Is right lobe adenoma of the thyroid serious?

In recent years, the incidence of tumors has been increasing. When most people mention tumors, they tend to think that tumors are a more serious disease. In fact, there are many types of tumors, and different types of tumors have different hazards to human health. Thyroid adenoma is a common tumor. Most people are often very scared after they suffer from thyroid adenoma. Is it serious?

Is right lobe adenoma of the thyroid serious?

Thyroid adenoma is a benign tumor. Usually, if the patient does not have any clinical discomfort symptoms, he can be observed first and then have regular check-ups. It is not a serious disease and has little impact on physical health. Everyone should maintain a good attitude.

How big a thyroid tumor needs surgery?

Regardless of the size of the thyroid tumor, it should be treated with surgery in a timely manner under the doctor's advice to avoid causing more trouble in the future.

Thyroid adenomas may become cancerous and may cause hyperthyroidism, so they should be removed surgically at an early stage. Surgery is the most effective treatment method. Regardless of the size of the tumor, it is currently recommended to perform a lobectomy or subtotal lobectomy on the affected side rather than adenoma removal. The reason is that it is clinically difficult to distinguish between thyroid adenoma and certain thyroid cancers, especially early thyroid cancer. In addition, about 25% of thyroid tumors are multiple, and clinically only larger adenomas can be detected. Simple adenoma removal will leave small adenomas behind, causing recurrence in the future.

How to treat thyroid tumors

Because thyroid tumors have the possibility of malignant transformation (the incidence rate is about 10% to 20%), surgical resection should be considered for those suspected of having adenoma. Surgery is the only effective treatment. Surgical method: If the adenoma is large, subtotal thyroidectomy can be considered; if the adenoma is small, partial thyroidectomy can be performed. The resected specimen should be immediately examined by frozen section to determine whether it has malignant transformation. If the tumor is incised and observed during surgery and the frozen report shows that the adenoma is "growing actively" or "suspected of thyroid cancer", but it cannot be confirmed to be thyroid cancer, and the tumor is smaller than 1.5 cm, the entire thyroid gland on the affected side can be directly removed. If it is not cancer after the operation, the scope of the operation will not be too large. If it is cancer, most patients do not need a second surgery (or no surgery in that area is needed again) to prevent the second surgery from damaging the recurrent laryngeal nerve on that side.

Thyroid adenoma is also a good indication for laparoscopic thyroid surgery. That is, by making incisions in the chest and armpits, modern laparoscopic technology is used to perform thyroid adenoma removal. This way, there is no incision on the neck, which is more aesthetically pleasing and suitable for patients who have high requirements for neck aesthetics. But the prerequisite is that the adenoma should not be too large (for example, more than 4~5cm). If it is too large, laparoscopic surgery will be more difficult.