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"Please don't get cancer."

"30%" is the chance that this lump has thyroid cancer.

For a 28-year-old whose job is going well,

Could cause life to collapse.

This patient found a lump in the middle of his neck.

At first I didn't think anything.

Because there's no pain.

No hoarse voice.

No shortness of breath.

But after about a year,

Beginning to feel the lump growing.

Finally, decided to come and examine

Enough ultrasound.

Found a lump on the thyroid about four centimeters.

Considered big

Big enough to have a 20% chance of cancer.

Thyroid nodule assessment time

The first thing the doctor will look at is

"How much is the risk of cancer?."

Using ultrasound results based on the TIRADS system.

We'll look at a lot of things.

Both the shape and extent of the lump.

Is there limestone?

As well as other characteristics.

The higher the score.

The likelihood of cancer is even greater.

But even ultrasound will help assess the risk well.

Finally,

The most important thing is the "lump drill."

The drill effect of this patient is

"Follicular neoplasm."

It's the answer that worries the whole doctor.

Because it means

"30% chance of cancer."

Many people may suspect that

Why can't you answer if you have cancer?

The doctor must explain this.

Thyroid penetration or FNA

Is to use a needle to suck out a "cell."

The problem is,

Follicular thyroid carcinoma.

With Follicular adenoma, a simple tumor.

The face of the cell... is the same.

What's used to separate whether it's actually cancer?

Not just look at the cell shape.

But have to see that.

"Is there an entry through the wall of the lump or into the blood vessels?"

Which these things

Piercing with a needle can't tell.

So...

No matter how good the pathologist is,

If the result is follicular neoplasm,

Finally, it still requires "surgery."

To take the lump out and examine the whole lump anyway.

And that's why.

The patient had to have one thyroid surgery.

To examine it thoroughly again.

Actually,

Surgical day is not the best day yet.

The most hopeful day

"The day I heard the meat."

Because that day

Will be the day to really know that.

"Is it cancer?"

If not,

The story is over.

No more surgery required

No need to continue treatment

But if yes,

The subsequent question is,

"Do you need surgery on the other side?"

Which will require another look at the details of the pieces of meat.

Finally,

Thyroid Treatment

It's not just a matter of "lumps."

But it's the moment the patient has to live with uncertainty.

Since the day of the examination,

Drill day

Surgical day

Until the day the meat piece is opened.

Sometimes.

The most hopeful person

Maybe not just the patient.

But a doctor who opens the results along the way.

Every time I read the results

In the heart, the doctor always has the same sentence.

"Please don't get cancer."

Before that day,

The doctor will look up and say to the patient,

...

"It's good meat, not cancer."

"Congratulations, sir."

And believe it?

Sometimes.

Just one short sentence.

Make up to 2 people smile

# Thyroid

# Thyroid cancer

# Thyroid surgery

# Oral endoscopic thyroid surgery

6/11 Edited to

... Read moreในประสบการณ์จริงของผู้ป่วยที่ต้องเจอก้อนที่ต่อมไทรอยด์ ความรู้สึกไม่แน่นอนและความกังวลเป็นสิ่งที่แทบทุกคนต้องเผชิญตั้งแต่พบก้อนจนถึงผลชิ้นเนื้อออกมา การเข้าใจขั้นตอนการตรวจวินิจฉัย เช่น การอัลตร้าซาวด์ตามระบบ TIRADS ที่ช่วยประเมินโอกาสเสี่ยงเป็นมะเร็ง และความจำเป็นของการเจาะด้วยเข็ม (FNA) เพื่อดูเซลล์ก้อนอย่างละเอียด เป็นเรื่องสำคัญที่ช่วยลดความกลัวได้ในระดับหนึ่ง อย่างไรก็ตาม ผลเจาะที่ระบุว่าเป็น follicular neoplasm ก็สร้างความไม่แน่นอนอีกขั้น เพราะเซลล์ของก้อนชนิดนี้ไม่สามารถบอกได้ชัดว่าเป็นมะเร็งหรือเนื้องอกธรรมดา ขั้นตอนการผ่าตัดนำก้อนออกไปตรวจอย่างละเอียดจึงเป็นทางที่ดีที่สุด แม้ว่าจะทำให้ผู้ป่วยต้องเผชิญกับความกังวลในช่วงรอผลชิ้นเนื้อก็ตาม ในฐานะผู้ที่เคยผ่านประสบการณ์นี้มา สิ่งที่ช่วยได้มากคือการมีทีมแพทย์ที่ให้ข้อมูลอย่างชัดเจนและให้กำลังใจ โดยเฉพาะในวันที่หมออ่านผลชิ้นเนื้อ การฟังประโยค "ผลออกมาเป็นเนื้อดีนะครับ ไม่ใช่มะเร็ง" ทำให้ผู้ป่วยและแพทย์เองรู้สึกโล่งใจอย่างมาก เพราะเป็นช่วงเวลาที่เครียดที่สุดในกระบวนการรักษา สำหรับผู้ที่กำลังเผชิญกับสถานการณ์ลักษณะนี้ ขอแนะนำให้ตั้งใจกับการตรวจติดตามอย่างสม่ำเสมอและเปิดใจพูดคุยกับแพทย์ ถึงแม้จะมีความไม่แน่นอน แต่การเตรียมตัวและความรู้จะช่วยให้รับมือกับความเครียดได้ดีขึ้น และหากต้องผ่าตัดส่องกล้องทางปากซึ่งเป็นวิธีที่ช่วยลดแผลผ่าตัดและฟื้นตัวไว ขอให้เชื่อมั่นในเทคโนโลยีและทีมแพทย์ที่ดูแลทุกขั้นตอนอย่างใส่ใจ

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