When a doctor opened a plug-in

At this time, a young man just walked in.

"Mom? Haven't done it yet?"

The woman turned and glanced at her son, and said: "The doctor said that I am not suffering from a lung disease. It may be a dry cough caused by the thyroid oppressing the nerve."

Hearing his mother's words, the young man was stunned for a moment, then glanced at the doctor: "Doctor...what's the situation? Can the thyroid gland cause a dry cough?"

After Chen Cang heard it, he nodded: "Well, I just did a palpation of the thyroid gland to my aunt. What I can confirm is that her left and right sides are swollen, and there are nodules. What is the specific situation? Do a color Doppler ultrasound."

Hearing Chen Cang's words, the young man was stunned for a moment: "Then please give me an order."

Chen Cang nodded and prescribed a color Doppler ultrasound sheet for the thyroid gland.

The young man suddenly asked, "Doctor, by the way, give us a CT of our lungs. I'm afraid that when I go to see Dean Qin tomorrow, people will not recognize the film from our place."

Chen Cang hesitated, and suddenly asked a more off-topic question: "Does your mother often make films?"

The young hesitated for a while, and he hesitated for a moment: "My mother is a teacher and has a lot of desk work, so I have been suffering from cervical spondylosis for so many years. Last year, there were more problems and I often went to the hospital, so I took more cervical films, and It’s just that her teacher coughs, not once or twice, so she often has her lungs checked."

Hearing the man's words, Chen Cang sighed: "Well, let's do thyroid color Doppler ultrasound first. You don't need to do CT films first."

The man hesitated: "This... we are here to see Dean Qin specifically for a lung disease, so please do me a favor."

Chen Cang said: "You can make movies in Wan'an County. The machine is pretty good, and you don't need to make any more movies."

The man got up and took his mother out.

Chen Cang watched the two leave, although he was not sure, but he also felt in his heart that this aunt was probably thyroid cancer.

Radiation damage can be fatal to the thyroid.

As a relatively fragile gland tissue, the thyroid gland is not covered by many things like other glands, but is located in the neck.

Therefore, when X-rays and CT films are taken, these radiological examinations are more likely to induce cancer of the thyroid gland.

Even now studies have shown that radiation damage has become one of the factors with the highest proportion of thyroid cancer.

Chen Cang hesitated, seeing that the time was approaching the end of get off work, and did not leave directly.

He decided to wait for these two patients.

Generally speaking, the color Doppler ultrasound doctor will not directly tell him that he has thyroid cancer. Most of them will only tell him to see a doctor.

Moreover, whether it is thyroid cancer or not depends on the results of the puncture. Color Doppler ultrasound doctors will not say irresponsible words.

There were not many people in the color Doppler ultrasound room in the afternoon, and the results were relatively fast.

At about 6:30, there was no one in the corridor. The only difference was that there was already a long queue at the registration office, and many people came to stay up late to wait for tomorrow's call.

There are even some familiar faces.

Chen Cang was bored and turned on his mobile phone to search for thyroid cancer resection.

Thyroid surgery is not difficult, but the precision is quite high, and the blood vessels and nerves of the neck tissues and organs are very messy. During the operation, you need to be very careful.

The requirements for the surgeon are also very high.

In terms of difficulty, it is not difficult because it is more precise.

At this time, the aunt and the man outside came back from the check-up last night. Seeing that there were very few people in the corridor and the doctors were off work, they were a little worried. Tell them that they must be seen by the doctor.

Do you want to see Dean Qin tomorrow?

As I passed by, I suddenly found that Chen Cang's consulting room was still open, and his expression was overjoyed!

After the old aunt came in, she suddenly smiled: "Doctor, I'm sorry, I have kept you waiting for a long time, thank you!"

"But...Doctor, what...what's the situation written on it? The doctor who checked me told me to show it to the doctor."

Chen Cang took the report and saw the signature. Director Bai came out.

Ultrasound findings: the bilateral thyroid gland is large, the capsule is not smooth, the parenchymal echo is thickened and uneven...

Ultrasound impression:

The thyroid parenchyma rises and thickens and is uneven.

Multiple nodules can be seen on the right side, T1-RADS-4b type

...

After Chen Cang saw 4b, his face suddenly changed, which means that the probability of malignancy is already very high. These are all commonly used indicators in hospitals. Patients can not understand it to avoid unnecessary panic, and the doctor basically understands it.

Generally speaking, when categorizing thyroid nodules, type 1 is normal thyroid, type 2 is benign nodule, type 3 is very likely benign nodule (80% benign), type 4a is (malignant 5-10%), 4b ( Malignant 10~80%); Category 5: Malignant nodules are likely (malignant 80%).

Looking at 4b above, Chen Cang understood that this may mean that the probability of malignant nodules is high, that is, malignant tumors.

And looking at the irregular nodules on the report, the blood flow is very good, the echo is uneven...

Although B-ultrasound is not certain, Chen Cang feels that he is one biopsy short of his diagnosis!

The next step is to think about how to communicate with patients!

Tell the tumor directly, he must be worried that he can't accept it.

After thinking about it, Chen Cang said, “Auntie, you don’t need to go to the outpatient clinic tomorrow, but go directly to the inpatient department. The result of the thyroid gland is that the nodule is likely to be malignant. What we need next is to do a biopsy. Whether it is benign or malignant, and then complete the relevant examination, it is best to have a timely operation!

Hearing Chen Cang's words, as expected, both of them were dumbfounded.

The old aunt hesitated: "Doctor... are you talking about cancer?"

In this age of talking about cancer.

Chen Cang felt that it was more troublesome to delay the disease, so he said: "Don't worry, I just said that there is a possibility, but whether it is, it needs to be confirmed by a biopsy, and you should not have too much burden. The current treatment effect of thyroid cancer In particular, the ten-year survival rate is more than 90%, and many patients take long-term medication, which basically does not affect it."

Hearing what Chen Cang said, the old aunt fell silent.

Who knew that a cough detected thyroid cancer.

And... this is good luck.

If you have been in Wan'an County, you may not understand until you die.

Seeing his mother's fear and panic, the man couldn't help but ask, "Doctor, my mother is usually fine, why is there a thyroid problem?"

After thinking about it, Chen Cang said, "My suggestion is to cover the neck with something as much as possible when taking CT scans. The cervical vertebral film should be taken with MRI instead of CT. CT will damage the thyroid a lot."

...

ps: The above sentence is also for everyone. Now this disease is increasing and it has a lot to do with radiation damage.