[ 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.
王英為醫生回覆:
9/17/2018
9/17/2018
一般來說，甲狀腺有微型钙化點，有可能與甲狀腺癌有關.
需要抽針化驗及臨床判斷來決定治療方案
需要抽針化驗及臨床判斷來決定治療方案
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。
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