Patients with thyroid nodules should be alert to hoarse voice

Thyroid nodules, 10% will turn to thyroid cancer.

Disease may be related to genetic factors and are related to inappropriate use of iodized salt

At the national implementation of the policy of universal salt iodization, the "big neck" disease incidence rates have dropped significantly. But the reporter learned from the Guangzhou No. 1 People's Hospital understands that in recent years, is still found in the clinical lot of new patients with thyroid nodules. Expert analysis, which may be related to genetic factors and are related to inappropriate use of iodized salt method.

Although thyroid nodules in most cases does not bring discomfort to the patient, but experts advise, thyroid nodules, 10% of the malignant transformation rate, if the nodule was found within a month or two continue to increase, or one's own voice cents No reason to get hoarse, you need to guard against, the best surgical treatment as soon as possible.

Text / Reporter correspondent Xu Jing Ren Ng

Medical guidance / Guangzhou City No. 1 People's Hospital surgical director, deputy director of the Department of General Surgery Liang LIU Sen, Guangzhou No. 1 People's Hospital Department of Endocrinology, Dr. Xiao-hua, director of

Adolescence: can occur with simple goiter

According to the Guangzhou Municipal First People's Hospital Chief Physician Department of Endocrinology, Xiao-hua, goiter is divided into simple and pathologic. In human adolescence, pregnancy and other special times, there may be a simple goiter, this time just to be seen, generally does not appear hyperthyroidism or hypothyroidism, and some people even this will not be aware of.

Not all patients are suitable for surgery

"And a lot of pathological goiter patients treated by drugs and isotopes to make the swelling rate of increase slowed, and even allow swelling is gradually shrinking. Some types of patients are not suitable for surgery, such as the thyroid gland by subacute swelling caused by inflammation, subacute thyroiditis is a self-limiting disease, surgery more harm than good. Hashimoto's thyroiditis patients, if surgery is likely to accelerate the occurrence and development of hypothyroidism, the general would not carry out surgery . "

However, he said, when found in thyroid cancer may be great, or swelling of the sternum after a long, oppressive to the trachea such circumstances, there is a need for surgical treatment, which accounted for some patients the total number of patients with goiter or two into.

Alert: 10% of thyroid nodules be cancerous

Guangzhou No. 1 People's Hospital surgical director, deputy director of the Department of General Surgery Liang LIU Sen said today clinical Only a small proportion of thyroid nodules are detected in the medical examination, most of them accidentally discovered, for example, some women appear similar to the neck of men "Adam's apple", and moved up and down with the swallow. He said that the thyroid nodule will gradually increase over time, but the speed is very slow, often two or three years have not seen the changes would not generally bring about discomfort in patients, a small number of people sick a long time will appear thyroid function to reduce.

"However, this disease most worrying is that 10% of patients will relapse into thyroid cancer." Size of 0.5 cm below the nodule hand almost intangible, unless the patient's own special thin, or accept the B - checks can be found that is generally believed that this situation can be observed on a regular basis, do not carry out surgery. However, a number of enlargement, there calcification, blood indicators of elevated thyroglobulin, nodules larger than 0.5 centimeters, or have family in thyroid cancer patients with a relatively high risk of cancer, he suggested, or should receive surgery.

Continuing need to guard against a sudden increase in nodule

In addition, if the patient found himself within a month or two of the nodules continued to increase, also need to strengthen vigilance, as soon as possible to the hospital for medical treatment; if nodule is a sudden change in a day or two larger than a few days has been shrinking, necrosis may occur within nodules, hemorrhage, but do not worry too much about.

Liang LIU Sen also warned that if the patient voices become hoarse, it may be the recurrent laryngeal nerve by swelling of oppression, "according to our experience, these patients will have greater chance of cancer. If this happens, it was suggested surgery more insurance. "

Analysis: Thyroid nodules and heredity, iodine deficiency on

Required surgery in patients with thyroid diseases, there is a significant component of thyroid nodules.

Liang LIU Sen said that at present the medical profession recognized thyroid nodules and genetic factors. "I have treated patients with the smallest of the thyroid nodule is only a two-month-old. His grandmother had just finished surgery because of thyroid nodules for fear that his own grandson has got the same disease, I often hand to help him check The results showed that really. "

Nodular goiter caused by another internationally recognized causes and iodine deficiency, although on the implementation of salt iodization in the policy, the incidence of thyroid nodules has dramatically decreased, but in each of the Guangzhou No. 1 People's Hospital surgery patients are still 400 to cases of the disease.

Reminder:

Cooking salt should not be too early

Liang LIU Sen analysis, in this regard there may be genetic reasons, on the other hand the use of iodized salt may be caused by improper methods: "Because of iodine at a high temperature volatile, so I do not advocate the outset cooking salt, while the Fast clean wok should be added salt, so salt of iodine can be preserved. "He explained that the water quality in Guangdong iodine deficiency, and" While the coastal areas of Guangdong, but we can not eat seafood every day, so most of the people still need to consume iodized salt. "

Liang LIU Sen said that for the surgical treatment of patients with thyroid nodules, Europe and the United States medical profession is currently prevailing view is to the whole thyroid gland removed, after a lifetime of thyroid hormone supplement medication. "Our approach is to remove only lesions retained a normal part of the thyroid gland. To do so there will be a 10% relapse rate, but the advantage is that most of the time patients take medicine after surgery only six months to one year without a lifetime. If it is thyroid nodules in patients with hyperthyroidism and after medication treatment time is even shorter. But the surgery is still the need for regular follow-up care to prevent recurrence. "