There's a kind of diarrhea that may be hiding bigger problems behind it, and you need to be aware of it

have diarrhea

It's something we often encounter in our lives

Drank ice cola plus hot pot

Or ice cream with fried chicken

It's easy to "upset"

Autumn has arrived

It is also a high incidence of digestive tract diseases

however

But there is a kind of diarrhea

There may be bigger problems behind it

A new chapter is about to begin in life

But he was targeted by cancer

My name is Tingting (pseudonym), Jiaxing people, graduated from a nursing school this year, is about to become a nurse in a third-class hospital, I want to make a good profit, filial piety to my parents, I am immersed in the joy of a new chapter in life, but when I entered the physical examination, I was splashed with cold water

The thyroid ultrasound found that my right thyroid gland had a nodule about 0.

After the initial shock, I still had to cheer up, I actively put into the treatment, but the doctor's plan made me painfully entangled: the ultrasound examination found that the right side of the neck lymph node was enlarged, there was a clear demarcation with calcification points, and there was a high suspicion that thyroid cancer had lymph node metastasis, but the lymph nodes were small and difficult to puncture, and it was the case

Papillary thyroid cancer is also known as "lazy cancer", or should I look at it again? However, if there is already a suspected metastasis, will it be better to operate as soon as possible? If I have surgery, can I remove only one side of the thyroid gland? .

At the recommendation of a friend who was also studying medicine, I found Dong Shuai, deputy chief physician of the Department of Thyroid Surgery of the First Affiliated Hospital of Zhejiang University School of Medicine, who was good at accurate diagnosis and individualized treatment, as well as small incision surgery, and I told him about my entanglement and pain, wanting to see if I could treat conservatively first, or save the thyroid gland

From these clues

Discover the more hidden "murderer"

Deputy Director Dong Shuai carefully reviewed Tingting's various reports and further improved the inspection

However, at this time, a disease feature caught the attention

"You've often had diarrhea for no reason all these years?" Deputy Director Dong Shuai asked Tingting, "Is there anything else uncomfortable?" Would it be easier to blush? ”

"My stomach didn't hurt, but I had diarrhea for no reason, and after a few times I got better and I didn't take any medicine

Calcitonin indicators exceeded normal standards, unprovoked diarrhea, flushing of the face - Deputy Director Dong Shuai thought of a possibility

Although medullary thyroid cancer accounts for only 2% to 5% of all thyroid cancers, its prognosis is worse than that of papillary thyroid cancer and thyroid follicular carcinoma, which is more aggressive, and the prognosis of micromedonoid carcinoma that is limited to the gland without metastasis is better, the prognosis of metastases is poor, and iodine 131 treatment

So why did Tingting's puncture results only show papillary cancer?

"Micromeduloid carcinoma, which is often undetectable because of the atypical appearance of ultrasound and the small size of the nodule, may not be clear

Considering Tingting's actual situation, Deputy Director Dong Shuai arranged surgery for her as soon as possible, and made fine-tuning of the surgical plan to expand the scope of

This cancer is rare though

But the harm is great and hidden

"With the growing public concern about health, thyroid nodules are no longer unfamiliar terms, and many people have heard of the words 'thyroid nodules are mostly benign, even if malignant are the laziest tumors', but this sentence is only half right, in fact, there are a small number of thyroid cancers that are not so mild, such as medullary thyroid cancer and undifferentiated thyroid cancer

Unlike other common types of thyroid cancer (originating from follicular cells), medullary thyroid carcinoma (MTC) is a neuroendocrine tumor that originates from paraveal C cells (referred to as "C cells"), which belongs to neuroendocrine tumors and has strong biological activity and can secrete a variety of biological substances, such as calcitonin (CT), adrenocorticotropic hormone (ACTH), histamine, carcinoembryonic antigen and vasoactive peptides

One-third of patients with medullary thyroid cancer will have diarrhea and flushing because of certain substances they secrete, which stimulate intestinal peristalsis and secrete more fluid, resulting in diarrhea, and patients often have calcitonin indicators beyond the normal range

Surgery is currently the main treatment for medullary thyroid cancer, and there are also targeted drug therapies for advanced patients
.
Although medullary carcinoma is more terrible than most thyroid cancers, the key to prognosis mainly depends on the stage of tumor development, and the 10-year survival rate of early patients can reach more than 70%, and the 10-year survival rate of advanced patients is only less than
40%.

Due to the lack of typical characteristics of ultrasound images of medullary carcinoma, which brings certain troubles to early diagnosis, many patients often have spread to lymph nodes, lungs or livers when diagnosed, which seriously affects the treatment effect
.
The lucky thing about Tingting is that although she suffered two kinds of cancer at the age of 23, it was fortunate to find it in the small early stage of medullary carcinoma, and it can be cured
through surgery.

Medullary carcinoma is mainly found in the thyroid gland, but also occurs in parts of the breast, and if medullary carcinoma of the breast is found, muscle atrophy may occur
.

Although most of the thyroid cancer is "lazy cancer", but the patient can not be taken lightly, there are thyroid nodules must follow the doctor's instructions for regular review, once diarrhea, flushing, hoarseness and other symptoms should be screened
as soon as possible.
The Thyroid Surgery Department of the First Hospital of Zhejiang University has rich experience in the early diagnosis of various thyroid tumors, and at the same time can customize the treatment plan according to the patient's situation to improve the accuracy
of treatment.