Analysis of cystic degeneration of thyroid adenoma

After suffering from thyroid adenoma cyst, it can be said to be particularly troublesome for patients, and they also believe that this disease will cause great harm to their bodies. Therefore, many patients with this disease want to know more about the analysis of thyroid adenoma cysts? Want to know more about it, and then carry out targeted and effective treatment. In order for you to understand more details, please see the following answers.

Cystic change of thyroid adenoma, clinical manifestations of thyroid adenoma: thyroid adenoma can occur at any age but is more common in young women; most are asymptomatic and often find a lump in the anterior neck area accidentally; most are single and painless; the capsule is obvious and can move with swallowing. The tumor grows slowly. Once bleeding or cystic changes occur within the tumor, its size may suddenly increase and be accompanied by pain and tenderness, but after a period of time it will shrink or even disappear.

A small number of enlarged tumors gradually compress the surrounding tissues and cause tracheal displacement, but tracheal stenosis is rare. The patient will not feel shortness of breath, especially when lying flat. The thyroid adenoma behind the sternum compresses the trachea and large blood vessels and may cause dyspnea. Combined with the compression of the superior vena cava, a small number of adenomas may become very hard due to calcified plaques. Typical thyroid adenomas are easy to evaluate and make clinical diagnosis. Functional examination is generally normal for a long time. Radionuclide scanning often shows warm nodules, but if there is cystic change or bleeding, it will show cold nodules.

Disease classification of thyroid tumors:

Thyroid tumors are divided into two categories: benign and malignant

(I) Benign thyroid tumor

The main cause of thyroid disease is thyroid adenoma, which accounts for about % of thyroid diseases. Most cases are women. According to domestic statistics, the ratio of female to male is 35.8%. The age of onset is mostly during the period of active thyroid function, that is, between 20 and 30 years old. After 30 years old, the incidence rate gradually decreases.

(II) Malignant thyroid tumors

Among thyroid cancers, papillary adenocarcinoma accounts for about %; follicular carcinoma accounts for about % to %; medullary carcinoma accounts for about % to %; and undifferentiated carcinoma accounts for about % to %.

Thyroid malignant lymphoma rarely originates in the thyroid gland and is often part of a systemic malignant lymphoma. The treatment of thyroid adenoma should not be delayed, but if a woman happens to be menstruating, can she still undergo surgery normally? Will it be dangerous? Let the experts give you a detailed introduction below.

The doctor originally planned to perform surgery on Ms. Wang, who suffered from thyroid adenoma, the next day, but was forced to cancel the surgery because her menstruation suddenly came early. "Will menstruation hinder thyroid surgery away from the perineum?" Ms. Wang and her family were puzzled and strongly requested that the surgery be performed within the specified time. The doctor had to explain patiently.

Under normal circumstances, after a small amount of fibrin is formed in the body, it is subsequently dissolved due to the action of the fibrinolytic system, allowing the blood to remain in a liquid state, which has important physiological significance. The dissolution of fibrin is due to the presence of blood-activating substances. The uterus and thyroid organ tissues contain more activating substances, especially in the uterine mucosal tissue, so menstrual bleeding is often in a liquid state (blood clots may appear when the amount is large). Due to the increase of activated substances in the blood during menstruation, if coupled with the trauma and squeezing of thyroid surgery, the thyroid gland will excrete more activated substances into the blood. Therefore, during and after surgery, the blood is not easy to coagulate, oozing of blood increases, and bleeding is inevitable. The reason why the doctor postponed Ms. Li's surgery was:

① During menstruation, the amount of activated substances in the blood increases, the blood is not easy to coagulate, and there is a lot of bleeding on the wound during surgery, which affects the surgical operation.

② Excessive bleeding after surgery not only causes simple blood loss, but if the drainage is not smooth, blood will accumulate and compress the trachea, which will also cause respiratory obstruction and even suffocation and endanger life.

③Due to excessive blood loss, shock may occur. This often requires blood transfusion to correct, and allogeneic blood transfusion can cause the body's immune function to decline. The more blood transfusions, the greater the chance of infection and the lower the wound healing function, affecting the recovery of the disease and the healing of the incision.

Analysis of cystic degeneration of thyroid adenoma. You have gained more knowledge through the above introduction. Experts remind you that if you have this disease, you must not ignore it. After understanding the analysis of his disease, you should conduct targeted examinations and treatments. Because the earlier the disease is treated, the better the effect. Therefore, for many patients with this disease, they should understand the above content and receive treatment as soon as possible.