[ 會員#14208 ] jobylww
甲狀腺鈣化是不是代表有會變癌？
病患者女 - 67歲
最近家母因甲狀腺腫脹，因而去了化驗所照超聲波，並得出以下結果，其間發現有鈣化，是不是一定要盡快安排切除甲狀腺已防止癌化的風險呢？
Ultrasonography of thyroid
Findings
The left lobe of the thyroid gland is enlarged.
Homogeneous echogenicity is noted.
A 1.28cm mixed solid and cystic lesion is noted in the middle part of the left lode. A few echogenic foci are seen in the soft tissue part suggestive of calcifications. Mild increase in vascularity is noted around this lession on colour doppler.
A mainly cystic lesion of about 2.45 x 2.15 x 2.66cm (L x AP x W) in size is noted in the middle part to lower pole of the left lobe. Some soft tissue echoes are seen in the upper part of this lesion. No significant increse in vascularity is noted on colour doppler.
No mass lesion or cystic area is noted in the right lobe.
No retrosternal extension is seen.
No encroachment of trachea or adjacent blood vessels is seen.
Comment
A 1.28cm mixed solid and cystic lesion with internal calcifications in the middle part and a 2.66cm complex cystic lesion in the middle part to lower pole of the left lobe of thyroid gland respectively. FNA of both lessions is suggested for further evaluation.
No other abnormality is noted.
最近家母因甲狀腺腫脹，因而去了化驗所照超聲波，並得出以下結果，其間發現有鈣化，是不是一定要盡快安排切除甲狀腺已防止癌化的風險呢？
Ultrasonography of thyroid
Findings
The left lobe of the thyroid gland is enlarged.
Homogeneous echogenicity is noted.
A 1.28cm mixed solid and cystic lesion is noted in the middle part of the left lode. A few echogenic foci are seen in the soft tissue part suggestive of calcifications. Mild increase in vascularity is noted around this lession on colour doppler.
A mainly cystic lesion of about 2.45 x 2.15 x 2.66cm (L x AP x W) in size is noted in the middle part to lower pole of the left lobe. Some soft tissue echoes are seen in the upper part of this lesion. No significant increse in vascularity is noted on colour doppler.
No mass lesion or cystic area is noted in the right lobe.
No retrosternal extension is seen.
No encroachment of trachea or adjacent blood vessels is seen.
Comment
A 1.28cm mixed solid and cystic lesion with internal calcifications in the middle part and a 2.66cm complex cystic lesion in the middle part to lower pole of the left lobe of thyroid gland respectively. FNA of both lessions is suggested for further evaluation.
No other abnormality is noted.
李泓暉醫生回覆: [ 9/16/2018 ]
你好，甲狀腺出現腫塊並在超聲波掃描下有鈣化點，確實是有可疑的；有可能是甲狀腺癌，但更常見的是良性的甲狀腺結節。建議進行抽針檢查，將鈣化點附近的細胞抽出來做病理學化驗，看看有沒有癌細胞，再決定有沒有需要做手術。
annlee : 肉芽增生
病患者女 - 53歲 本人朋友胸口有粉瘤手術切除，不斷增生肉芽導致痕癢，痛， 医生打了 類固醇針止痛、.......Man : 割包皮
病患者男 - 31歲 包皮有過長，但完全可翻開，性生活一切正常，一向沒有發炎，懂得清潔。雖然係冇問題，但.......Y.S Tse : laparoscopy 2
Sorry, I have just found out that in 2005 already, Brit.......Carmen : 屬於邊種肛瘺？
病患者男 - 35歲 李泓暉醫生，你好~ 謝謝你先前回應，我想詳細問，如磁力共振報告講(An inte.......Y.S Tse : laparoscopy
病患者男 - 7歲 It is not understandable that laparoscopic.......Y.S Tse : general anesthesia
冠心病人害怕微創+general anesthesia風險很大，不是嗎?.......Y.S Tse : hernia
病患者男 - 75歲 請問， (1) 病人有冠心病是否適合做微創腹腔鏡技術的（人工網膜）腹股溝疝氣.......Carmen : 肛瘺
病患者女 - 35歲 4月時肛門附近好痛，放工即到公立醫院求醫，到凌晨2點見醫生，醫生話肛周膿瘡要做抽膿.......irenelai : 乳房硬物由劇痛轉成唔痛, 是否患癌了?
醫生您好, 本人上月經期前幾日右邊乳房脹痛, 從乳頭伸延落去有粗體條狀的硬物, 邊沿位置特別痛, 甚至舉手時都.......Steve : 腮腺瘤手術導致面癱
病患者女 - 58歲 我媽媽2星期前在公立醫院做左個腮腺瘤切除手術，手術不太成功，半邊面部癱了，1個星期.......
發出提問使用細則
致李泓暉醫生 提問
即時提問 ?
