A 10 -year -old girl suffers from thyroid cancer, and the doctor reminded: children's "big neck" cannot be despised

The Yangtze River Daily Da Wuhan Client August 4th (Reporter Wang Kaining Correspondent Deng Guohuan) In the past half a month, Tongji Hospital's orachetic surgery has taken three thyroid malignant tumors. The doctor reminds that children's thyroid tumors are different from adults, malignant The probability is relatively high, and the course of the disease is rapid. Once parents find that their children suddenly appear "big neck", they should seek medical treatment in time.

The 10 -year -old Dan Dan (pseudonym) lived in Xiangyang. In June this year, her mother accidentally discovered that Dan Dan's neck became "rough". So she quickly took Dandan to the local hospital for examination as soon as she took a summer vacation. In order to clarify the nature of the tumor, on July 18, my father and mother took Dandan to Tongji Hospital for treatment. After asking the chief physician Zhang Lin in the case of methamphetamine, he asked Dan Dan to puncture. Operation.

Director Zhang Lin introduced, "At present, the incidence of thyroid cancer among the young people is ranked eighth in all malignant tumors in the age group. Dandan, recently, has been treated with two other thyroid cancer children in Tongji Hospital. Both girls are girls, with age 13 and 15 years. "

Compared with adults, the recurrence rate and re -surgery of patients with thyroid cancer patients with thyroid cancer patients are more risky, which is related to factors such as fast growth rate and strong cancer cell metastatic ability. After surgery, children need to supplement the appropriate dose of thyroxine. The lack of thyroxine will lead to slow growth and development risk, and excessive supplements will cause medical -derived hyperthyroidism. Dan Dan's thyroid tumor has 2.8 cm × 1.8 cm × 6.2 cm, about the size of the eggs, and has been invaded and metastasized to lymph nodes. Surgical removal of primary stoves and cleaning lymph nodes is the most effective treatment. After communication, the team of Director Zhang Lin made full pre -surgery and preparation for Dan Dan.

One day before the operation, because he was afraid that Dan Dan was crying in the bed for a long time, Dan Dan's mother also wiped her tears secretly in the bathroom. Xia Ying, a nursing nursing of methyl milk surgery, discovered that she deliberately sent a doll to Dan Dan. "This is a magic doll. With her with you, she is not afraid. When your surgery is done, the aunt will reward you a mermaid princess doll. "Xia Ying said that children and adolescents are in a critical period of physical and mental development. The fear of surgery, the neck scar caused by the surgery, and the isolation environment for the later iodine 131 treatment may cause the children to have anxiety and depression." We will care for narrative care Incorporating the exchange of doctors and patients, it provides a humanistic nursing model with a temperature -intensified, accompanied witness, and healing the mind, which is very important for the treatment and rehabilitation of the disease. "

On July 21, the team of chief physician Zhang Lin performed surgery for Dandan. After the surgery, Dandan resumed well and was discharged on July 29. In the future, Dan Dan also needs iodine 131 treatment, orally, and regular review. The other two children have also undergone surgery and were discharged smoothly this week.

The high -risk factors of adolescent thyroid cancer include the history of neck radiation exposure, iodine deficiency, family history of thyroid cancer, thyroiditis, and other genetic syndrome, such as APC -related polypatis diseases, family tumor susceptible syndrome, etc. Director Zhang Lin reminded: "There are almost no obvious symptoms in children's thyroid cancer in the early stage of children's thyroid cancer, so it is easy to be ignored. When it is a big time, parents must pay attention to and take a doctor in time. "

[Edit: Yu Lina]

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