The size of thyroid tumours is not the only factor that determines whether or not they will oppress the stomach. The thyroid glands are in front of the neck, close to the throat, and even relatively small tumours can be pressured by their location, direction of growth or physical effects.Thyroid tumours and osteoporosisThe location of the tumor: If the tumor is located in the centre of the thyroid, i.e. the thyroid canyon, even if the tumor is small, it may be more likely to be repressed to the stomach because of its location.The direction in which the tumor grows is also important. If the tumour grows internally, even if it is small, it may squeeze to the throat, causing symptoms such as difficulty in swallowing and poor breathing.The tumour ‘ s texture: The tumours that are hard to text may be more oppressive than the tumours that are soft to texture, even if they are similar in size.Reference to the size of the tumorIn general, there may be pressure on the surrounding structure when thyroid tumours reach the following hours:More than 1 cm in diameter: When the tumour is more than 1 cm in diameter (10 mm), it may be detected by the patient himself or by a doctor.More than 2 cm in diameter: When the tumour is more than 2 cm in diameter, there is an increased risk of oppression of the stomach, especially if the tumour is in the centre of the thyroid or close to the stomach.A tumour of more than 4 cm in diameter: A tumour of more than 4 cm in diameter is usually considered to be large, and a tumour of this size is likely to exert pressure on the surrounding structure, including the larvae.Symptoms and diagnosisThyroid tumours may cause the following symptoms:Hard to swallowI can’t breathe.Hissing.It feels like something’s in my throat.Pain when swallowedDoctors usually assess the size of thyroid tumours and the oppression of the stomach by:Medical examination: Feel the size and mass of the thyroid through contact.Ultrasound: Ultrasound provides information on the size, shape and location of thyroid tumours.CT or MRI scans: These visual tests show more accurately the size of the tumor and the oppression of the surrounding structure.Treatment considerationsIf thyroid tumours cause pressure on the stomach, the following treatment may be required:Surgery: For larger tumours, surgery may be necessary to alleviate the symptoms of oppression and prevent further complications.Thyroid hormone treatment: In some cases, the use of thyroid hormone inhibition treatment may help to reduce the size of the tumor.Plasma: Plasma may be an option for inoperable tumours.ConclusionsThere is no fixed criterion for the size of thyroid tumours in the suppressed stomach, depending on the location of the tumour, the direction of growth, the mass and the individual differences of the patient. Any thyroid tumours that cause symptoms, regardless of size, should be further assessed and treated. Patients, in cooperation with doctors, should develop a treatment plan based on the circumstances. The treatment of thyroid tumours requires a combination of tumour properties, patient symptoms and potential treatment risks.
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