How is thyroid cancer diagnosed?

Written by Gong Chun
Oncology
Updated on September 14, 2024
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The first point is the diagnostic process for differentiated thyroid cancer. Initially, most patients may not have symptoms, while a minority might show symptoms due to invasion of surrounding organs. Ultrasound examination is the preferred method for diagnosing thyroid nodules. Ultrasound can clarify the number, nature, and location of thyroid nodules, as well as provide information on whether there are abnormally enlarged lymph nodes in the neck. It has a relatively high accuracy in identifying the nature of thyroid nodules. Currently, the most accurate test for determining the nature of thyroid nodules remains the fine needle aspiration cytology, which has a diagnostic sensitivity of 83-92% and specificity of 80-92%, but it is not 100% conclusive. The second point is about the diagnosis of medullary thyroid cancer. Besides the tests common for thyroid cancers, additional tests for medullary thyroid cancer can include fine needle aspiration, ultrasound, and some serological tests, such as calcitonin and carcinoembryonic antigen tests.

Other Voices

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Is a hypoechoic area definitely thyroid cancer?

A thyroid nodule underwent an ultrasound B-examination and showed hypoechoic features, but this does not necessarily indicate thyroid cancer. It is essential to conduct relevant tests to determine the cause. For such thyroid nodules, it is first important to check their specific size. If there is concern about the presence of a malignant tumor, it is advisable to perform a fine needle aspiration for pathological examination to confirm the diagnosis. If the thyroid nodule exceeds one centimeter and causes local pain or affects surrounding blood vessels, leading to symptoms of compression, it is recommended that patients should promptly undergo surgical removal for treatment.

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Can hypothyroidism in women lead to thyroid cancer?

Women with hypothyroidism generally do not develop thyroid tumors, as there is no necessary correlation between the two. Hypothyroidism is caused by a decrease in the synthesis and secretion of thyroid hormones in the body, leading to a series of symptoms associated with a slowed metabolic rate. The occurrence of hypothyroidism is due to a reduction in the synthesis and secretion of thyroid hormones, while thyroid cancer is mainly due to a change in the nature of the thyroid tissue. Decreased thyroid function is caused by an abnormality in thyroid secretion function. Therefore, it is advised that such patients should not worry too much, avoid placing too much mental and psychological stress on themselves, maintain a good daily routine, avoid staying up late, smoking, or drinking alcohol, and regularly review their thyroid ultrasound and thyroid function to dynamically observe the occurrence and development of thyroid diseases.

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The Differences between Thyroiditis, Hyperthyroidism, and Thyroid Cancer

Thyroiditis, hyperthyroidism, and thyroid cancer are clinically distinct conditions. Thyroiditis refers to inflammatory changes in the thyroid, either autoimmunity-related, suppurative or due to inflammation. Hyperthyroidism broadly refers to a functional change, which can result from various thyroid changes caused by diseases, including external damage and inflammation, leading to symptoms of hyperthyroidism. However, these manifestations should not be confused with each other, with the latter more closely related to autoimmune thyroiditis. Thyroid cancer, on the other hand, is a malignant alteration that also occurs in the thyroid gland but is not closely related to thyroiditis or hyperthyroidism. Generally, thyroid cancer is malignant, while thyroiditis and hyperthyroidism are benign, chronic conditions.

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Is there an abnormality in the routine blood test for thyroid cancer?

If you have thyroid cancer, it is advised that patients promptly visit a formal hospital for examination. If one undergoes a routine blood test, generally there will be no abnormalities. This test can reveal the number of platelets, the presence of anemia, or the state of white blood cells, which are not related to the thyroid. Therefore, if thyroid cancer patients undergo routine blood tests, typically no abnormalities will be found. In daily life, patients should ensure they rest sufficiently, engage in less physically demanding exercise, maintain a cheerful mood, plan their three meals a day wisely, and pay attention to nutritious diet planning.

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Can people with normal thyroid function get thyroid cancer?

Thyroid function and thyroid cancer are not necessarily related. It is possible to have thyroid cancer even when thyroid function is normal. Clinically, thyroid cancer is usually detected by color ultrasound. Clinicians will classify thyroid nodules based on their size, texture, growth direction, presence of blood flow signals, clarity of boundaries, infiltration of surrounding tissues, and enlargement of nearby lymph nodes. Nodules classified as categories one to three generally have a benign tendency, and regular follow-up appointments are sufficient. If the nodules are classified as categories four to five, they are suggestive of malignancy, and it is recommended to perform thyroid fine needle aspiration or surgery to determine the pathological type of the nodules.