What are the commonly used examination methods for fibroids?

For a serious disease like fibroid disease, we must undergo various examinations before we can treat the disease. Fibroma is a disease that poses a threat to the patient's life safety at any time. Let's take a look at the commonly used examination methods for fibroids through this article.

It helps to determine the condition and extent of bronchial compression and whether the fibroid has invaded the bronchus or esophagus, thereby estimating the possibility of surgical resection.

If a fibroma is found to have pulsation, it should be determined whether it is an expansive or conductive pulsation. If it is the former, it may be initially suspected to be an aneurysm, which can be confirmed by X-ray fluoroscopy or angiography. If the upper fibroma moves upward with swallowing during X-ray fluoroscopy, it can be preliminarily diagnosed as a thyroid fibroma. Anteroposterior, lateral, and oblique X-ray plain films, layered films, or high-kilovoltage films can clearly determine the location, shape, density, presence or absence of calcification or ossification of the fibroma, thereby preliminarily determining the type of fibroma. Esophageal barium swallow examination can determine whether the esophagus or adjacent organs are compressed.

It can be determined whether the fibroma occurs in the chest wall or lung, inside or outside the lung. Diagnostic pneumoperitoneum can distinguish subdiaphragmatic factors, such as diaphragmatic hernia.

It is very helpful in showing the morphology of the anterior fibroma and determining whether there is mediastinal lymph node metastasis.

It is necessary to determine whether there are enlarged lymph nodes beside the trachea and under the carina, and to obtain living tissue to confirm the cause of the disease.

Mediastinal tumors, lymphadenopathy, and lesions of mediastinal adipose tissue (such as lipoma) are more reliable than any other X-ray examination method. CT diagnosis of fibroids and lymphadenopathy can reach an accuracy of more than 90%.

It has the following advantages: multiple imaging parameters; high soft tissue resolution; flexible slice direction; no bone artifacts in the image; safe and reliable, no ionizing radiation damage. It is unique in diagnosing fibroids.

Bronchogenic tuberculosis and lymphoma are often accompanied by involvement of peripheral lymph nodes and cervical lymph nodes, and biopsy is helpful for diagnosis.

If intrathoracic goiter is suspected, a radionuclide 131 iodine scan can be performed, which is very helpful for the diagnosis of ectopic goiter and thyroid adenoma.

If malignant lymphoma is suspected but cannot be confirmed by other tests, radiotherapy can be tried. Malignant lymphoma is sensitive to radiation, and 20 to 30 Gy (2000 to 3000 rad) of radiation can rapidly shrink the fibroid.

If the nature of the fibroid cannot be determined after various examinations, but malignant lymphoma has been ruled out, thoracotomy may be performed if the general condition permits.

For any disease, as long as we are doing the examination, we should not be nervous or anxious, because this will only affect the diagnosis results. The above information details the examinations that need to be done before the treatment of fibroids, and I hope it will be of great help to the correct diagnosis of your disease.