GĐXH - Seeing a lump in her neck but thinking it was benign lymphadenitis, it would go away on its own in a few days, but 2 weeks later the lump grew larger and was painful to press, so Ms. Hien went to the hospital for examination and discovered early stage papillary thyroid carcinoma.
Thinking she had lymphadenitis, the woman went to the doctor and discovered papillary thyroid carcinoma.
According to information from Tam Anh General Hospital in Ho Chi Minh City, Ms. Hien had a lump in her neck nearly a month before. At first, she thought the lymph nodes were benign and would go away on their own in a few days. Two weeks later, the lump grew larger and was painful to the touch, so she went to the hospital for a check-up.
On March 19, Master, Doctor, Doctor Phan Vu Hong Hai, Department of Thoracic and Vascular Surgery, said that Ms. Hien's ultrasound results recorded a multinodular goiter with benign thyroid nodules, TIRADS 2 classification, including a 3 cm thyroid nodule, suspected of internal bleeding, causing pain.
The isthmus area (the area just in front of the neck, at the back of the thyroid, above the trachea and below the larynx) has a 14×9 mm nodule, TIRADS grade 3. TIRADS is a classification of the degree of damage to the thyroid gland, helping to assess the risk of malignancy of thyroid tumors. TIRADS 1-3 is considered benign, TIRADS 4 shows signs of malignancy, TIRADS 5-6 has a high risk of malignancy.
Surgeons remove the thyroid lobe containing thyroid nodules from a patient. Photo: BVCC
According to Dr. Hai, Ms. Hien's case is likely to be benign, only requiring surgery to remove the thyroid nodule, and even small nodules do not need to be removed. However, some nodules have suspicious malignant characteristics such as solid nodules with calcification inside. Therefore, the doctor decided to perform surgery to remove one lobe of the thyroid gland and part of the remaining thyroid lobe to remove all the thyroid nodules, limiting the risk of large nodules recurring later.
Within more than 2 hours, Dr. Hai and his team separated the thyroid gland containing the nodules and removed the nodules in the isthmus. The nerves and blood vessels were preserved. After surgery, the patient recovered quickly, without complications of hoarseness or numbness in the limbs. She was discharged from the hospital two days later.
Pathological results after one week determined that the thyroid parenchyma had many colloid nodules ranging in size from 0.5 cm to 3 cm, including one malignant thyroid nodule, very small in size, only 3 mm, diagnosed with early stage papillary thyroid carcinoma of the follicular variant.
According to Dr. Hai, the detection of papillary thyroid carcinoma with follicular variant demonstrates the importance of postoperative histopathological evaluation, even when previous imaging studies do not clearly suggest malignancy. Surgery helps remove malignant lesions while preserving part of the thyroid gland, helping patients avoid complications due to complete hypothyroidism.
In this case, the patient's prognosis is very good, especially when there is no evidence of metastasis or invasion. However, the patient still needs to be monitored periodically to detect early the risk of recurrence or the appearance of new lesions in the remaining thyroid gland.
What can be done to prevent thyroid cancer?
MSc. Dr. Le Thi Ngoc Hang, Department of Thoracic and Vascular Surgery, Tam Anh General Hospital, Ho Chi Minh City, informed that thyroid cancer occurs when a malignant tumor appears in the thyroid area. The disease is divided into 4 types: papillary thyroid cancer, follicular thyroid cancer, medullary thyroid cancer and undifferentiated cancer. Ms. Hien has papillary thyroid carcinoma with follicular variant, which has a good prognosis. If treated actively, the 5-year survival rate is up to more than 98%.
Early stage thyroid cancer often has no symptoms, patients accidentally discover it during an ultrasound check-up or other medical examination. Some patients have signs such as palpable neck mass, difficulty breathing, difficulty swallowing, pain when swallowing, hoarseness or voice change, unexplained weight loss, fatigue, painless swelling in the front of the neck, etc.
Therefore, when these symptoms appear, it is necessary to see a doctor early to optimize the treatment process and reduce the recurrence rate. Subjects with risk factors including family history, personal history of thyroid disease (goiter, thyroiditis, Basedow's disease, hypothyroidism, etc.), iodine deficiency, regular alcohol consumption, smoking, overweight - obesity, etc. should have regular thyroid cancer screening.
To prevent thyroid cancer, each person needs to maintain a diet rich in green vegetables, fresh fruits, whole grains, and fiber; limit canned foods and bad fats; supplement iodine in the diet; do not abuse alcohol or beer; do not smoke; increase physical activity; have regular health check-ups; and follow the treatment regimen if diagnosed with cancer.
Source: https://giadinh.suckhoedoisong.vn/nguoi-phu-nu-54-tuoi-phat-hien-ung-thu-tuyen-giap-tu-dau-hieu-nhieu-nguoi-viet-bo-qua-172250319095638187.htm
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