Does the prospective bride meet the thyroid nodules and affect the fertility?

The improvement of health awareness has made physical examinations more and more popular. Many people also find that they have thyroid nodules during the physical examination.

When you see the "nodule" and "swelling", many people immediately panicked. What is a nodule? Is it cancer? How could I get this disease in only 20 or 30?

The prospective bride "encountered" thyroid nodules

Xiaomei, 26 years old, just graduated from graduate students and prepared to get married. The thyroid nodules were accidentally found during conventional physical examination. There were already 2cm, and ultrasound suspected of being malignant. Local doctors suggested surgical treatment.

Xiaomei is difficult to accept: "If the surgery is surgery, will the neck leave a scar of more than ten centimeters, can she still wear a wedding dress around her neck?"

After many inquiries, Xiaomei decided to find an expert.

So she found Luo Ruihua, head and neck thyroid surgery of Henan Cancer Hospital, and made a request for beauty surgery. After careful assessment, Luo Ruihua decided to perform thyroid surgery for Ligoscopy through armpit.

In the end, Xiaomei decided to remove surgical. Because the surgical incision was under the armpit, there would be no obvious scars after surgery.

One week after the operation, Xiaomei was discharged smoothly.

Xiaomei can't help but have doubts: "Why do I have thyroid nodules, do I eat more iodine? Will it affect the future pregnancy and child?"

Luo Ruihua introduced that thyroid nodules are group blocks of thyroid surface or internal growth, which are more common, and only about 1%of nodules are malignant.

How to identify good and evil in thyroid nodules?

The thyroid gland is located on both sides of the neck and looks like a butterfly.

Its responsibility is to obey the commands of the hypothalamus and pituitary, secrete the thyroxine required by itself, and the thyroxine can control energy metabolism, create protein, regulate the body's sensitivity to other hormones, and then ensure that the brain, heart, muscles, and other organs can working normally.

Luo Ruihua introduced that when you find the thyroid nodules, don't panic. The thyroid nodules are not equal to thyroid cancer. First of all, it is necessary to figure out whether the nodules are benign or malignant, and finally decide whether to cut off.

Under what circumstances need surgery? If you want to figure out this problem, you need to know the clinical evaluation process of thyroid nodules first. First identify benign and malignant, and then take corresponding measures.

Preliminary judgment basis: ultrasound test results

The doctor's discovered nodules were rated according to the Ti-RADS classification method. The higher the level, the more likely the possibility of malignant nodules (that is, thyroid cancer).

General Ti-RADS is divided into level 6:

Level 1: The thyroid examination is normal, and there is no abnormal discovery.

Level 2: Nakaurous found, including thyroid cystic nodules, and the risk of malignant is 0.

Level 3: Maybe benign nodules, a typical benign ultrasound nodule, and the risk of malignant tumors <5%.

Level 4: For suspicious nodules with unknown nature, the number of vicious ultrasound signs (substantial, low echo or extremely low echo, tiny calcification, border blurred, micro -leaf, vertical and horizontal ratio> 1) is divided into:

Grade 4A: It has 1 malignant signs, and the risk of malignancy is 5%-10%.

Level 4B: Has two malignant signs, the risk of malignancy is 10%-50%.

Level 4C: It has 3-4 malignant ultrasound signs, and the risk of malignancy is 50%-85%.

Level 5: It has more than 4 malignant ultrasound signs, and the risk of malignancy is 85%-100%.

Level 6: Vicious lesions confirmed by pathological.

Final diagnosis basis: pathological examination (puncture)

For ultrasonic imaging, the nodules that are highly suspected of evil change can be performed under ultrasonic guidance. The fine needle puncture cytology can be performed, and some tumor cells can be used for pathological diagnosis in order to determine the diagnosis of the nodules.

For other imaging sciences that are highly suspected of malignant nodules, the evaluation of clinicians can also be quickly frozen and clearly diagnosed, diagnosed and treated simultaneously, saving economy and time costs.

Luo Ruihua suggested that check the nodules at the 3rd and below of the checklist, for half a year or one year to review; the 4A and above nodules, you need to follow up regularly, it is best to review it once a month.

If there is no significant change in the nodules for 3-4 consecutive reviews, the risk of malignant lesions is very low, and you can continue to observe. If necessary, the diagnosis is clearly diagnosed through puncture.

Do you need to use less iodine in thyroid nodules?

Cui Meng, deputy chief physician of the head and neck thyroid surgery of Henan Cancer Hospital, said: "The thyroid gland has a strong iodine ability, and iodine is an important raw material for synthetic thyroid hormones. The simple benign nodules are not taboo, but when the thyroid nodules are combined with hyperthyroidism You need to avoid iodine diet, and try not to eat foods rich in iodine, such as seaweed, kelp, sea shells; when the thyroid nodules are combined with bridge thyroiditis, it is recommended to eat low iodine diet. ","

Cui Meng suggested that he should pay attention to quitting and restriction of wine, maintain a happy mood and regular work, try to stay away from ionizing radiation as much as possible, and review the changes in monitoring nodules every six months to one year.

Will the thyroid nodules affect pregnancy?

The thyroid nodule itself does not affect pregnancy. However, due to changes in hormone levels in the body during pregnancy, the development of malignant tumors in thyroid gland may stimulate.

Luo Ruihua suggested that for patients with higher malignant thyroid nodules, it is recommended to treat it as soon as possible before pregnancy. After thyroid surgery, oral thyroxine can be treated. For patients with lower malignant thyroid nodules, they can be pregnant normally about 1 year after surgery. During pregnancy, due to weight changes and embryo development, thyroid poinee can be dynamically adjusted.

Source: Henan Cancer Hospital

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