Can't understand the thyroid ultrasound report?That's the right way, this article takes you to understand
Author:Hunan Medical Chat Time:2022.08.04
In the past, everyone's understanding of the thyroid gland was "big neck disease". With the country's promotion of iodized salt and the popularization of seafood, "big neck disease" decreased and disappeared year by year. After the physical examination consciousness, more and more people found that there are problems with thyroids in many human examinations. I often hear which acquaintances around them have hyperthyroidism and even A cancer. Everyone is more enthusiastic about this physical examination.
Today, I will discuss the application of ultrasound in the thyroid physical examination, know what the thyroid ultrasonic examination is to see, what diseases are found, and how to look at the ultrasound report after examination.
The content of the thyroid color Doppler ultrasound, first, the size and shape of the thyroid gland; the thyroid gland is located in the middle of the neck, divided into left and right leaves, and most of the shapes are "butterfly".
Second, observe whether there are diffuse lesions inside the thyroid gland; the substantial echo of the thyroid gland is normal is a medium echo, the lesions will increase or reduce the echo, and even the echo is different;
Third, whether there are nodules and nodules in the thyroid and whether the size, form, boundary, and whether the shape of the nodules is clear;
Fourth, whether the inside of the thyroid nodules, the size of the calcification, the size of the calcification stove, the surrounding nodules and the internal blood flow. The above is the content that can be found in thyroid ultrasound examination, and at the same time, the help of nodule benign and malignant judgment
It is also large. If the functional examination of the thyroid gland and biopsy, etc., the judgment of the thyroid disease will be
Add comprehensive.
Fifth, whether there are abnormal lymph nodes around the thyroid gland.
Ultrasound detection can provide clues or diagnosis thyroid disease, which can be divided into three categories:
1. Through thyroidist glandular enlaosure: those who cause thyroid hyperplasia or enlarged, such as simplicity of thyroid enlargement, nodular goiter and hyperthyroidism
2. Thyroiditis: such as sub -acute thyroiditis -level chronic lymphic thyroiditis
3. Thyroid tumor: such as thyroid adenoma and thyroid cancer, etc.
In general, the medical examination form is not too nervous to be too nervous. As long as you see that there are thyroid nodules on the medical examination report, you will be very panicked. Repeat the nodules in a short period of time. The degree of viciousness and nodules have no absolute relationship, and even the relationship is not very large, which shows that it is important to understand the ultrasound report. In fact, the nodules are all classified in the ultrasound report. Ultrasound report.
Level 0 is the clinical suspected case of ultrasound without abnormalities, and other examinations need to be added;
Level 1 is negative, the size of the gland is displayed, the echo can be normal, no nodules, no cysts or calcification;
Level 2 is benign, and the risk of malignant tumors is 0%, which requires clinical follow -up;
Level 3 may be a benign lesion, and the possibility of malignant is less than 5%
Level 4 is a suspicious nodule, and the possible proportion of malignant is 5-80%. It needs to be combined with clinical diagnosis
4A malignant possibility 5-10%
4B malignant possibilities 10-30%
4C malignant possibility of 30-80%
The possibility of level 5 cancer is greater than 80%
Level 6 can be diagnosed as cancer, cytology examination cancer cells
After the physical examination report comes to hand, don't pay too much attention to the description in the report. Those are too professional. As a medical examination person, you only need to read the results of the report. After understanding the above basic knowledge, you know how to interpret the ultrasound report.
Of course, the follow -up treatment is to find a professional doctor, listen to the doctor's opinions for further treatment, and maintain a good mentality and living habits, so that the butterfly on our neck will always be beautiful.
(Edit ZS. Part of the picture source network, invading deletion)
Hunan Medical Chat Special Author: Cao Xueping, Xinhua County Traditional Chinese Medicine Hospital
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