Patient: Pelvic ultrasound of the uterus: a single heterogeneous echogenic mass measuring approximately (1.3) × (1.3) cm with poorly defined borders and uneven echogenicity is seen in the uterus. How should I treat such a small fibroid? I don’t have painful periods, I don’t have a lot of blood, and I have no significant symptoms. I just had surgery for a thyroid nodule a few weeks ago, and a malignant breast cancer nodule was found. Can I be treated without surgery?
Lu Wei: If you have a small fibroid with no symptoms, you can observe it for the time being and do not need treatment. Fibroids are less likely to be malignant, but if you find that they are progressively enlarging and invading the surrounding tissues with unclear boundaries, you should suspect malignant smooth muscle sarcoma, uterine cancer, etc. Your malignant thyroid cancer also needs to be closely observed and reviewed regularly. Enlarged uterine fibroids also need to be treated, and young patients are of course treated with interventional embolization first.
Patient: For my current condition of fibroids, I want to observe closely and prepare to visit the hospital next January when I recover from thyroid surgery.
1. How often would you recommend that I go to the hospital for some tests?
2.I was not allowed to continue my gynecological examination during my physical examination in my unit, is it because the gynecological examination will cause damage to my hymen?
3.Does interventional embolization treatment exist in all the tertiary hospitals in Shanghai?
My malignant thyroid cancer surgery was very successful. That malignant nodule was found early only 0.8cm, less than one centimeter, so I was treated with radical thyroid cancer surgery right total excision left subtotal excision. Currently, I am taking one tablet of Eugenol every day. I will review it regularly.
Section Lu Wei.
1. We recommend you to go to the hospital for ultrasound examination once a year, of course, you should check in time if you feel any abnormality.
2, at present, there are explicit regulations can not be gynecological examination of virgins, because gynecological examination will cause harm to the hymen, of course, if there is a very serious problem, after obtaining the patient or family opinion can also do gynecological examination.
3, interventional embolization treatment is not available in any three hospitals, because at present, the hospital hierarchy in China is very chaotic, even the same level of hospital, in terms of hardware and software are very different, not to mention that each hospital has different specialties, when it comes to interventional treatment I will introduce a good hospital to you. Congratulations on your successful surgery of malignant thyroid cancer, it is a great blessing among misfortunes that you may be cured.
Patient.
1. Since I have thyroid problems, do I need to pay attention to my diet to prevent fibroids?
2. I will go to Shanghai Ruijin Hospital in January for an ultrasound examination, is this hospital okay?
3.I had my period today, and on the first day I felt pain in my abdomen, and I had three bowel movements because of it, and I felt like vomiting. This feeling will last for about 2 hours and then disappear, is this performance normal?
Kolowei: In fact, thyroid disease diet as long as.
1, avoid smoking, alcohol and spicy stimulating food.
2, avoid fatty, sticky food.
3, avoid hard and indigestible food.
4, avoid fried, barbecue and other hot food. Low thyroid insist on taking thyroxine tablets.
Occasional abdominal pain may not be considered a big abnormality, but if it is often, it should be related to myoma!
Patient: When I was hospitalized, I had a lingering injection in the back of my left hand, and the back of my hand was very swollen at the time. The swelling has gone down and there is no pain. However, there is a raised bruise of about 1 cm on the back of my hand near my wrist, and the small section of blood vessel from where the needle was inserted to the raised bruise is invisible (about 2 cm)… What should I do? Is it a blockage or necrosis of the blood vessel?
The first thing you need to do is to get rid of it.