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전문의료진이 티없이 흉터없이 수술하는 병원

특성화클리닉

  • 소아탈장
  • 소아 음낭수종
  • 잠복고환
  • 여유증
  • 맹장염
  • 부유방
  • 담낭증(담석증)
  • 담낭용종
  • 성인탈장
  • 함몰유두
  • 유방질환(맘모톰수술)
  • 감상선 고주파

감상선 고주파

담소유외과는 진정한 외과전문병원 리더가 되기 위해 가장 먼저 도전하고 노력합니다.

갑상선 고주열치료란?

The thyroid gland is located in the middle of human neck, below the thyroid cartilage, also known as the Adam’s apple. The thyroid gland is an organ that secretes hormones.

이미지 - 갑상선 위치

갑상선 호르몬

이미지 - 갑상선 호르몬에 관한 이미지

Roles of thyroid hormones
Thyroid hormones play many roles but there are 4 important duties:
  • Firstly, it accelerates metabolism, helping our body to function
  • Secondly, thyroid hormones keep many organs function moderately
  • Thirdly, it generates heat, keeping the body temperature at the right temperature
  • Last of all, thyroid hormones helps fetus and newborn babies with brain and bone development.

갑상선의 문제

Thyroid problems can be mainly divided into two categories/types.
The first one is hyperthyroidism, which is caused by hormone problems, and the second problem is thyroid nodule.

갑상선호르몬 피검사(갑상선기능항진증, 갑상선기능저하증) + 갑상선 초음파(염증, 혹, 암)

갑상선 호르몬 분비 이상

Thyroid dysfunction can be diagnosed by a blood test. The two thyroid hormones are T3 and T4. If the hormones are increased then it is Hyperthyroidism. If the hormones are decreased, it is diagnosed as Hypothyroidism. The principal therapy is drug treatment.

  • 갑상선 저하증(동작이 느려짐, 추위를 많이탐, 체중증가, 심박수/심박출량 감소) 대사량 감소
  • 갑상선 항진증(몸이 더워짐, 땀이 많이남, 체중감소, 심박수/심박출량 증가) 대사량 증가

갑상선 종양

Ultrasound imaging can determine whether a thyroid nodule is a benign tumor or a malignant tumor.
Patients with thyroid nodules, depending on the size and shape, need to be examined by fine needle aspiration cytology to determine whether it is a benign tumor or cancer.

Fine Needle Aspiration Cytology
이미지 - 검사 절차
If diagnosed as thyroid cancer, the patient must undergo surgery, sometimes along with radioactive treatment.
Even if it’s not cancerous, treatment will be necessary if it is evident externally or if the nodule is too large and pressures the surrounding tissues.
Thyroid nodules can be treated with radiofrequency ablation or complete removal by surgery.

The Concept of Fine Needle Aspiration Cytology

The Concept of Fine Needle Aspiration Cytology
What is Benign Thyroid Nodule?
갑상선 초음파 4.5cm결절, 갑상선 CT 5.5cm 결절
If a patient has benign thyroid nodules, the treatment
method is different from thyroid cancer.Benign thyroid
nodules can be divided into three types The First type
is solid nodule, second is liquid consistency of
cystic nodule, and the third type is the intergrade of
colloid nodule. Solid nodule, Cystic nodule (cyst) colloid nodule.
  • 이미지 - 갑상선 고형결절(solid)
  • 이미지 - 갑상선 낭성결절(물혹)
  • 이미지 - 갑상선 교질성결절(colloid)
The Treatment Purpose of Benign Thyroid Nodule
There are two main reasons why benign thyroid nodule needs to be treated.
Firstly, if the size of tumor is too large that it presses the surrounding tissues. Also, all three types of nodules are visually apparent which can be cured with treatment.
Thyroid clings on the air duct.
The Carotid artery and the jugular vein are on each side and on the back is where the esophagus is located.
Exterior of Thyroid nodule
Thyroid nodules need to be treated due to its evident appearance Thyroid nodules cause pressure on surrounding tissues Thyroid clings on the air duct.
The Carotid artery and the jugular vein are on each side and on the back is where the esophagus is located.

갑상선결절 주위조직 압박

이미지 - 갑상선 주위조직, 갑상선결절 주위조직 압박

Heavy pressure on the air duct makes breathing difficult and pressure on the esophagus makes it hard to swallow which is why thyroid nodule needs to be treated.
There are two ways of treatment: radiofrequency ablation and surgical excision.
Surgical resection completely removes the wen.
After undergoing general anesthesia, endoscopic thyroid surgery or operation is conducted by incising the neck.
Radiofrequency ablation reduces the size of the wen by putting a high heat on the nodule.
When the size of the wen is big, it is important that an experienced doctor conducts the treatment.
At Dam So Yu Hospital, we treat patients with nodules that are bigger than 3cm Thyroid radiofrequency ablation is a treatment that reduces the size of the wen by putting a high heat on the nodule.
If the size of the wen is big, it is important that an experienced doctor handles the treatment.
At Dam So Yu Hospital, mostly, we treat patients with nodules that are bigger than 3cm Thyroid radiofrequency ablation is not a method of surgically removing the wen but a treatment to reduce the size.
For instance, a small mole on a face does not cause any inconvenience in everyday life.
However, if the mole is too big, it becomes a problem and treatment like reducing the size or removal is done.
Thyroid operation can be seen as a surgical method that completely takes off the skin including the mole and radiofrequency ablation is similar to reducing the size of a mole.
If it’s more than 5cm, additional radiofrequency ablation, once or twice, can be carried out.
When going through the treatment, the whole area of the nodule is treated with high frequency heat but additional treatment can be done after two to three months later depending on the size.

담소유외과의 고주파열치료는?

갑상선 고형결절의 고주파열치료
이미지 - 갑상선 고형결절의 고주파열치료순서 이미지
When it comes to solid nodules, it is very important that high frequency heat spreads all over the nodule so that goal of reducing the size of the tumor can be achieved.
갑상선 낭성결절의 고주파열치료
이미지 - 갑상선 낭성결절의 고주파열치료 이미지
For cystic nodule, first radiofrequency needle is placed on the wen then with another needle; liquid in the wen is removed.
When there is liquid, high frequency heat becomes hard to get transmitted to the tissue.
This is why treatment experience is very important.
갑상선 교질결절의 고주파열치료
이미지 - 갑상선 교질결절의 고주파열치료순서
Treating colloid nodule with radiofrequency is the most difficult treatment. First, all the colloids inside the tumor needs to be removed. Radiofrequency ablation then change into cystic nodule. That is why secondary radiofrequency ablation is necessary and after, the treatment process is same with cystic nodule. Thyroid radiofrequency ablation needs diagnostic sonography that is somewhat high-end because if the resolution of the diagnostic sonography is low, the boundary between the tumor and normal tissue is hard to differentiate which makes treatment process tough. Also, doctor’s experience on the treatment is very important. Surrounding structures of the thyroid are very important and delicate. That is why only experienced doctors can conduct safe treatment.
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