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

Written by Sun Ming Yue
Medical Oncology
Updated on September 21, 2024
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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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Thyroid cancer ultrasound manifestations

The characteristics of ultrasonography for thyroid cancer include the tumor being a solid hypoechoic mass with unclear boundaries, uneven internal echoes, abundant internal blood flow, and the presence of sandy calcifications and longitudinal growth, among others. Currently, ultrasonography is the preferred method for examining thyroid nodules. It can clearly identify the number, nature, and location of thyroid nodules, as well as whether there are any abnormally enlarged lymph nodes in the neck. Ultrasonography is highly accurate in differentiating the nature of thyroid nodules, with experienced ultrasonographers reaching an accuracy rate of over 80%. However, the highest accuracy in differentiating the nature of thyroid nodules is still achieved with fine-needle aspiration cytology.

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Characteristics of thyroid cancer lymph node enlargement

Thyroid cancer is a type of malignant tumor. However, if it is detected early, diagnosed early, and treated early, it generally has a relatively good prognosis compared to other malignant tumors. Once a patient is afflicted with this disease, it is crucial to seek treatment promptly. Without treatment, thyroid cancer can spread to lymph nodes. Initially, the cancerous lymph nodes may invade surrounding blood vessels and nerves, leading to symptoms such as hoarseness. If it compresses the throat area, it can cause discomfort in the throat accompanied by breathing difficulties and coughing while drinking. If the optimal time for treatment is missed, cancer cells can spread, potentially moving not only to the lungs but also to the respiratory system and bones, among other distant sites.

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How is thyroid cancer caused?

The causes of thyroid cancer are similar to those of most other malignancies. The etiology of thyroid cancer is not yet clear, but some factors are found to be associated with its occurrence: The first is neck radiation. The thyroid is an endocrine organ, sensitive to radiation. Radiation exposure can potentially cause thyroid cells to become cancerous, especially in those who received high doses of neck radiation in childhood and are more susceptible to thyroid cancer. The second factor is genetics; some thyroid cancers have a clear genetic predisposition, the most typical being medullary thyroid cancer. The third point is that the rapid increase in the incidence rate of thyroid cancer is partly due to the advancement in early diagnostic techniques, allowing for the detection of many early-stage lesions. Of course, iodine intake has already been shown to be related to some benign thyroid conditions. However, its relationship with thyroid cancer requires further study.

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Can occasional smoking and drinking be okay with thyroid cancer?

Thyroid cancer is a common malignant tumor in the head and neck area, and currently, the exact mechanism and etiological causes of thyroid cancer are not clearly defined in the clinic. However, some research studies indicate that there are certain factors associated with the incidence of thyroid cancer. For example, ionizing radiation, prolonged exposure can lead to the occurrence of thyroid cancer. Both insufficient and excessive iodine intake can lead to a high incidence of thyroid cancer. Genetic factors also play a significant role in the development of thyroid cancer. Excessive smoking and drinking can promote the occurrence of thyroid cancer. Therefore, heavy smoking and drinking are not recommended, but occasional smoking and drinking do not significantly impact the condition of thyroid cancer and are deemed acceptable. Moreover, for patients with thyroid cancer, treatment is primarily surgical, as radiotherapy and chemotherapy are not very sensitive anti-tumor treatments.

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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.