Compared with other malignant tumors, thyroid cancer is a kind of solid tumor with slow progression, which is called "lazy cancer". Zhang Yuan, director of the head and neck surgery department of Jiangsu cancer hospital and chairman of the thyroid cancer special committee of Jiangsu anti cancer association, said recently that "lazy cancer" is sometimes not "lazy", and we can not relax our vigilance. It is the best choice to strive for all surgical opportunities.
According to the latest data released by the National Cancer Center in 2022, the incidence rate of thyroid cancer has been rising rapidly in recent years. According to the global cancer statistics report released by the international agency for research on cancer, the number of thyroid cancer cases in China in 2020 was 221000, making it the seventh cancer in incidence rate in China.
"If thyroid cancer is confirmed by examination, it is necessary to let specialists select patients who need surgical treatment as soon as possible according to the patient's condition, pathology combined guidelines and consensus. Because cancer has special biological behaviors such as metastasis and invasion, and then carry out standardized surgical resection. When necessary, carry out multi-means cooperative treatment. Even in the late stage, do not be afraid and do not give up. It is also very promising to hand over to experienced doctors for treatment." Zhang Yuan said.
It is reported that thyroid cancer can be divided into differentiated cancer, medullary cancer and undifferentiated cancer. Papillary cancer and follicular cancer are collectively called differentiated thyroid cancer. The incidence rate is the highest, accounting for more than 90% of all pathological types of thyroid cancer. The prognosis is the best, and the early surgical cure rate of early patients is high; Myeloid carcinoma and undifferentiated carcinoma account for a small proportion, and the disease of this type of patients develops rapidly.
"As long as patients with thyroid cancer have the opportunity of surgery, they must have surgery in time." Zhang Yuan reminded that surgery is the first choice for the treatment of thyroid cancer. It is necessary to completely remove the primary and metastatic foci as soon as possible, and try to avoid two or more operations for patients. "Surgery plays a very important role in the treatment of thyroid cancer. We must strive to clean up the thyroid cancer, so that patients can have a greater hope of survival."
In 2007, Mr. Ji was found by a doctor to have a mass in the front of his throat. Further examination confirmed that he was in the advanced stage of thyroid cancer. The tumor had invaded the larynx and trachea to the chest cavity. After careful analysis of Mr. Ji's condition, Zhang Yuan thought that he still had the opportunity of operation. After the operation, Mr. Ji was unable to speak except after the removal of his entire throat, and his life was normal.
In recent years, many people found thyroid nodules during physical examination. In this regard, Zhang Yuan said that there was no need to be nervous. Only about 10% of the patients were diagnosed with thyroid cancer. For most patients with thyroid nodules without clinical symptoms, they only need regular follow-up and no special treatment.
"From the literature, ionizing radiation is an exact risk factor for thyroid cancer, especially radiation exposure in childhood. In addition, there is evidence that overweight, hormone exposure and some environmental pollutants may also lead to thyroid cancer. Of course, the popularity of physical examination and examination means enables many tumors to be diagnosed in a timely manner, which is also a factor in the increase of incidence rate." Zhang Yuan said.
