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当前位置 : 问大夫>健康问答列表页>头颈外科>甲状腺癌>甲状腺癌求助
15***

咨询标题:(男 54)甲状腺癌求助

病情描述:
患者信息:女 60岁 浙江 台州 病情描述(发病时间、主要症状等): 无感觉,体检的时候发现 四月的时候的B超报告:右侧甲状腺厚约20mm,峡部厚约2mm,左侧甲状腺厚约19mm,形态正常。于右侧甲状腺下极可见大小约27x21的低回声块,其内回声不均,可见多枚强光点,血流信号较丰富;另于右侧甲状腺下极、左侧甲状腺下极分别可见大小约15x13mm、17x9mm的囊性包块;于双侧甲状腺内另可见多枚低回声结节,大者位于左侧,约4x2mm 今天又去医院复查了B超,报告如下: 右侧甲状腺厚24mm,左侧甲状腺厚19mm,峡部厚2mm,甲状腺实质回声不均匀,甲状腺内见多个低回声区,边界尚清,部分内见液性暗区及强回声小光点,测左侧其中两个大小为19x13mm、8x5mm,测右侧其中两个大小为27x18mm,4x3mm,CDFI示甲状腺内血流信号未见明显异常。
想得到怎样的帮助: 为甲状腺癌的可能性有多高?是否必须手术?有没有必要做ECT?穿刺有无必要,可靠性如何?因近期家里事情较多,是否可以等半年左右再作处理?如果不手术治疗,危险性高不? 曾经治疗情况及是否有过敏、遗传病史: 这两年我妈有两个兄弟相继发现癌症,其中一个已经去世(81岁),不过都不是甲状腺癌

希望提供的帮助:
患者信息:女 60岁 浙江 台州 病情描述(发病时间、主要症状等): 无感觉,体检的时候发现 四月的时候的B超报告:右侧甲状腺厚约20mm,峡部厚约2mm,左侧甲状腺厚约19mm,形态正常。于右侧甲状腺下极可见大小约27x21的低回声块,其内回声不均,可见多枚强光点,血流信号较丰富;另于右侧甲状腺下极、左侧甲状腺下极分别可见大小约15x13mm、17x9mm的囊性包块;于双侧甲状腺内另可见多枚低回声结节,大者位于左侧,约4x2mm 今天又去医院复查了B超,报告如下: 右侧甲状腺厚24mm,左侧甲状腺厚19mm,峡部厚2mm,甲状腺实质回声不均匀,甲状腺内见多个低回声区,边界尚清,部分内见液性暗区及强回声小光点,测左侧其中两个大小为19x13mm、8x5mm,测右侧其中两个大小为27x18mm,4x3mm,CDFI示甲状腺内血流信号未见明显异常。
想得到怎样的帮助: 为甲状腺癌的可能性有多高?是否必须手术?有没有必要做ECT?穿刺有无必要,可靠性如何?因近期家里事情较多,是否可以等半年左右再作处理?如果不手术治疗,危险性高不? 曾经治疗情况及是否有过敏、遗传病史: 这两年我妈有两个兄弟相继发现癌症,其中一个已经去世(81岁),不过都不是甲状腺癌

病历资料 :

病例资料仅医生及患者本人登录后可见
发表于 2019-07-06

住院医师 - 心血管内科 - 天津中医药大学第一附属医院

甲状腺癌是由数种不同生物学行为以及不同病理类型的癌肿组成,主要包括乳头状腺癌、滤泡状癌、未分化癌、髓样癌四种类型。它们的发病年龄、生长速度、转移途径、预后都明显不同,如乳头状腺癌术后10年生存率将近90%,而未分化癌病程很短,一般仅生存几月。

大夫郑重提醒:以上建议仅供参考,具体诊疗请到医院在医生指导下进行!

司马星光大夫本人回复

发表于:2019-07-06
大夫信息

技术职称:住院医师

学术职称:暂无信息

科室:心血管内科

医院:天津中医药大学第一附属医院

擅长: 暂无信息

擅长: 暂无信息

简介: 暂无信息

简介: 暂无信息

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