甲状腺癌如何治疗

    Thyroid cancer : how to treat, believe that this is the concern of many patients. Nowadays, the incidence rate of cancer is more and more high, because the number of cancer deaths are on the rise. Cancer has become the " killer to life " by human fear, thyroid cancer is so, then the thyroid cancer 杭州那个医院治疗甲减最好 specific how should treat? Please see the Hangzhou Tongji Hospital experts for you to answer.

     There are about 10% cases ( especially in pediatric patients ) symptom was neck lymph nodes. For the single thyroid nodule, hard texture. Clinical manifestations of thyroid gland found within the mass, hard texture and fixed, the uneven surface of each type of cancer is a common manifestation of. The glands in the upper and lower mobility during swallowing small. Undifferentiated carcinoma can be in short-term inside the above symptoms, in addition to mass growth significantly, with invasion of surrounding tissue properties. Terminal can produce hoarseness, dysphagia, respiratory and sympathetic nerve compression caused by violation of Horner syndrome and cervical plexus appear ear, pillow, shoulder pain and local lymph node and distant organ metastasis as well. Cervical lymph node metastasis in undifferentiated carcinoma occurred earlier. Some patients with thyroid mass is not obvious, because the detection of metastases and medical treatment, should think of thyroid cancer may. Patients with medullary carcinoma should be excluded in multiple endocrine neoplasia syndrome ( MEN- ) in may.

    In 1, operation therapy : expanding the operation range can improve the resection of high risk patients survival rate, recommended for most differentiated thyroid carcinoma thyroid excision and nearly all take all resection. Even in the low risk of expanding operation range, can also reduce tumor recurrence. For high-杭州那个医院治疗甲亢病最好 risk patients with surgical operation excision thoroughness is the most important prognostic factor, but also guarantee the postoperative↑( 131) I treatment effects based conditions. Lymph node metastasis of tumor recurrence is common position, so to have the presence of cervical lymph nodes metastasis to lymph nodes, operation;

    2, ( 131) postoperative I scan : the purpose is to check the postoperative residual tumor and metastasis and tumor recurrence.

    3, 131 postoperative radioiodine therapy : the purpose is to kill the residual thyroid cancer cell tumors and metastatic lesions. Its indications are:① TNM stage II, III, IV. A case;② TNMⅠperiod case, intraoperative or postoperative histological examination revealed one of the following conditions should also be this therapy: tumor with multiple lesions, lymph node metastasis, thyroid metastasis or infiltrative growth, histologically invasive performance.

    In 4, the inhibition of TSH treatment: differentiated thyroid carcinoma cell membrane surface expression of the TSH receptor, and TSH stimulation reaction occurs, the thyroid carcinoma recurrence and hyperplasia. Through the physiological dose of L-T4 suppression of serum TSH level, can reduce the risk of tumor杭州那家医院看甲状腺比较好 recurrence. So postoperative patients should receive long-term L-T4 replacement therapy. Aim is on the one hand to supply the body thyroid hormone needs, on the other hand suppresses tumor recurrence. To achieve these two purposes, the dosage of L-T4 is greater than the substitution dose for treating hypothyroidism.