Education cyst (or cysts filled with liquid contents) in the thyroid often can be found in the female population. This pathology is quite common, so the timely diagnosis and treatment should stand on the leading position. Cystic thyroid goiter The disease of the thyroid gland - craw: the disruption of the pituitary gland   It can be of different types, which will continue to guide the selection of treatment tactics.

What are the possible options for the formation of cystic goiter

The appearance of cysts in the thyroid gland The thyroid gland - is responsible for your hormones   It leads to the development of cystic goiter. One should distinguish between several options like cystic formations:

• primarily cystic goiter may be due to the development of true (or simple) cysts cancer. Such cysts have a capsule containing liquid. Depending on the content may be serous and colloid cysts. In most cases, the process has a benign course, without the development of serious complications in case of timely treatment. From the total number of cysts true cysts found in 6%
• degeneration may occur in the existing node gland cyst, then talk about the formation of cystadenoma. This process occurs often enough (up to 35% degeneration of the nodes in the cyst). The degeneration occurs when the blood supply to abuse in the central node, resulting in immediate formation of a cavity with the contents inside. The cavity can collect blood or serous fluid

The main difference from the diffuse goiter cystic lesion tissue cancer is that there is no uniform increase in cancer. The pathology is observed only in the specific area where the formation of a cavity filled with liquid contents. In some cases, cystic goiter can be taken for education, that the notion of cysts or cystic formations is irrelevant. We are talking about the development of congenital midline or lateral neck cysts, which are congenital disorders of development, as well as cysts in the parathyroid glands.

Available diagnostic methods for detecting diseases

Specific clinical manifestations of cystic goiter does not exist. Often pathology detected during palpation examination of the thyroid gland and the patient does not show any complaints. Primary diagnosis of cystic goitre is palpation of the prostate. If the cyst is large enough, it may distort the neck, which will be an occasion to refer a patient to a specialist. Clinical signs of the disease can occur when the formation of cystic goiter patient lives in an endemic area and suffers from a lack of iodine. Then there is the clinical picture of hyperthyroidism.

Upon detection of cystic formations of all sizes should continue to conduct in-depth research to find out the nature of this education .  At the present stage, an ultrasound scan is the leading diagnostic procedures .  Diagnostic capabilities can detect the presence of cysts, to estimate its size, shape, volume and assess the condition of the walls .  Through the introduction of an additional method of investigation of blood flow (Doppler mapping), you can examine the state of the nature of the blood supply to breast tissue .  This allows you to obtain reliable information about the presence of possible complications .  If we talk about the reliability of the criteria of purity during an ultrasound scan of the reliable criteria does not exist .  The specificity and sensitivity characteristics that are identified during the ultrasound is low .  In this case, it is recommended to resort to the method of fine-needle biopsy .  Indications for diagnostic biopsy should be the presence of cystic formation, palpable during examination of the patient and having a size of more than 1 cm on ultrasound .  When cystic goiter necessarily diagnostic puncture should be performed to confirm the diagnosis and confirmation of purity .  It is recommended to conduct research under the direct control of the ultrasound machine, that is under the control of .  This allows for the formation of local puncture, which significantly increases the diagnostic possibilities of the method of the survey .  When it comes to finding cysts smaller than 1 cm, the need for a biopsy should be justified only in terms of suspicion of malignancy .

If the result of the biopsy may be selected further therapeutic tactics in cystic goiter .  If the size of small cysts (size should be evaluated on the results of the ultrasound scan), there is no development of the compression syndrome associated with compression of the surrounding tissue, then such patients should actively monitor .  The concept of active surveillance includes a dynamic evaluation of the functional activity of the gland, and an ultrasound .  Such an examination is recommended to do twice a year for .  The prognosis of cystic goitre most favorable .  Rare cases of a significant increase in the size of the prostate due to cystic inclusions .  The phenomena of compression syndrome may occur with large brush size, but the frequency of clinical cases is low .  The question of surgical treatment must be proven with the malignant nature of the formation after receiving the results of a puncture biopsy .  Even with proven malignant nature education strategy is different, depending on your type of cancer Breast cancer - the verdict? . Sometimes it requires a combination therapy after the operation is completed with the appointment of radioactive iodine, which is decided in each case individually.

Marina Solovyov

Methandrostenolone refers to a group of anabolic steroids. It is a derivative of testosterone Five myths about testosterone   and has a strong anabolic and moderate androgenic properties. It went on sale in 1960 and quickly became the most widely used anabolic steroid and among people involved in various sports.

History of discovery

Interestingly, shortly after some doctors began to prescribe to women methandrostenolone as a tonic, but because of the side effects discovered this practice quickly abandoned.

In the early nineties methandrostenolone was banned in the United States. Congressmen put steroids in the same category as amphetamines - storage and distribution of these substances is illegal. In addition, some successful athletes and professional bodybuilders, are recognized in the long-term use of steroids, were disqualified (among them was Arnold Schwarzenegger). Currently, the sale of anabolic steroids is banned in many countries, including in Russia, but it is known that their popularity on this has not changed much. Steroids are sold on the black market and are widely used by athletes.

Side effects

Being potent steroid methandrostenolone also has many side effects. In particular, it may be men have effects similar to the effects of estrogen Estrogen - the key to bone health . When using large doses soon after starting the drug can cause gynecomastia Gynecomastia - known since ancient times   - Breast enlargement in men, which requires special treatment, often - surgical. Another side effect is methandrostenolone fluid retention, which leads to loss of muscle mass. Particularly sensitive to the drug people take medicines, to monitor the level of estrogen.

Side effects

Among the side effects associated with androgen activity methandrostenolone: ​​increased production of sebum, acne, increased hair growth on the face and body. People taking the anabolic steroid, can significantly increase the level of aggression. Hair loss can also be a result of taking anabolic steroids.

Women methandrostenolone may cause virilism phenomenon - the appearance of secondary male sexual characteristics. In particular, women on the face and the body begin to grow and hard, dark hair, his voice is lower, increasing sweating, and so on. For this reason, methandrostenolone often taken by men, though sometimes experimented with him and the woman. Thus, some of them said that in small doses, it is very useful for muscle growth and does not cause serious side effects.

Could it be cancer of methandrostenolone?

Prolonged methandrostenolone intake can cause serious complications, including - some types of cancer Breast cancer - the verdict? . Therefore, people who use this drug, you need to undergo regular medical examinations. In addition, the reception cycle should not last for more than eight weeks.

The half-life of methandrostenolone is 3-5 hours, that is a period of time after administration of its level in the blood is reduced, and the effect weakens and stops. As a rule, a person can choose - to take a daily dose of the drug once or in divided doses throughout the day. It is recommended to take it a few times a day, and thus control the concentration of active substances in the blood. At the same time, some experts believe that when receiving methandrostenolone once a day it has a less dramatic effect on the hypothalamic-pituitary-testicular axis. To determine the optimal mode of drug administration, as the need to consult with his trainer and with your doctor.