甲状腺癌转移，千万别太当回事！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转移<span style="color: black;">指的是</span>原发肿瘤跑到了别处</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">大<span style="color: black;">都数</span>人的认知里</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转移<span style="color: black;">害处</span>巨大</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症一旦<span style="color: black;">出现</span>转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">就很难彻底根治</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转移是<span style="color: black;">引起</span>肿瘤<span style="color: black;">病人</span>死亡的<span style="color: black;">原由</span></p>
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<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/v2-67213a38ef2ec488f30a1f712df7fc72_b.jpg" style="width: 50%; margin-bottom: 20px;"></div>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>大多恶性肿瘤</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">上面说法<span style="color: black;">无</span>问题</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但<span style="color: black;">倘若</span>转移灶并不增长</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">或</span>即便有<span style="color: black;">发展</span><span style="color: black;">亦</span>非常缓慢</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>转移<span style="color: black;">可否</span>还<span style="color: black;">那样</span>可怕呢？</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">隐匿转移很<span style="color: black;">平常</span></h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺乳头状癌隐匿转移<span style="color: black;">便是</span>不可怕的转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">什么是隐匿转移呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">每次更新微小癌观察的<span style="color: black;">文案</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">必定</span>会收到下面的留言</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术前<span style="color: black;">检测</span>没<span style="color: black;">发掘</span>可疑淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术后病理提示了几个淋巴结转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">这般</span>的转移<span style="color: black;">便是</span>隐匿转移</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-9e6362ce43f1d145966fb5a3fa011a34_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">大体看上去淋巴结并<span style="color: black;">无</span><span style="color: black;">反常</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">放到显微镜下观察</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">里面能<span style="color: black;">发掘</span>很小的癌细胞聚集</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转移灶<span style="color: black;">一般</span>在1-2毫米</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这类隐匿转移非常<span style="color: black;">平常</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最轻微的微小乳头状癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴结转移率<span style="color: black;">亦</span>有20%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">个头更大的乳头状癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴结转移率能达到90%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其中很大的比例<span style="color: black;">便是</span>隐匿转移</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">隐匿转移很稳定</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">既然隐匿转移很<span style="color: black;">平常</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">它们会<span style="color: black;">怎么样</span>发展呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国和日本的微小癌观察<span style="color: black;">实验</span>中</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一部分<span style="color: black;">病人</span><span style="color: black;">选取</span>立即手术</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">尽管<span style="color: black;">她们</span>术前超声没<span style="color: black;">发掘</span>可疑淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但预防性清扫后</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中国<span style="color: black;">病人</span>的隐匿转移率在20-30%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">日本<span style="color: black;">病人</span>的隐匿转移率<span style="color: black;">乃至</span>高于30%</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-266d175fc10783a745ca7e4dddab88a1_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">另一部分微小癌<span style="color: black;">病人</span><span style="color: black;">保持</span>观察10年</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">仅有3%的<span style="color: black;">病人</span><span style="color: black;">显现</span>超声上可疑的淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">World Journal of Surgery, 2010, 34, 28-35</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>隐匿转移都会<span style="color: black;">成长</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">30%以上的观察者都应<span style="color: black;">显现</span>可疑淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这<span style="color: black;">亦</span>从侧面证实了</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">大<span style="color: black;">都数</span>隐匿转移并不会<span style="color: black;">作为</span>超声可见的淋巴结转移</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-3e9671a61e35195ca3fb0c5bba8b64d7_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">更有意思的是</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">韩国人汇总了尸检意外<span style="color: black;">发掘</span>的乳头状癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5-10毫米的微小癌淋巴转移率为33.4%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">证实了<span style="color: black;">非常多</span>隐匿转移终身<span style="color: black;">没</span>害</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1-3毫米的隐匿癌淋巴转移率为10.0%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">说明就连超声<span style="color: black;">发掘</span>不了的乳头状癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">都可能<span style="color: black;">显现</span>隐匿转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">隐匿转移<span style="color: black;">平常</span>但<span style="color: black;">害处</span>极低</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">隐匿转移<span style="color: black;">可否</span>影响微小癌观察？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>观察中的微小癌都有<span style="color: black;">有些</span>担忧</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span>他听<span style="color: black;">大夫</span><span style="color: black;">或</span>病友说</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>人术前没转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术后病理才<span style="color: black;">发掘</span>的转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">怕继续观察下去耽误治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">为了帮<span style="color: black;">大众</span>解惑</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>不妨先<span style="color: black;">认识</span>下面的问题</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术前超声上<span style="color: black;">没</span>转移的微小癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">选取</span>手术后可能<span style="color: black;">显现</span><span style="color: black;">那些</span><span style="color: black;">状况</span>？</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-b866186b81a8d3371e82c3fea430fa5b_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">70%的概率压根就<span style="color: black;">无</span>淋巴结转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">便是</span>手术白做了</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">25%的概率会<span style="color: black;">发掘</span>少量转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>清扫了8枚淋巴结2枚是转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">你可能觉得毕竟有转移这波不亏</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但这2枚隐匿转移大概率不会<span style="color: black;">发展</span>为可见的转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不手术<span style="color: black;">亦</span><span style="color: black;">无</span>什么关系</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">还有5%的概率运气差一点</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术后<span style="color: black;">发掘</span>隐匿转移比较多</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>清扫了8枚淋巴结全是转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">你可能<span style="color: black;">幸运</span>手术的<span style="color: black;">即时</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但<span style="color: black;">其中</span>央区淋巴结都转移了</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">侧颈大概率<span style="color: black;">亦</span>有了隐匿灶</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">成长</span>了以后可能<span style="color: black;">必须</span>二次手术</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>当初<span style="color: black;">保持</span>观察到侧颈<span style="color: black;">显现</span>可见的转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">就可能将两次手术合二为一</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">减少损耗</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">笔记总结</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">即便非常<span style="color: black;">初期</span>的甲状腺癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴结隐匿转移<span style="color: black;">亦</span>非常<span style="color: black;">平常</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">它们大多不会<span style="color: black;">发展</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对预后<span style="color: black;">亦</span>几乎<span style="color: black;">无</span>影响</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">治疗中不要过度<span style="color: black;">诠释</span>淋巴结隐匿转移的<span style="color: black;">道理</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">详细</span>点说<span style="color: black;">便是</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不会<span style="color: black;">由于</span>可能存在隐匿转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">微小癌就<span style="color: black;">不可</span>观察</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不会<span style="color: black;">由于</span>病理<span style="color: black;">发掘</span>隐匿转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">半切手术后就<span style="color: black;">必须</span><span style="color: black;">马上</span>补全切</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不会<span style="color: black;">由于</span>隐匿转移的存在</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">就<span style="color: black;">选取</span>接受碘治疗</p>最后，欢迎关注最专业的甲状腺公众号「温哥华小文青」。
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