甲状腺微癌1例临床报告

G. Melnichenko, N. Mokrysheva, Nino N. Katamadze
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引用次数: 0

摘要

在我们面前的是一个年轻女子的故事,她主动监测甲状腺的状况,由于意外检测到甲状腺组织的抗体。发现肿瘤(7mm)后,行半甲状腺切除术。手术后的两年里,她一直在肿瘤科医生和内分泌科医生的照顾下。然而,尽管有关于疾病预后良好的解释,她还是非常惊慌,不合理地经常进行实验室检查,忽视了参考范围和评估方法不同的事实。应该说,类似的问题在所有国家都存在(Nedman C. et al., 2017)——即使在确诊多年后,绝大多数患者仍然担心疾病复发。人们不仅担心甲状腺癌复发的风险,还担心其他癌症发展的风险,以及无法获得专业护理的风险。医生的明显任务是纠正病人增加焦虑的行为模式。
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Review of the clinical case of a patient with microcarcinoma of the thyroid gland
Before us is the story of young woman who actively monitored the condition of the thyroid gland, due to the accidental detection of antibodies to the thyroid tissue. After the detection of a tumor (7 mm), hemi thyroidectomy was conducted. For two years after the operation she has been under the care of oncologist and endocrinologist. However, despite explanations about a good prognosis of the disease, she is extremely alarmed and unjustifiably often conducts laboratory tests, ignoring the fact that both the reference range and the evaluation methods are different. It should be said that similar problems exist in all countries (Nedman C. et al., 2017) – fear of relapse of the disease worries the vast majority of patients even years after it’s been diagnosed. People are concerned not only about the risks of thyroid cancer recurrence, but also about the risks of development of other cancers, the risks of being not able to get access to skilled care. The obvious task of a doctor is to correct a pattern of patient behavior that increases anxiety.
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