[ 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.
潘智文醫生回覆: [ 9/17/2018 ]
有鈣化並不一定是癌症，不過如甲狀腺有可疑結節，便需要抽針檢查，斷定它的性質
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