Cancer is frightening, and neglect of physical examination may make the cancer worse. Surgeon Lai Yat-ling shared a case that a 14-year-old female middle school student who was originally excellent in character and learning suddenly found a lump on her upper neck but didn’t pay attention to it. After several months, she was diagnosed with thyroid cancer and needed to be removed. Lymph and thyroid to remove cancer cells. Fortunately, the doctor treated the cancer cells in a special way, and successfully made the girl recover completely in a short period of time without hurting her vocal cords. One year later, she was able to re-enter the school band to play clarinet.
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There is a hard lump on the upper neck, which is not unexpected
In an interview with Sky Post, Dr. Lai shared a profound case. A 14-year-old girl who was studying in secondary school was originally excellent in character and learning. She also participated in the school orchestra for many years as clarinet. Until a few years ago, the girl felt that there was a protrusion on the upper neck near the lower jaw, but she didn’t care because she didn’t feel any pain. Several months later, her mother saw that the swelling in her neck had not subsided and took her to seek medical treatment, only to find that the situation was far more serious than imagined.
Dr. Li pointed out that at that time, she arranged for the girl to take an ultrasound and take a needle test, and found that one side of her neck was covered with lymph, and only a small part might be touched directly with hands. On one side of the thyroid gland, a nodule was found, and the diagnosis was confirmed following the test. Have thyroid cancer. For her daughter to be diagnosed with cancer at a young age, her parents were devastated at the time, and hurriedly asked regarding the cause and treatment.
Dr. Lai explained that there are generally two causes of thyroid cancer. The first is long-term exposure to excessive radiation, and the second is family inheritance. Since the girl’s parents have no family history and have never been in a high-radiation environment, in other words, even following a doctor’s examination It is difficult to find out the specific cause.
The two-pronged approach of surgery and medicine, girls suspended for 1 year to concentrate on recuperating
Dr. Lai pointed out that the patient’s thyroid cancer had spread to the cervical lymph nodes, so he arranged for total thyroidectomy and cervical lymph node removal surgery. However, since the patient’s cervical lymph nodes are in contact with the nerve lines, if the nerve lines are damaged by the surgery, her voice will be affected. The loss of voice has a greater impact on young girls.
Under the balance of removing cancer cells and preserving the vocal cords, Dr. Li kept a very small amount of cancer cells on the surface of the nerve cord while performing the resection operation, and arranged for the girl to receive isotope radioactive iodine (RAI) treatment following surgery and 30 times of radiotherapy to completely The remaining thyroid cancer cells were removed. Fortunately, there were no major side effects during the process.
“During the electrotherapy, there was a little noise, but following 3 months, the sound has returned to normal.”
After the resumption of classes, the academic excellence test won the first place in the class to face the DSE
Although the parents understood that the condition might be controlled, they considered the need for electrotherapy and frequent follow-up visits. They finally decided to let the girl suspend school for a year to concentrate on recuperating. Dr. Lai pointed out that although there was a one-year academic gap, the girls’ academic performance has always been good. The next year following her recovery, she faced DSE with the attitude of being the first in the class, and she was able to take up the clarinet once more.
“Afterwards, the recovery progress was also very good, and I mightn’t speak enough to play the clarinet.”
Thyroid cancer or no specific cause to check one part is the most important
Dr. Lai pointed out that thyroid cancer most often occurs in people in their 30s to 50s. Among them, young patients under the age of 20 generally do not have physical examinations, and the condition is usually more serious when they are diagnosed, and the disease progresses faster. For young patients, the expected recovery progress is also better, and the survival rate of thyroid cancer patients under the age of 55 following treatment can be nearly 100%.
Except for long-term exposure to excessive radiation or genetic factors, no specific cause of thyroid cancer has been found in medicine. To effectively prevent it at an early stage, in addition to regular physical examinations, Dr. Lai pointed out that symptoms of thyroid cancer include lumps on the upper neck. Must be suffering from thyroid cancer,
“The phlegm fire nucleus usually subsides in regarding two weeks; if you find a protrusion on the upper neck and no pain, and it lasts for four weeks or more, you should see a doctor as soon as possible.”
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