At this time, a young man just came in.


    "Mom? Not finished yet?"


    The woman turned to look at her son and said, "the doctor said I wasn''t a lung disease. Maybe the thyroid gland oppressed the nerve and caused a dry cough."


    Hearing his mother''s words, the young man was stunned and looked at the doctor: "doctor... What''s the matter? Can the thyroid gland cause a dry cough?"


    After hearing this, Chen Cang nodded: "well, I just made a palpation of my aunt''s thyroid gland. What can be determined is that there are swelling and nodules on her left and right sides. What''s the specific situation, I need to do a color Doppler ultrasound."


    Hearing Chen Cang''s words, the young man was stunned: "please give me a list."


    Chen Cang nodded and gave a color Doppler ultrasound list of thyroid gland.


    The young man suddenly asked, "doctor, by the way, give us a lung CT. I''m afraid that when I go to see President Qin tomorrow, people won''t recognize our local films."


    Chen Cang hesitated and suddenly asked a question outside the comparison question: "does your mother often take films?"


    The young hesitated for a while and hesitated for a moment: "my mother is a teacher and has a lot of desk work, so she has had cervical spondylosis for so many years. She often went to the hospital last year, so she took more cervical films. In addition, her teacher coughed, not once or twice, so she often had lung examination."


    Hearing the man''s words, Chen Cang sighed: "well, you go to do thyroid color Doppler ultrasound first, and you don''t have to do CT films first."


    The man hesitated: "well... We came to see President Qin for lung disease. Just do me a favor."


    Chen Cang said, "you can make a film in Wan''an county. The machine is very good. You don''t need to make another film."


    The man got up and took his mother out.


    Chen Cang watched the two leave. Although he was not sure, he also felt that nine times out of ten the aunt was thyroid cancer.


    Radiation damage is fatal to the thyroid gland.


    As a fragile gland tissue, the thyroid gland is not wrapped and protected like other glands, but in the neck.


    Therefore, when X-ray and CT films are taken and these radioactive examinations are damaged by radioactive lines, it is easier to induce thyroid carcinogenesis.


    Even now, research shows that the damage of radioactive lines has become one of the factors with the highest proportion of thyroid carcinogenesis.


    Chen Cang looked at the time when it was almost time to get off work. He hesitated and didn''t leave directly.


    He decided to wait for the two patients.


    Generally speaking, color Doppler ultrasound doctors will not directly tell him that he has thyroid cancer. Most of them will only tell him to see a doctor.


    Moreover, whether it is thyroid cancer depends on the puncture results. Color Doppler ultrasound doctors will not say those irresponsible words.


    There were not many people in the color Doppler ultrasound room in the afternoon. As a result, it was done quite quickly.


    Around 6:30, there was no one in the corridor. The only difference was that there was a long line at the registration office. Many people stayed up late to wait for tomorrow''s call.


    Even some familiar faces.


    Chen Cang is idle and bored. He opens his mobile phone and searches for thyroidectomy.


    Thyroid surgery is not difficult, but the precision is very high. The neck tissues, organs, blood vessels and nerves are very messy. When performing surgery, you need to be very careful.


    The requirements for the operator are also very high.


    If it is difficult, it is not very difficult to be precise.


    At this time, the aunt and man outside came back from the inspection last night. Looking at the few people in the corridor, the doctors were off duty. They were worried. After all, they couldn''t understand the report. They had to see the doctor, and the color Doppler ultrasound doctor told them to let the doctor see it.


    Are you going to find Dean Qin tomorrow?


    When I passed by, I suddenly found that Chen Cang''s consulting room was still open. I immediately looked happy!


    After the old aunt came in, she immediately smiled: "doctor, I''m sorry to keep you waiting. Thank you!"


    "But... Doctor, what''s written on it? The doctor asked me to show it to the doctor."


    Chen Cang took the report and signed it. Director Bai came out.


    Ultrasound findings: bilateral thyroid gland is large, capsule is not smooth, parenchymal echo is thickened and uneven


    Ultrasonic impression:


    Thyroid parenchyma rebounded, thickened and uneven.


    Multiple nodules can be seen on the right, t1-rads-4b


    ……


    After seeing 4b, Chen Cang suddenly changed his face, which means that the probability of malignancy is already very high. These are common indicators in the hospital. Patients can''t understand them and can avoid unnecessary panic, but doctors basically understand them.


    Generally speaking, if thyroid nodules are classified, category 1 is normal thyroid, category 2 is benign nodules, category 3 is likely benign nodules (80% benign), category 4a is malignant (5 ~ 10%), and category 4b is malignant (10 ~ 80%); Category 5: most likely malignant nodules (80%).


    Looking at 4B above, Chen Cang understands that this may mean that the probability of malignant nodules is very high, that is, malignant tumors.


    And looking at the irregular nodules on the report, the blood flow is very good, and the echo is uneven


    Although B-ultrasound can not be determined, Chen Cang feels that there is a biopsy difference from the diagnosis!


    The next step is to think about how to communicate with patients!


    Tell the tumor directly. He must be worried that he can''t accept it.


    After thinking about it, Chen Cang said: "aunt, you don''t have to go to the outpatient department tomorrow. You can go directly to the inpatient department. The thyroid result is that the nodule is likely to be malignant. What we need next is to do a biopsy to determine whether it is benign or malignant, and then improve the relevant examination. It''s best to operate in time!"


    Hearing Chen Cang''s words, they were stunned.


    The old aunt hesitated: "doctor... Are you talking about cancer?"


    In this age of cancer.


    Chen Cang felt that delaying his illness was more troublesome, so he said, "don''t worry, I just said it''s possible, but whether it still needs biopsy for diagnosis, and you don''t have too much burden. The treatment effect of thyroid cancer is special now, with a 10-year survival rate of more than 90%. Many patients take medicine for a long time, which basically doesn''t affect it."


    Hearing Chen Cang''s words, the old aunt was silent.


    Who knows a cough has thyroid cancer.


    And... It''s good luck.


    If you have been in Wan''an County, you may not understand until you die.


    Seeing his mother''s fear and panic, the man couldn''t help asking, "doctor, my mother is usually very good. Why does she have thyroid problems?"


    Chen Cang thought about it and said, "my suggestion is to take something to block his neck when taking CT in the future. Take MRI instead of CT as much as possible. CT has great damage to the thyroid gland."


    ……


    PS: the above sentence is also for you. Now there are more and more diseases, which have a lot to do with radiation damage.