Fastest growth On June 26, the Beijing Municipal Health and Population Health Status Report 2013 (Health White Paper) released by the Beijing Municipal Health and Family Planning Commission
shows that among the new cases of malignant tumors, the incidence of thyroid cancer is 15.74/100,000, up 393.42% from 2003 (3.19/100,000), with an average annual increase of 16.92% after age standardization, and thyroid cancer has become the fastest growing malignant tumor in Beijing. Currently, the mainstream view is that the improvement in the level of imaging technology and the popularity of physical examination have facilitated the early detection of thyroid cancer, thus increasing the incidence of thyroid cancer. The results of the study showed that despite the increased incidence of thyroid cancer, the mortality rate remained unchanged compared to previous years. The thyroid gland is one of the most active organs in the body and is sensitive to the external environment. In addition to genetic factors, environmental pollution and long-term exposure to radiation are also causes of thyroid cancer, and in recent years there is a trend of younger age, mostly detected through medical checkups. Young women are more likely to be affected Some women with thyroid nodules may suffer from hyperthyroidism, which may lead to irregular menstruation or even menopause, making it difficult to get pregnant. In addition, thyroid nodules can compress the trachea and cause it to shift or bend, making it difficult to breathe. The incidence of thyroid cancer, caused by the deterioration of thyroid nodules, has also jumped to the fifth most common tumor in women. ”About 5%-15% of thyroid nodules are malignant. Most thyroid nodules are benign, while malignant nodules account for about 5-15% and need to be removed surgically. A special reminder is that the larger the nodule and the faster it grows, the more likely it is to be malignant, especially in patients with a family history. The following medical history and physical examination findings are risk factors for thyroid cancer: (1) history of childhood head and neck radiation exposure or radioactive dust exposure; (2) history of systemic radiation therapy; (3) presence of differentiated thyroid cancer (DTC), medullary thyroid carcinoma (MTC) or multiple endocrine adenomatosis type 2 (MEN2), familial polyposis, certain thyroid cancer syndromes (e.g. Cowden syndrome, Carney syndrome, thyroid cancer syndrome, thyroid cancer syndrome, thyroid cancer syndrome, thyroid cancer syndrome).
(5) rapid growth of nodules; (6) persistent hoarseness and dysphonia and exclusion of vocal cord pathology (inflammation, polyps, etc.); (7) dysphagia or dysphagia; (8) irregular shape of nodules and adhesion to surrounding tissues; (9) pathological enlargement of lymph nodes in the neck. The nodules are irregular in shape and fixed with the surrounding tissues. More than 90% of thyroid cancer is differentiated thyroid cancer, and the main treatment methods include surgery, postoperative 131 iodine therapy and TSH suppression therapy. Among them, surgery is the most important treatment, which directly affects the follow-up and treatment of the disease and is closely related to the prognosis. The overall trend of differentiated thyroid cancer treatment is individualized and comprehensive treatment. Prevention of thyroid disease requires changing poor lifestyle, avoiding high-intensity work, strain and tension, staying up late, radiation, etc.