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Thyroid nodules are a relatively common thyroid disease, thyroid nodules in clinical on main requirements is the early detection, diagnosis, early treatment. Thyroid nodules according to 甲状腺etiology, disease can be divided into several different types, so, thyroid nodules symptoms are different, the following is Tongji Hospital thyroid treatment of base of Professor Yang Shoubin for everyone in detail, the 5 major types of thyroid nodules.
One, nodular goiter in middle-aged women. At the same time, increased pituitary secretion of TSH in the thyroid, increased TSH long-term stimulation, after repeated or sustained hyperplasia causing thyroid inhomogeneities increase and nodular lesion. Nodules may have within the bleeding, cystic change and calcification. Nodule size from a few millimeters to several centimeters. The main clinical manifestations of thyroid enlargement, palpation is palpable and ranging in size from multiple nodules, nodular texture more moderate hardness, few patients can only be palpable solitary nodule, but in thyroid scintigraphy or operation, often found to have multiple nodules. The clinical symptoms of the patients is not much, generally only in front of the neck discomfort, thyroid function tests were normal.
Two, nodular toxic goiter goiter slow onset, often occurs in many years of nodular goiter patients, age at 40~50 years of age or older, mostly female, can be accompanied by symptoms of thyrotoxicosis and physical symptoms, but the symptoms of thyrotoxicosis generally lighter, often not typical, and do not generally occur 杭州邵逸夫医院甲亢专家咨询infiltrative exophthalmos. Thyroid palpation is palpable and a smooth round or oval nodules, clear boundary, hard texture, with the swallowing activity, thyroid gland location without vascular murmur. Thyroid function tests indicated by the functional autonomy of the nodules caused by radionuclide scan, " hot nodule ".
In three, inflammatory nodules consisted of infectious and noninfectious two categories, the former is mainly caused by viral infection of subacute thyroiditis, other infections are uncommon. Subacute thyroiditis clinically except for thyroid nodules, accompanied by fever and thyroid local pain, nodule size as the lesion extent, character is tough; the latter is mainly composed of induced autoimmune thyroiditis, common in women, youth, the patient's perceived fewer symptoms, examination palpable and multiple or single nodules, texture hard and tough, little tenderness, thyroid function tests show thyroglobulin antibodies and thyroid microsomal antibodies often Chengqiang positive.
Four, thyroid cysts are the most by a goiter nodules or adenoma of the degenerative form, cyst containing blood or slightly miscible liquid, and around the boundary clear,杭州邵逸夫医院官网 hard texture, generally without tenderness, radionuclide scan " cold nodule ". A minority of patients is caused by a congenital thyroid hyoid cyst or fourth branchial cleft remnants.
Five, thyroid tumors including benign tumor of thyroid, thyroid cancer and metastatic cancer of Hangzhou Tongji Hospital thyroid treatment of base of Professor Yang Shoubin stressed: thyroid nodule 's condition is very serious, is to be able to develop into more serious disorders. The prevalence of patients not to lose heart, must go to a regular hospital to receive timely treatment. If the disease is severe, occur in some patients with secondary hyperparathyroidism or cancerous, a serious threat to the lives of patients.
Thyroid nodule harm should be how to treat?
" Chinese medicine targeted control therapy " according to immune thyroid disease pathological changes in gas for the first, namely by qi stagnation, phlegm, blood stasis, anger, until the yin deficiency, and the pathological changes of liver, heart, and relates to the kidney, spleen and other 杭州邵逸夫医院 organs, treatment from relieving the depressed liver, regulating qi, promoting blood circulation to remove blood stasis and nourishing yin and Invigorating Qi, pay attention to, adjust the internal organs function, to restore the body each system function, especially the recovery of immune function, the only way to consolidate the curative effect, administer thoroughly.
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