Thyroid problems have also caused trouble for many people. Thyroid disease is a common disease that affects human health, and timely and effective control and treatment of this disease are necessary to prevent the occurrence of thyroid cancer. Some friends suffer from thyroid nodules, so is thyroid nodule cancer? What are the clinical manifestations of thyroid nodules?
Clinical manifestations
1. Nodular goiter
More common among middle-aged women. In the case of relatively insufficient thyroid hormones in the body, the pituitary gland secretes an increase in TSH. Under the long-term stimulation of this increased TSH, the thyroid gland undergoes repeated or sustained hyperplasia, leading to uneven enlargement and nodular changes. There may be bleeding, cystic changes, and calcification within the nodule. The main clinical manifestation is thyroid enlargement, which can be palpated with multiple nodules of varying sizes. The texture of the nodules is mostly moderate hardness, and a few patients can only palpate a single nodule. However, during thyroid imaging or surgery, multiple nodules are often found. The patient has few clinical symptoms, usually only discomfort in the front of the neck, and most thyroid function tests are normal.
2. Nodular toxic goiter
This condition has a slow onset and often occurs in patients with nodular goiter who have had it for many years. The age is mostly between 40 and 50 years old, and it is more common in females. It may be accompanied by symptoms of hyperthyroidism and physical symptoms, but the symptoms of hyperthyroidism are generally mild, atypical, and generally do not occur with infiltrative exophthalmos. When palpating the thyroid gland, a smooth round or oval nodule can be palpated, with clear boundaries and a relatively hard texture. It moves up and down with swallowing, and there is no vascular murmur in the thyroid area. Thyroid function examination shows an increase in thyroid hormones in the blood, which is caused by functional autonomous nodules. Nuclear scan shows "hot nodules".
3. Inflammatory nodule
There are two types: infectious and non infectious. The former is mainly caused by subacute thyroiditis caused by viral infection, while other infections are rare. In clinical practice, in addition to thyroid nodules, subacute thyroiditis is also accompanied by fever and local thyroid pain. The size of the nodules depends on the extent of the lesion, and the texture is relatively tough; The latter is mainly caused by autoimmune thyroiditis, which is more common in middle-aged and young women. Patients have fewer subjective symptoms, and multiple or single nodules can be palpated during examination. The texture is hard and tough, with little tenderness. Thyroid function tests often show strong positive results for thyroid globulin antibodies and thyroid microsomal antibodies.
4. Thyroid cyst
The vast majority of cases are formed by degenerative changes in thyroid nodules or adenomas, with cysts containing blood or mixed fluids, clear boundaries with the surrounding area, hard texture, generally no tenderness, and cold nodules on nuclear scans. A small number of patients are caused by congenital thyroid hyoid cysts or residual fourth gill slits.
5. Thyroid tumor
Including benign thyroid tumors, thyroid cancer, and metastatic cancer.
Through the analysis of the article, we learned about the clinical manifestations of thyroid nodules. Male patients with thyroid nodules may not necessarily be cancerous, but rather just nodules. There is a high possibility of cure in clinical practice. If you suffer from thyroid diseases, you can go to the hospital for examination to determine whether it is a nodule or cancer, and then receive targeted treatment.
