Zhejiang girl cried: I was just going to find cancer!The doctor asked a sentence and found another kind of cancer ...

Have loose bowels

It is what we often encounter in our lives

Autumn has arrived

It is also a high incidence of digestive tract diseases

However

There is a diarrhea

There may be greater problems behind it

Cancer found out after the medical examination

Zhejiang girl shed tears on the steps of the hospital:

I'm only 23 years old

Tingting (a pseudonym), a girl in Jiaxing, Zhejiang, just graduated from a nursing school and is about to become a nurse in a three -hospital hospital. She is immersed in the joy of her life and is about to launch a new chapter. A pot of cold water.

The thyroid B -ultrasound shows that my right thyroid gland has a nodule with a diameter of about 0.8 cm. According to the morphological characteristics of the nodule, it is rated as 4A -for me with medical knowledge, I know that this rating indicates that the nodules are vicious.

Although I was lucky, the final puncture was clearly written "nipple cancer".

On the day I got the report, I shed tears silently on the steps of the hospital. Although medical common sense told me that the cure rate of thyroid nipple cancer was very high, I was only 23 years old. Discuss.

After the initial shock, I still had to cheer up. I was actively investing in treatment, but the doctor's plan made me tangled: B -ultrasound found that the right neck lymphatic was enlarged, and a division was not clear with calcification points. Cancer has lymphatic metastasis, but the lymph nodes are smaller and not punctured. Several doctors suggested that the thyroid cut and large -scale neck cleaning, but I am only 23 years old. I still hope that at least one side of the thyroid gland can be kept, and the incision is not made, and it will affect the employment.

Thyroid papillary cancer is also called "lazy cancer", or let me observe it again?

But there is already a suspected transfer, will it be better as soon as possible? If surgery, can you only remove the thyroid gland on one side? ... Those days, these thoughts turned over the sea in my head, and I was insomnia.

Frequent diarrhea? It's easier to blush?

The doctor asked a sentence

Find another kind of cancer

Later, Tingting found Dong Shuai, deputy chief physician, deputy director of the thyroid surgery of the First Affiliated Hospital of Zhejiang University Medical College to see if there was a more suitable treatment plan.

Deputy Director Dong Shuai carefully checked Tingting's various reports and further improved her inspection for her. Tingting currently only has a unilateral thyroid gland with tumors. Although the B -ultrasound is enlightened, there is only one abnormality in the side area.

Based on the various situations and Tingting's own strong willingness, the expert team of Dong Shuai, a thyroid surgeon, formulated an individualized treatment plan for Tingting -small incision surgery: remove the right thyroid gland, to the central area lymph nodes and right regions lymph nodes. Precise cleaning, retaining the left thyroid gland, and determining whether the rapid pathological results of the specimen were selected during the surgery to decide whether to expand the scope of cleaning.

However, at this time, a condition characteristics attracted the attention of Deputy Director Dong Shuai.

The calcium element indicators in Tingting's blood test are high, and at the time of the consultation, Tingting once reported that there was often no cause of diarrhea in the past a year or two. Like the general feeling of diarrhea, there are always several times a month. There are always several times a month. There are always several times a month. Sometimes even happen for several weeks. However, because Tingting had done gastroscopy before, it showed that there was no problem, so I didn't care.

"Do you often have diarrhea in the past years?"

Deputy Director Dong Shuai asked Tingting, "Is there any other uncomfortable place? Will it be easier to blush?"

"The stomach is painful, but there is no reason to have diarrhea. After a few times, I have not taken medicine." Tingting said, "If you look at each other, the classmates say that I seem to be easy to blush, but I don't pay much attention."

The calcium calculus indicators exceeded normal standards, diarrhea, and flushed face -Deputy Director Dong Shuai thought of a possibility. "The patient's thyroid nodular puncture result is nipple -like cancer, but according to her symptoms, it is likely to suffer from thyroid marrow -like cancer at the same time."

Although thyroid marrow -like cancer only accounts for 2%to 5%of all thyroid cancer ratios, its prognosis is worse than thyroid papillary cancer and thyroid filt foam cancer, which is more aggressive. The prognosis of the same cancer is good, the prognosis of metastasis is poor, and iodine 131 is not treated.

So why does Tingting's puncture only show nipple cancer?

"Micro -marrow -like cancer, because B -ultrasound is not typical and small nodules, it is often not found. Even puncture may not be clear. More accurate is to remove the tumor and detect it." Deputy Chief Physician Dong Shuai said.

Considering the actual situation of Tingting, Deputy Director Dong Shuai arranged surgery for her as soon as possible, fine -tuned the surgical plan, and expanded the scope of lymph nodes. The pathological test results showed that, in addition to suffering from thyroid papillary cancer, Tingting also suffered from tiny thyroid myeline -like cancer. However, there is only one lymph nodular nodular cancer metastasis, so the prognosis is good, and one side of the thyroid gland is also kept.

Although this kind of cancer is rare

But the harm is very large and hidden

"As the public's attention to health has increased day by day, the thyroid nodules are no longer a strange term, and many people have heard that the" thyroid nodules are mostly benign, even the malignant is the most lazy tumor '. But this sentence is only halfway. In fact, a small part of the thyroid cancer is not so mild, such as thyroid marrow -like cancer and unlimited carcinoma. "Said the chief physician of the thyroid surgery director Wu Yijun.

Different from other common types of thyroid cancer (originated in foam cells), thyroid marrow -like cancer (MTC) is a nerve endocrine tumor, which originated from C cells (referred to as "C cell") by the filter. It has strong biological activity and can secrete a variety of biological substances, such as calculin (CT), adrenal corticosteroids (ACTH), histamine, carcinoma antigen and vascular active peptides. One -third of patients with thyroid glandular cancer will have diarrhea and flushing, because some substances secreted by it will stimulate bowel movements and secrete more liquids, cause diarrhea, and patients often experience calcium calculus indicators. Beyond the normal range.

Surgery is currently the main method for treating thyroid marrow -like cancer. In addition, there are targeted drug treatment for advanced patients. Although marrow -like cancer is more terrible than most thyroid cancer, the key to the prognosis mainly depends on the development stage of tumor. The 10 -year survival rate of early patients can reach more than 70%, and the 10 -year survival rate of patients in the late stage is only less than 40%.

Due to the lack of typical characteristics of the ultrasonic image of myelin -like cancer and to bring certain trouble to early diagnosis, many patients often spread to lymph nodes, lungs, or liver during diagnosis, which seriously affects the treatment effect. And Tingting's luck is that although she encountered two types of cancer at the age of 23, fortunately, it was found that it was found in the early stages of myeline -like cancer. Through surgical cure, cure can be achieved.

Impling cancer is mainly found in the thyroid gland, and some occur in the breast. If the breast pulse -like cancer is found, muscle atrophy may occur.

Although most of the thyroid cancer is "lazy cancer", patients still cannot take it lightly. Those with thyroid nodules must review them regularly. Once diarrhea, flushed complexion, and hoarseness of their sounds should be treated as soon as possible.

News+

The first place in Zhejiang women is thyroid cancer

According to the "latest cancer spectrum in Zhejiang Province" released last year, the top 10 malignant tumors in Zhejiang were lung cancer, female breast cancer, thyroid cancer, colorectal cancer, gastric cancer, liver cancer, prostate cancer, cervical cancer, esophageal cancer and pancreatic cancer , 77.87%of the onset of all malignant tumors.

Among them, women's onset is thyroid cancer, accounting for 18.78%of women's new cases, followed by lung cancer, breast cancer, colorectal and gastric cancer.

Source: Qianjiang Evening News The All -Media Editorial Center is comprehensive from Zhejiang University, CCTV.com, Qianjiang Evening News, etc.

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