Chapter 711: : Inadvertent damage

At this time, a young man just came in.
"Mom? Not done yet?"
The woman turned and glanced at her son, and said, "The doctor said that I was not a lung disease. It may be that the thyroid is pressing the nerves and causing a dry cough."
Hearing the words of the mother, the young man froze and glanced at the doctor: "Doctor ... what is it? Can the thyroid still cause dry cough?"
After hearing this, Chen Cang nodded: "Well, I did a palpation of the thyroid just now. It can be confirmed that her left and right sides are swollen, and there are nodules. What's the situation, you still need Be a color ultrasound. "
Hearing Chen Cang's words, the young man suddenly hesitated: "Thank you for opening a list."
Chen Cang nodded and opened a color Doppler ultrasound for thyroid.
The young man suddenly asked, "Doctor, by the way, give us a CT of the lungs. I'm afraid that when I go to see Qin Dean tomorrow, people will not recognize our local movies."
Chen Cang hesitated, and suddenly asked a more off-topic question: "Does your mother often make films?"
The young man hesitated for a while, hesitating for a moment: "My mother is a teacher, and I have more work at my desk, so I have had cervical spondylosis for so many years. Last year, I had more problems, and I often went to the hospital. It was her teacher who coughed, not once or twice, so she often checked her lungs. "
Hearing the man's words, Chen Cang sighed: "Let ’s go, do the thyroid color Doppler ultrasound first, you don't need to do the CT film first."
The man hesitated: "This ... Let's come to see Dean Qin for lung disease, so please help."
Chen Cang said: "Your film in Wan'an County is fine. The machine is very good. You don't need to make another film."
Then the man got up and took his mother out.
Chen Cang watched the two leave, although still not sure, but I also felt that the aunt probably had thyroid cancer.
Radiation damage is very fatal to the thyroid.
The thyroid gland is a fragile glandular tissue. It does not have many things to protect it like other glands, but it is just in the neck.
Therefore, when taking x-rays and CT films, these radioactive examinations are damaged by radioactive rays, which is more likely to induce canceration of the thyroid.
Even now studies have shown that radiation damage has become one of the highest rates of thyroid cancer.
Chen Cang watched that the time was approaching the end of work, hesitated, and didn't leave directly.
He decided to wait for the two patients.
Generally speaking, doctors do not tell him directly about thyroid cancer, most of them only tell him to see a doctor.
In addition, whether the thyroid cancer depends on the puncture results, Dr. Caichao will not say those irresponsible words.
There are not many people in the color Doppler room in the afternoon, and the result is faster.
At around half past six, there was no one in the corridor. The only difference was that there were long queues at the registration office. Many people stayed 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 very high, and the neck tissues, organs, blood vessels and nerves are very messy. You need to be very careful during surgery.
The surgeon's requirements are also very high.
If it is difficult, it is more precise, and it is not difficult.
At this time, the aunt outside and the man checked back last night and saw that there were very few people in the corridor. The doctors were off work, and they were a bit worried. After all, they could not understand the report form, and they could only see the doctor. Tell them to be seen by a doctor.
Do you want to find Dean Qin tomorrow?
When passing by, I suddenly found that Chen Cang's consulting room was still open, and he immediately looked happy!
After the old aunt came in, she smiled suddenly, "Doctor, sorry, I have kept you waiting so long, thank you!"
"But ... Doctor, what is this ...? The doctor who checked me asked me to show the doctor."
Chen Cang took the report, and upon seeing the signature, Director Bai came out.
Ultrasound: the bilateral thyroid is large, the capsule is not smooth, the parenchymal echo is thick, uneven ...
Ultrasound impression:
The thyroid parenchyma picked up and became thicker and uneven.
Multiple nodules are visible on the right, T1-RADS-4b
...
After Chen Cang saw 4b, his face suddenly changed, which meant that the probability of malignancy was already very high. These are commonly used indicators in hospitals. Patients could not understand to avoid unnecessary panic, and doctors basically understood.
Generally speaking, in the classification of thyroid nodules, type 1 is normal thyroid, type 2 is benign nodules, type 3 is likely to be benign nodules (80% benign), type 4a is (malignant 5-10%), and 4b ( Malignant 10 ~ 80%); Category 5: Malignant nodules are likely (malignant> 80%).
Looking at 4b above, Chen Cang understands that this may mean that the probability of malignant nodules is high, that is, malignant tumors.
And looking at the nodules on the report, the blood flow is good, and the echoes are uneven ...
Although the B-ultrasound could not be determined, Chen Cang felt a short biopsy from the diagnosis!
The next step is to think about how to communicate with the patient!
Tell the tumor directly, he must be worried that he cannot accept it.
After much deliberation, Chen Cang said, "Auntie, you don't have to go to the clinic tomorrow, you will go directly to the inpatient department. The thyroid result is that the nodules are likely to be malignant. What we need next is a biopsy. Benign or malignant, and then improve the relevant examinations, the best is timely surgery! "
When they heard Chen Cang's words, they were dumbfounded.
The old aunt hesitated: "Doctor ... are you talking about cancer?"
In this age of talking about cancer discoloration.
Chen Cang felt that delaying the illness was more troublesome, so he said, "Do n’t worry, I just said that there is a possibility, but whether or not it still requires a biopsy to confirm the diagnosis, and you do n’t 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 Chen Cang's words, the old aunt was silent.
Who knows that a cough has detected thyroid cancer ~ EbookFREE.me ~ And ... this is still good luck.
If you have been in Wan'an County, you may not understand until you die.
When the man saw his mother worried and looked terrified, he couldn't help but ask, "Doctor, my mother is usually fine. Why is there a thyroid problem?"
Chen Cang thought about it, and said, "My suggestion is to take something as much as possible to cover the neck when taking a CT. The cervical spine should be taken as much as possible instead of CT, which is very harmful to the thyroid."
...
PS: The above sentence is also for everyone. Now this disease is getting more and more, and it has a lot to do with radiation damage.
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