[ 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
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。
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
Jason au : 痔瘡水解治療
病患者男 - 42歲 本人生了內痔瘡， 今天排便時有大量出血 是否一至四期可以做水解技術？.......Donald : 脂肪瘤還是淋巴結？
病患者男 - 56歲 本人年半前發現後頸皮下有腫物, 在政府耳鼻喉診所做過普通抽針檢驗, 但報告說因樣本.......Sin Tak Yun : 乳房X光檢視組織抽吸術
病患者女 - 53歲 例行檢查做了乳房X光，發現left BIRADS 4B microcalcific.......idy chow : 肛裂手術後傷口
病患者女 - 32歲 醫生你好，我在2020年2月28日做了肛裂手術，是6點和12點位置都有傷口，而且兩.......Jason au : 痔瘡水解治療
病患者男 - 42歲 想請問一聲痔瘡水解治療做法和收費謝謝你們. .......Sam tam : 包皮環切術
病患者男 - 21歲 我昨日做完包皮環切手術，今日換了紗布，傷口仲有血水滲出，系唔係屬於正常情況？.......Lake0001 : 包皮炎
病患者男 - 27歲 你好，我本身就有包皮過長既問題，最近唔知係唔係天氣熱坐車又出汗焗住，而家個龜頭上就....... 發出提問使用細則
致李泓暉醫生 提問
