drugs prevent the synthesis of thyroid hormone, causing the pituitary thyroid-stimulating hormone (TSH) secretion, or human thyroid the response of TSH increased, TSH repeated continuously stimulate the thyroid gland and its proliferation can be increased or showed uneven nodular change. Thyroiditis may also cause these same changes.
    
Thyroid nodules can be divided into single-node and multi-nodular two categories. Thyroid adenoma or thyroid carcinoma manifested as single nodules more. Multi-nodular thyroid hyperplasia and inflammatory causes, mostly. To watch over multiple thyroid nodules detected any problem.
    
Thyroid nodules often without clinical symptoms, mostly in physical examination detected, or accidentally discovered by the patient. A result of internal bleeding caused by a small number of thyroid nodules pain in the area. Young people, the possibility of malignant thyroid nodules alone up to 50% (no there is a history of neck radiation therapy), in adults, compared with 10% to 20% and men more susceptible to cancer than females. With a single thyroid nodule or multiple nodules are required to go to hospital once, do thyroid B-scan, observe whether the signs of malignant change. Such as those who are asymptomatic, regular follow-up every six months to a year once observed nodule size, texture, smooth surface change, to see whether the edge neatly.

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