This is an automatically translated article.
The article was consulted with Dr. Tran Thi Hoang Anh - Endocrinologist - Vinmec Times City International General Hospital.Thyroid cancer accounts for only 1-2% of all cancers, but it is 90% of cancers of the endocrine glands and ranks 9th among cancers in women. However, thyroid diseases are still often overlooked in 20-60% of cases.
1. How to detect thyroid cancer
1.1 Detection through clinical symptoms
Most have no symptoms, if any, some of the following may be present.Early symptoms:
Appearance of thyroid tumors: Tumors are characterized by hard, clear margins, surface can be smooth or rough, moving with swallowing rhythm. Cervical lymphadenopathy: The lymph nodes are usually small, tender, mobile, and on the same side as the tumor. Late symptoms:
Large, solid tumor, fixed in front of the neck. Hoarseness, possibly difficulty breathing. Difficulty swallowing, entangled swallowing, due to tumor compression. The skin of the neck may be infiltrated or ulcerated with bleeding.
Làm thế nào để phát hiện ung thư tuyến giáp?
1.2. Discovered through health check
Blood test to diagnose thyroid cancer:
Blood test is an effective method of evaluating thyroid function.
Thyroid color ultrasound:
Ultrasound helps to assess the nature and number of "thyroid nodules" and detect cervical lymph nodes. When ultrasound, if one or more "thyroid nodules" are detected, it is likely that the patient has thyroid cancer with a rate of about 4-6.5%. Ultrasound can predict the prognosis of high, moderate, or low risk of malignancy.
Thyroid scan method:
Thyroid scan is a very useful method to evaluate the function of the thyroid gland, evaluate thyroid nodules, thyroid cancer. To image the thyroid gland, doctors will use radiopharmaceuticals such as l-131 or Technetium - 99m (Tc99m).
Vinmec uses the SPECT/CT Discovery NM/CT 670 Pro system with the most modern 16-sequence CT of the world's leading medical equipment company GE Heathcare (USA), for high quality images, helping to diagnose diseases early reason to investigate
Vinmec sử dụng hệ thống SPECT/CT Discovery NM/CT 670 Pro với CT 16 dãy hiện đại nhất của hãng thiết bị y tế hàng đầu thế giới GE Heathcare (Mỹ)
Fine needle aspiration cytology:
This is a very effective method for distinguishing benign and malignant thyroid nodules with an accuracy of up to 95%. The client will be given a local anesthetic to numb the neck and then use a very small needle to poke the thyroid gland to remove some cells and fluid in the nucleus. Then, the specimen is examined under the microscope for abnormalities. Abnormal cells can be a sign of thyroid cancer. This measure is usually indicated for patients with thyroid nodules >1cm in size or abnormal thyroid nodules on thyroid scan or ultrasound.
Ultrasound and tomography:
Ultrasound and tomography methods help distinguish solid from liquid lesions. Clarifying lesions of small size (3-4mm) in case of metastases are indicative. Ultrasonography and tomography are beneficial for iodine-saturated cases.
Trắc nghiệm: Bạn biết gì về các yếu tố nguy cơ, chẩn đoán và điều trị ung thư tuyến tụy?
Ung thư tuyến tụy phổ biến thứ 10 trong những bệnh ung thư mới và là nguyên nhân thứ 4 gây tử vong do ung thư ở nam, nữ. Bài trắc nghiệm này sẽ kiểm tra kiến thức của bạn về các yếu tố nguy cơ, chẩn đoán và cách điều trị ung thư tuyến tụy.
Bài viết tham khảo nguồn: medicalnewstoday 2019
2. Thyroid Cancer Treatment
Surgery plays the most important role in the treatment of thyroid cancer, in which total thyroidectomy combined with cervical lymph node dissection is the optimal treatment. However, it is still necessary to choose the appropriate method depending on the condition of the disease. With differentiated thyroid cancer, total thyroidectomy will be indicated when one of the poor prognostic factors or recurrent thyroid cancer is present. In addition to the cases in which total thyroidectomy is indicated, the patient is indicated to have a near-total thyroidectomy or to remove the lobe and isthmus of the thyroid gland. In case of differentiated thyroid cancer, cervical lymph node dissection will be performed when the lymph nodes are detected clinically, on imaging tools and examined to assess the lesion in surgery.
Treatment I 131 is an adjuvant method to help destroy residual cancer cells or distant metastatic lesions and locally invasive cancer cases.
Hormonal replacement therapy is indicated after I131 therapy after surgery, or after total thyroidectomy or with extensive metastases after failure of radical therapy.
External radiation therapy and chemotherapy are of little value in differentiated thyroid cancer, often used for undifferentiated thyroid cancer and medullary thyroid cancer.
Autologous immune system booster therapy helps cancer patients strengthen their immune system to stimulate immune cells to function, increase their ability to recognize and attack cancer cells, and increase treatment effectiveness when applying surgical, chemotherapy and radiotherapy methods...
Liệu pháp tăng cường hệ miễn dịch tự thân - Hy vọng mới cho người bệnh ung thư
3. Screening, screening for thyroid diseases helps to detect thyroid cancer early
Thyroid cancer is often left undiagnosed in 20-60% of people with the disease. That is the reason for Vinmec to provide a screening package for thyroid diseases. Vinmec's screening and screening package for thyroid diseases helps:
Check thyroid function. Screening & early detection of common thyroid diseases such as simple goiter, hyperthyroidism, hypothyroidism, thyroiditis, thyroid nodules, thyroid cancer... appropriate and timely. When registering for the package of screening and screening for thyroid diseases, customers will be examined and consulted with an Endocrinologist; Thyroid ultrasound; Screening tests for thyroid diseases: FT3, FT4, TSH, Anti – TPO, Anti TG; When the results are available, the Client can continue to consult with the doctor about the treatment direction if necessary.
In April & May 2021, when there is a need for thyroid cancer examination and treatment at Vinmec Times City International General Hospital, customers will enjoy double incentives:
- Free specialist examination and 50% discount on Thyroid Cancer Screening Packages such as:
+ Standard Thyroid Screening Package
+ Advanced Thyroid Screening Package
+ Special Thyroid Screening Package
- 50% off cost when indicated for treatment after examination.
The program is limited to the corresponding technique for each hospital and for customers who perform this treatment technique for the first time at Vinmec.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
