Mob qog noj ntshav

Mob qog noj ntshav yog qog hais tias pib mob qog. Lub qog ua haujlwm nyob hauv koj lub caj dab qis.

Mob qog noj ntshav yuav ua tau rau neeg txhua lub hnub nyoog.

Cov hluav taws xob hluav taws xob ua rau muaj kev pheej hmoo ntau dua ntawm kev mob qog noj ntshav. Raug tej zaum yuav tshwm sim los ntawm:

• Kev ntsuas hluav taws xob rau lub caj dab (tshwj xeeb hauv menyuam yaus)
• Raug hluav taws xob tawg los ntawm cov tshuaj nuclear tawg

Lwm yam kev pheej hmoo yog tsev neeg keeb kwm ntawm cov qog ntshav qab zib thiab cov leeg mob hlwb (ua kom cov thyroid loj).

Muaj ntau hom qog mob qog noj ntshav:

• Tus mob qog nqaij hlav cancer hu ua Anaplastic carcinoma (tseem hu ua mob qog nqaij hlav loj thiab ntxaiv) yog qhov muaj kev phom sij tshaj plaws ntawm kev ua qog ntshav. Nws yog tsawg, thiab kis tau sai heev.
• Mob qog nqaij hlav yuav haj yam tshwm sim rov kis ntxiv.
• Medullary carcinoma yog mob qog noj ntshav uas tsis yog cov thyroid los tsim ua cov cell uas ib txwm muaj nyob hauv cov thyroid caj pas. Daim ntawv uas mob qog ua cancer no feem ntau tshwm sim hauv tsev neeg.
• Papillary carcinoma yog hom feem ntau, thiab nws feem ntau cuam tshuam rau cov poj niam ntawm lub hnub nyoog yug menyuam. Nws kis qeeb thiab nws yog yam tsawg tshaj plaws ntawm kev mob qog.

Cov tsos mob txawv nyob ntawm seb hom mob qog noj ntshav qog, tab sis yuav suav nrog:

• Hnoos
• Nyuaj nqos nyuaj
• Kev loj hlob ntawm cov thyroid caj pas
• Hoarseness lossis hloov lub suab
• Caj dab o
• Mob qog (nodule)

Koj tus kws kho mob yuav kuaj mob lub cev. Qhov no yuav qhia pom cov qog ua ntshav hauv lub qog, lossis cov qog ntshav hauv lub caj dab.

Cov kev xeem hauv qab no tuaj yeem ua:

• Kev kuaj ntshav calcium Calcononin kom kuaj xyuas seb puas muaj mob qog nqaij hlav cancer ntshav tsawg
• Laryngoscopy (saib sab hauv lub caj pas siv lub tsom iav los yog lub raj muaj zog hu ua laryngoscope tso ntawm lub qhov ncauj) txhawm rau ntsuas lub suab ua haujlwm
• Lub qog ua ntshav (thyroid biopsy), uas tej zaum suav nrog kev tshuaj ntsuam cov qe ntshav ntawm lub hlwb uas tau txais hauv qhov nqaij
• Lub qog kuaj ntshav
• TSH, pub dawb T4 (kuaj ntshav rau cov thyroid muaj nuj nqi)
• Ultrasound ntawm cov qog thiab cov qog ntshav ntawm lub caj dab
• CT scan ntawm caj dab (los txiav txim qhov ntau ntawm cov qog nqaij hlav cancer)
• TSIAJ scan

Kev kho yog nyob ntawm hom mob qog ua cancer. Kev kho mob ntawm feem ntau ntawm cov qog ntshav qog noj ntshav tau zoo yog tias kuaj ntxov.

Kev phais feem ntau ua tiav. Tag nrho lossis ib feem ntawm cov thyroid caj pas yuav raug tshem tawm. Yog tias koj tus kws khomob xav tias tus kabmob no kis mus rau qog ua caj dab, cov no kuj yuav raug tshem tawm thiab. Yog tias qee qhov ntawm koj lub qog ua haujlwm nrog cov qog, koj yuav tsum tau kuaj xyuas ultrasound thiab muaj lwm qhov kev tshawb fawb txhawm rau txhawm rau txhawm rau tshawb pom ib qho kev mob tshiab ntawm cov thyroid qog.

Kev ntsuas hluav taws xob yuav ua tiav nrog lossis tsis phais. Nws yuav yog los ntawm:

• Kev noj tshuaj radioactive iodine los ntawm qhov ncauj
• Tshawb nrhiav cov hluav taws xob sab nrauv (xoo hluav taws xob) ntawm cov thyroid

Tom qab kho mob qog noj ntshav, koj yuav tsum noj cov thyroid hormones txaus rau tas koj sim neej. Qhov ntau npaum no yog dua me ntsis siab dua qhov koj lub cev xav tau. Qhov no yuav pab ua kom mob qog rov qab los.Cov ntsiav tshuaj kuj tseem hloov cov thyroid hormones txaus uas koj lub cev yuav tsum ua haujlwm ib txwm muaj.

Yog tias mob cancer tsis teb rau kev phais mob lossis hluav taws xob, thiab tau kis mus rau lwm qhov ntawm lub cev, kev siv tshuaj kho mob lossis kho lub hom phiaj yuav raug siv. Cov no tsuas yog ua tau zoo rau qee tus neeg tsawg.

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Teeb meem ntawm cov qog nqaij hlav cancer muaj xws li:

• Kev raug mob rau lub suab lub thawv thiab txhaws qa tom qab cov thyroid phais
• Qes ntshav qab zib tsawg tsawg los ntawm kev raug tshem tawm ntawm cov qog ntshav parathyroid thaum phais mob
• Kis tus kabmob mus rau lub ntsws, pob txha, lossis lwm qhov ntawm lub cev

Hu rau koj tus kws khomob yog koj pom tias muaj mob hauv koj lub caj dab.

Tsis muaj kev paub txog kev tiv thaiv. Kev paub txog kev pheej hmoo (xws li kev kho hluav taws xob dhau los mus rau caj dab) tuaj yeem tso cai ua ntej kev kuaj mob thiab kho mob.

Qee zaum, cov tib neeg muaj keeb kwm tsev neeg thiab kev hloov caj ces cuam tshuam txog cov qog mob qog yuav ua rau lawv cov thyroid caj pas raug tshem tawm kom tiv thaiv qog mob cancer.

Tumour - lub qog; Cancer - lub qog; Nodule - mob qog noj ntshav; Papillary cov thyroid carcinoma; Medullary cov thyroid carcinoma; Anaplastic cov thyroid carcinoma; Caws koj cov qog ua ntshav

• Cov thyroid caj pas tshem tawm - tawm

• Cov qog endocrine
• Mob qog noj ntshav - CT scan
• Mob qog noj ntshav - CT scan
• Kev phais rau cov thyroid caj pas phais
• Lub qog ua haujlwm

Haugen BR, Alexander Erik K, Ntawv Vajtswv KC, li al. 2015 Lub Koom Haum thyroid Koom Tes Kev Tswj Xyuas Cov neeg mob qog ua rau cov neeg mob qog thiab ua rau mob qog sib txawv. Lub qogCov. 2016; 26 (1): 1-133. PMID: 26462967 pubmed.ncbi.nlm.nih.gov/26462967/.

Jonklaas J, Cooper DS. Lub qog. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 213.

Lub koom haum Cancer National website. Kev kho mob qog noj ntshav (cov neeg laus) (PDQ) - cov ntawv muaj noj qab haus huv. www.cancer.gov/cancertopics/pdq/treatment/thyroid/HealthProfessional. Hloov kho thaum Lub Tsib Hlis 14, 2020. Nkag mus rau Lub Yim Hli 3, 2020.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Lub qog. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: cha 36.

Thompson LDR. Malignant neoplasms ntawm cov ua cov thyroid caj pas. Hauv: Thompson LDR, Npis Sov JA, eds. Taub hau thiab caj dab PathologyCov. 3lawm ed. Philadelphia, PA: Elsevier; 2019: chap 25.