[Sina] medical love meet Festival — four Hayi Da Hospital thyroid disease held a large free clinic mkdv-02

[news] Sina meet Festival love — four Hayi Da Hospital clinic activities held large thyroid diseases and thyroid carcinoma is the most common endocrine tumors, the incidence of a disease of the endocrine system of malignant tumor in 95%, more than 90% of the thyroid carcinoma for differentiated thyroid carcinoma (DTC). At present, thyroid cancer in female malignant tumors ranked sixth, according to the epidemiological forecast of world authoritative information, to 2030 thyroid cancer will rise to second male female malignant tumor, malignant tumor third, will bring enormous economic burden to the family and society. Thyroid cancer incidence rate in China showed increasing trend in recent years, is particularly important for the early diagnosis and treatment of thyroid cancer is. In order to meet the National Day holiday, benefiting the majority of thyroid disease patients, four Hayi Da Hospital will hold a large clinic of thyroid diseases. Then, a director of Endocrinology Department of nuclear medicine to Professor Cheng Zhifeng, Professor Zhao Changjiu, Professor Chen Zhixian Chen Hongsheng, Professor of the Department of general surgery, Department of ultrasound professor Dong Xiaoqiu on-site clinic. During the clinic, free expert registration fees, free measurement of bone density, free blood glucose, thyroid ultrasound, thyroid function, thyroid ECT five, thyroglobulin four tests for 15% off discount. Time: September 28th (Wednesday) – 9:00 11:00 location: four Hayi Da Hospital outpatient surgery building Sunshine Hall of knowledge: early thyroid cancer patients without obvious symptoms, as the disease progresses, the mass increases, swallowing hard, when the mass movement is reduced, the late may appear hoarseness, dyspnea, dysphagia. If the involved nerve, may appear ear, occiput, shoulder pain. Even with cervical lymph node metastasis and distant metastasis (lung, bone, brain). Early thyroid cancer by doctor palpation, the detection rate of about 3%-7%. The current diagnostic methods of thyroid cancer preferred high resolution ultrasonography, ultrasound findings suggest thyroid cancer following the possibility of large solid hypoechoic nodules; nodule rich blood supply; nodular morphology and irregular edge, halo absent; micro calcification, needle like scattered or clustered calcification. In the evaluation of thyroid nodules, computed tomography (CT), magnetic resonance imaging (MRI) were better than ultrasound. Thyroid cancer treatment includes three parts: 1, surgical treatment: surgery for thyroid cancer include thyroid surgery and cervical lymph node dissection. 2, postoperative iodine -131 treatment: iodine -131 treatment is one of the important means after DTC treatment. The diameter of > 1cm, over 45 years old patients, multiple tumors, local invasive tumors and distant metastasis in patients with DTC after surgery using iodine -131 treatment. 3, TSH: the preferred treatment inhibited L-T4 oral preparation, which supplements the lack of patients after surgery for thyroid hormone, and inhibit the growth of DTC cells. To consider the risk of cancer recurrence in patients with DTC and TSH inhibit the risk of side effects in the treatment of the treatment process, making individual target TSH inhibition. Expert Cheng Zhifeng Cheng Zhifeng.

【新浪医讯】迎佳节 献爱心 ――哈医大四院举办甲状腺疾病大型义诊活动   甲状腺癌是内分泌系统最常见的肿瘤,其发病率占内分泌系统恶性肿瘤的95%,超过90%的甲状腺癌为分化型甲状腺癌(DTC)。目前,甲状腺癌在女性恶性肿瘤中排第6位,据世界流行病学权威资料预测,到2030年甲状腺癌会上升到女性恶性肿瘤第2位,男性恶性肿瘤第3位,将会给家庭和社会带来巨大的经济负担。近年来我国甲状腺癌的发病率呈现增高的趋势,对于甲状腺癌的早期诊断及治疗显得尤为重要。   为迎接国庆佳节,惠民于广大的甲状腺疾病患者,哈医大四院将举办甲状腺疾病大型义诊。届时,内分泌一科主任成志锋教授携手核医学科赵长久教授,普外科陈之显教授、陈洪生教授,超声科董晓秋教授现场义诊。义诊期间,免专家挂号费、免费测骨密度、免费测血糖,甲状腺彩超、甲功五项、甲状腺ECT、甲状腺球蛋白四项检查均为8.5折优惠。   时 间:9月28日(周三)9:00 – 11:00   地 点:哈医大四院门诊外科楼阳光大厅   小知识:   甲状腺癌患者初期多无明显症状,随着病情进展,肿块逐渐增大,质硬,吞咽时肿块移动度减小,晚期可能出现声音嘶哑、呼吸困难、吞咽困难。若累及神经,可能会出现耳部、枕部、肩部等部位的疼痛。甚至有颈部淋巴结转移及远处脏器转移(肺、骨、脑等)。   甲状腺癌早期可通过医生触诊发现,检出率约3%-7%。目前甲状腺癌的诊断方法首选高分辨率超声检查,以下超声征象提示甲状腺癌的可能性大:实性低回声结节;结节内血供丰富;结节形态和边缘不规则、晕圈缺如;微小钙化、针尖样弥散分布或簇状分布的钙化灶等。在评估甲状腺结节良恶性方面,计算机断层扫描(CT),磁共振成像(MRI)等均不如超声。   甲状腺癌的治疗方式包括三部分:1、手术治疗:甲状腺癌的手术治疗包括甲状腺本身的手术以及颈部淋巴结清扫。2、手术后碘-131治疗:碘-131治疗是DTC术后治疗的重要手段之一。对于直径>1cm、45岁以上患者、多发性癌灶、局部侵袭性肿瘤及存在远处转移的DTC患者手术后要应用碘-131治疗。3、TSH抑制治疗:首选 L-T4 口服制剂,既补充手术后患者所缺乏的甲状腺激素,又抑制DTC细胞生长。在治疗过程中要综合考虑DTC患者的肿瘤复发危险度和TSH抑制治疗的副作用风险,制定TSH抑制的个体化目标。   专家简介 成志锋   成志锋 现任哈尔滨医科大学附属第四医院内分泌科主任 教授 主任医师 博士 博士后 硕士生导师   中华医学会内分泌学分会高尿酸学组委员,黑龙江省医学会高尿酸血症与痛风分会主任委员,海峡两岸医药交流协会风湿免疫病分会痛风学组常务委员,中国微循环学会糖尿病与微循环专业委员会常务委员,中国慢性病基金促进会管理委员会委员,中国老年保健医学研究会老年骨质疏松分会委员,中国医师协会创伤外科医师分会创面治疗医师专业委员会委员,黑龙江省医学会内分泌学分会副主任委员,黑龙江省医学会糖尿病分会副主任委员,黑龙江省医师协会内分泌代谢科分会副主任委员,黑龙江省骨质疏松专业委员会副主任委员,黑龙江省中西医结合甲状腺病专业委员会副主任委员,黑龙江省中西医结合周围血管病专业委员会常务委员,黑龙江省女医师协会理事,黑龙江省委保健委员会部保健专家,国家自然基金评审专家,高等学校博士学科点专项科研基金评审专家,教育部学位与研究生教育评估奖评审专家,黑龙江省自然基金评审专家,哈尔滨市科学技术局成果鉴定评审专家,《中华现代内科学杂志》常务编委,中华医学会糖尿病学分会第八届委员会糖尿病与周围血管病学组委员,黑龙江省老年医学研究会第六届理事会理事。   2004年底从哈医大二院调入哈医大四院,开始组建和成立了内分泌科,是哈尔滨医科大学附属第四医院杰出人才代表和学科带头人,发表SCI论文10余篇,国家级论文30余篇,撰写胰岛素泵规范应用教程1部。多次被评为黑龙江省先进女职工、哈尔滨医科大学优秀教师、哈尔滨医科大学附属第四医院十佳教师等。相关的主题文章: