Is there a large cystic solid mass in the left lobe of the thyroid gland that must be surgically tre

Question: Disease: Thyroid cystic solid mass.

The patient, a 27-year-old female, was found to have a thyroid tumor on her neck when she became pregnant in 2009.

Never had it**, went to your hospital last month for a check-up and ultrasound showed that surgery was recommended**.

The left lobe of the thyroid gland.

Right leaf isthmus.

The thyroid gland is enlarged, the capsule is continuous, and the internal echo is uneven.

The left lobe is occupied by a large cystic solid mass, which is mainly solid, large in size, and has uneven internal echo, with multiple calcified plaques and spots visible in it, with clear borders, and blood flow signals in and around it.

Elastography showed that the rendering of the solid part of the larger cystic solid mass in the left lobe was mainly green, and the rendering of the cystic part was atypical"bgr"Phenomenon.

Isolated masses are detected in the right lobe. Dillumination of swollen lymph nodes.

The interior environment here is still great, very clean and bright, and the hygiene is very good.

Thyroid disease is getting worse all over the world, so you should not underestimate it, and you need to check it as soon as possible. The early stage is the best time, if you can grasp it in time, then it will be faster. Choose a regular thyroid hospital.

The appearance of a nodule in the right lobe of the thyroid gland should be determined according to the morphology of thyroid ultrasound and the degree of change in the condition. Solid nodules formed by simple glandular lobes, if more than 1 cm, are best treated with pathological puncture. If it is benign, it can be clinically observed, and if there is a solid nodule with a malignant tendency to one lobe, it is best to perform resection surgery for a solid nodule in the right lobe of the thyroid gland, and rapid pathology is done during the operation.

Simple benign can be locally resected, if carcinogenesis is considered, the right lobe of the thyroid gland should be completely removed, or most of the contralateral lobe should be removed, and the lymph nodes in the ** area can be dissected to achieve the goal of complete **sexuality. With the development of clinical technology, radiofrequency ablation can also be performed on solid nodules in the right lobe of one side, and the effect of surgery is ideal for benign nodules, and the pain and fear of surgery are also avoided.

When a cystic solid nodule appears in the right lobe of the thyroid gland, it is necessary to further judge the benign and malignant nodule by the size of the nodule, whether the outline of the nodule is complete, whether there is a blood flow signal in the nodule, and whether there is calcification in the nodule.

If it is considered to be a benign nodule, and there is no corresponding compression symptom to the patient, and the thyroid function is also in the normal range, then there is no need for **, only the results of thyroid ultrasound and thyroid function need to be reviewed regularly. However, if there is a tendency to malignant transformation or if there is a corresponding compression symptom, it is recommended to perform thyroid surgery as soon as possible**.

Analysis: Hello, according to what you said, the cystic solid nodule on the left side of the thyroid gland is caused by bleeding in the thyroid capsule. For benign thyroid nodules with a size of less than 20 mm, surgery is generally not considered, and surgical resection is considered only if the size of the nodule is more than 20 mm and causes symptoms of compression of the trachea and affects breathing.

It is recommended that you go to the hospital for a check-up, and according to your condition, the symptoms**.

Guidance: Thyroid nodules are recommended to check thyroid function (blood test) first, if it is normal, it can be observed without special **, but now that you have symptoms, you can consider taking Chinese medicine to recuperate, hang the endocrinology department to take a look at it first.

Disease analysis: You search well, whether the cystic solid nodule in the right lobe of the thyroid gland needs to be intervened** needs to be comprehensively evaluated, if the nodule is greater than or equal to 2 cm, accompanied by calcification, abnormal blood flow and other conditions, surgery should be considered**, if not, regular observation is required.

Guidance: It is recommended to check the function of the thyroid gland at the same time, and if there is hypothyroidism or hyperthyroidism, it needs to be corrected in time to avoid aggravating the condition.

Indications for surgery for thyroid adenomas are:

More than 3 cm in diameter;

High-functioning adenomas cause hyperthyroidism;

retrosternal thyroid;

Symptoms of compression;

Suspected cancerous.

There are too few cases you have given to determine whether you meet the indications for surgery, so it is recommended that you clarify the situation before making a decision. If thyroid surgery is only a single adenoma, a unilateral subtotal resection is usually performed, and thyroxine may be taken for life after surgery, and thyroid function must be monitored regularly, and hypothyroidism or hyperthyroidism may occur if you do not take medication as prescribed.

Did you pass the color ultrasound examination? How to describe it.

Not severe, from the examination report can be diagnosed: nodular goiter, cystic changes. If there is rapid growth or pain recently, surgery can be considered, otherwise observation can be continued.

Extremity nodular goiter can be secondary to hyperthyroidism or cancer, all of which should also be vigilant and closely observed for branch hunger. Of course, if you are more positive, you can also have surgery now.

Dr. Wang Guiqi of Shijiazhuang First Hospital solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）