Can calcified thyroid nodules disappear after taking medicine?
Should your thyroid be completely removed? Thyroid gland is a small butterfly-shaped organ of human body, the main regulator of metabolism and the engine of the body. The thyroid gland produces, stores and releases thyroxine into the blood, regulating the metabolism of the body. These hormones are very important for maintaining the normal operation of all tissues and organs in the body. In recent years, the incidence of thyroid diseases has increased significantly, especially in coastal areas. In fact, thyroid masses are very common in the general population. Palpable thyroid nodules only occur in about 5% of the population, mainly women. Most of the thyroid nodules are benign, and less than 5% are malignant. Thyroid surgery is the main means and effective method to treat thyroid masses. In the past, thyroid surgery generally removed 80%-90% of the thyroid gland for patients with benign thyroid tumors, and rarely removed all of them. However, due to the high recurrence rate of some residual thyroid tissues. So recently, some hospitals directly performed total thyroidectomy on patients with benign thyroid tumors, and took thyroxine for replacement therapy for life after operation. In fact, it is controversial at home and abroad that Zhu, a general surgeon of the Ninth People's Hospital affiliated to Shanghai Jiaotong University School of Medicine, performed total thyroidectomy for patients with benign thyroid diseases. The scope of surgical resection should be determined according to the actual situation of the patient and the pathological nature of the thyroid mass, and the operation should be individually designed. For younger patients, especially those with thyroid adenoma or hyperthyroidism after operation, 80%-90% of thyroid can be removed by traditional surgical methods, and the postoperative recurrence rate is not high. Total thyroidectomy is not only risky, but also inevitably leads to low thyroid hormone level after operation, so it is necessary to take thyroxine drugs for life. In fact, total thyroidectomy is more suitable for patients with nodular goiter, especially for patients with multiple nodular thyroid hyperplasia found before or during operation, and the onset time is longer, and doctors find that there is no normal thyroid tissue during operation. We can't blindly remove the thyroid gland because of some changes in foreign concepts, skillful surgical techniques or complete substitution of thyroid hormone drugs, so that patients can take thyroid hormone drugs for life after surgery. Therefore, we advocate that the scope of thyroid surgery should be carefully designed according to the actual situation of patients. Author and department introduction: Zhu, attending physician of thyroid specialist group of the Ninth People's Hospital affiliated to Shanghai Jiaotong University School of Medicine. The Ninth People's Hospital affiliated to the School of Medicine of Shanghai Jiaotong University adopts reconstruction surgery technology in general surgery, and has many professors and experts in thyroid surgery, such as Gu Yan and others, and has rich clinical experience in surgical treatment of huge thyroid masses and thyroid cancer. Outpatient time of thyroid specialist: check the original post on Monday afternoon >>