为啥我查了下又说老年人得甲癌的愈合差呢。 比如这篇:https://www.ncbi.nlm.nih.gov/books/NBK278969/?report=printable 还有这段: WHAT ARE THE IMPLICATIONS OF THIS STUDY? This study showed that older patients have more thyroid nodules >1cm, but the risk that these nodules are cancerous decreases with age. However, when thyroid cancer is found in older patients, it is more likely that these are high risk cancers. The results of this study suggest that even though thyroid nodules are more common in older patients, they should be carefully evaluated in order to detect thyroid cancers that may be aggressive. — Maria Papaleontiou, MD
更新了b超
http://www.zjzltj.com/index.php/Web/newsContent/cCode/102/id/89
还是穿刺检查放心。
现在甲状腺疾病这么多,有50%的原因就是检查太先进太频繁的结果。 因为有研究说, 大部分结节没有任何不良后果,而且可能自愈,小部分的有问题的也是可以治愈的,所以现在早期手术的很多都是没有必要的。不吃碘盐是对的,人工添加的碘会刺激甲状腺。
http://news.medlive.cn/xctmr/info-progress/show-118110_241.html
我们从另一个角度说 如果病人得了甲癌 预计10年内会发展恶化,对于年轻人就是立刻切除,但是老年人,也许会更多的因其他病因有问题,所以这个会不重要了。
所以其实是不是不管它就好了呢?对于我妈妈这种情况?她本身身体也不是很好 很瘦弱。
还有这段:
WHAT ARE THE IMPLICATIONS OF
THIS STUDY?
This study showed that older patients have more thyroid nodules >1cm, but the risk that these nodules are cancerous decreases with age. However, when thyroid cancer is found in older patients, it is more likely that these are high risk cancers. The results of this study suggest that even though thyroid nodules are more common in older patients, they should be carefully evaluated in order to detect thyroid cancers that may be aggressive.
— Maria Papaleontiou, MD
如果甲状腺功能正常,各种肿瘤指标也正常,需要进一步检查吗?
楼上说的定期复查的,不是体检时候检查的吧?是专科医生查的?
专科医生
我觉得医生做随访而不做穿刺的决定逻辑是这样的:
1.如果穿刺出来是恶性, 鉴于你妈妈的年纪和甲癌的惰性特点, 更多的可能性还是就是观察随访而不是手术。
2.穿刺出来是良性, 观察随访。
所以这个诊断结果是没有意义的, 徒增经济压力和心理负担。
mm做的是甲状腺的细针穿刺吗?
专科医生会要做b超, 然后根据结节的特征, 判断得分和cat。 指标主要是 >1cm, tall/wide ratio, echo, solid, and edge。 你有2cm, 可以约专科医生, 他会给安排b超, 根据得分看是不是要穿刺。 然后再做接下来的安排。
我甲状腺结节好多年了,而且特别大, 大到普通人(非医生)肉眼看 脖子都能看出来。每年查甲状腺功能都正常,所以大夫也没撺掇我做手术,只说让我自己决定。而且,大夫居然说完全不吃加碘盐也不行,应该和无碘盐花差着吃,我也迷惑了。