Chapter 712 Inadvertent Damage

At this time, a young man just walked in.

"Mom? Isn't it finished yet?"

The woman turned around and glanced at her son, and said, "The doctor said that I do not have a lung disease. It may be a dry cough caused by the compression of the nerve by the thyroid gland."

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

After hearing this, Chen Cang nodded: "Well, I just did a palpation of my aunt's thyroid gland, and I can confirm that her left and right sides are swollen, and there are nodules. What is the specific situation? Do an ultrasound."

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

Chen Cang nodded and ordered an ultrasound of the thyroid.

The young man suddenly asked: "Doctor, by the way, give us a CT scan of the lungs. I'm afraid that when I go to see President Qin tomorrow, they won't recognize the film in our place."

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

Young hesitated for a while, then hesitated for a moment: "My mother is a teacher and works at a desk a lot, so I have been suffering from cervical spondylosis for so many years. It's her teacher who coughs, not once or twice, so she often does lung examinations."

Hearing the man's words, Chen Cang sighed: "Let's do it, you have to do a thyroid ultrasound first, and you don't need to do a CT scan first."

The man hesitated for a moment: "This... We've come to look for President Qin to see a lung disease, so please do me a favor."

Chen Cang said: "Your Wan'an County film is fine. The machine is quite good, so you don't need to shoot any more films."

Then the man got up and took his mother out.

Chen Cang watched the two leave. Although he was not sure yet, he also felt that the aunt had thyroid cancer in all likelihood.

Radiation damage can be fatal to the thyroid.

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

Therefore, when X-rays and CT films are taken, these radioactive examinations are damaged by radioactive rays, which are more likely to induce thyroid cancer.

Even now research shows that radiation damage has become one of the factors with the highest proportion of thyroid cancer.

Chen Cang saw that it was almost time to get off work, he hesitated for a while, and did not leave directly.

He decided to wait for the two patients.

Generally speaking, color Doppler doctors will not directly tell him that he has thyroid cancer or something, and most of them will only tell him to see a doctor.

Moreover, whether it is thyroid cancer depends on the results of the puncture, and the color ultrasound doctor will not say those irresponsible words.

There were not many people in the 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 all night to wait for tomorrow's number.

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. 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 practitioners are also very high.

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

At this time, the aunt and the man outside came back from the inspection last night. They saw that there were very few people in the corridor, and the doctors were all off work. They were a little worried. After all, they couldn't understand the report, so they could only look for the doctor, and the color Doppler doctor Tell them that they must be seen by a doctor.

Are you looking for President Qin tomorrow?

When passing by, I suddenly found that Chen Cang's clinic was still open, and his face suddenly brightened!

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

"But... doctor, what is this... written on it? The doctor who examined it asked me to show it to the doctor."

Chen Cang took the report, and when he saw the signature, it was Director Bo who came out.

Ultrasound findings: bilateral thyroid glands are large, the capsule is not smooth, the parenchyma echo is thickened, and the unevenness...

Ultrasound impression:

Thyroid parenchyma rose and thickened, uneven.

Multiple nodules are seen on the right, class T1-RADS-4b

...

After seeing 4b, Chen Cang's expression changed immediately, which means that the probability of malignancy is already high. These are indicators commonly used in hospitals. Patients can't understand and avoid unnecessary panic, and doctors basically understand.

Generally speaking, the classification of thyroid nodules is: 1 is normal thyroid, 2 is benign, 3 is probably benign (80% benign), 4a is (malignant 5~10%), 4b ( Malignant 10-80%); Category 5: Probable malignant nodule (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, and the echo is uneven...

Although the B-ultrasound cannot be confirmed, Chen Cang feels that he is one biopsy away from the diagnosis!

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

Tell the tumor directly, he must be worried that he will not 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 thyroid results report that the nodule is likely to be malignant. The next thing we need is to do a biopsy to confirm the diagnosis. Whether it is benign or malignant, and then improve the relevant examinations, it is best to perform surgery in a timely manner!"

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 cancer.

Chen Cang felt that it was more troublesome to delay the disease, so he said: "Don't worry, I just said there is a possibility, but whether it is true or not, it still needs to be diagnosed by 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 is basically unaffected."

Hearing Chen Cang's words, the old aunt fell silent.

Who knew a cough checked out for thyroid cancer.

And...that's good luck.

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

Seeing his mother's worried and frightened appearance, the man couldn't help but ask, "Doctor, my mother is usually fine, why did she have a thyroid problem?"

After thinking about it, Chen Cang said, "My suggestion is to try to cover the neck with something when taking CT scans in the future, and take MRI instead of CT as much as possible. CT can cause great damage to the thyroid."

...

ps: The above sentence is also for everyone. Now there are more and more diseases, and it has a lot to do with radiation damage.