甲状腺癌转移，真让人焦虑！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">好多小伙伴患了甲状腺癌之后</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心理<span style="color: black;">亦</span><span style="color: black;">出现</span>了巨大变化</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">身体上一旦有任何的风吹草动</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">都会寻思这是甲状腺癌<span style="color: black;">导致</span>的？？？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">要是今天胸闷，就<span style="color: black;">可疑</span>甲癌转移到了肺部</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">要是明天背疼，就<span style="color: black;">可疑</span>甲癌转移到了骨头</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">要是后天头昏，就<span style="color: black;">可疑</span>甲癌转移到了脑部</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这些疑心病，治起来还挺麻烦</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">俗话说得好，解铃还须系铃人</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">仅有</span>当你真正<span style="color: black;">认识</span>了甲状腺癌的转移规律</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">疑心病<span style="color: black;">才可</span>不攻自破</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>今天来讲讲甲状腺癌的转移规律</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">甲状腺癌的转移通道</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">和其余的肿瘤类似</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌的转移有三种方式：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">第1</span>种，侵犯<span style="color: black;">周边</span>组织</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第二种，淋巴道转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第三种，血道转移</p>侵犯<span style="color: black;">周边</span>组织<div style="color: black; text-align: left; margin-bottom: 10px;">
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/v2-5ca690ab2340e74e292e797689f1b363_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;">绿色的甲状腺癌<span style="color: black;">能够</span>突破橘色的甲状腺被膜</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">侵犯到紫色的<span style="color: black;">周边</span>组织</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种转移方式<span style="color: black;">便是</span>侵犯<span style="color: black;">周边</span>组织</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-89dfbabd76f7f10d33e8ed62b2442fca_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;"><span style="color: black;">大众</span>在病理报告中<span style="color: black;">能够</span>看到T1a，T1b，T2，T3a，T3b，T4a，T4b的字样</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>你的报告中<span style="color: black;">显现</span>了T3b，T4a，T4b</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">亦</span>就<span style="color: black;">寓意</span>着甲状腺癌侵犯了<span style="color: black;">周边</span>的组织</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">T后面的数字越高，<span style="color: black;">表率</span>侵犯<span style="color: black;">周边</span>组织越严重</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">T3b<span style="color: black;">指的是</span>侵犯了颈部的肌肉组织</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">T4a<span style="color: black;">指的是</span>侵犯了气管，食管等<span style="color: black;">要紧</span>器官</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">T4b说明侵犯了颈部大血管，<span style="color: black;">无</span>手术<span style="color: black;">前提</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 淋巴道转移</p>
<div style="color: black; text-align: left; margin-bottom: 10px;">
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/v2-1f7ff63937a169e5c2be4af6424859cb_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;">甲状腺中有淋巴管</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">咖啡色的甲状腺癌细胞<span style="color: black;">能够</span><span style="color: black;">经过</span>绿色的淋巴管</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转移到颈部淋巴结生根发芽</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种转移方式叫做淋巴道转移</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-b31b6248828caf3f0e7536e4877e6f78_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;"><span style="color: black;">大众</span>在病理报告中<span style="color: black;">能够</span>看到N1a，N1b的字样</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>你的报告中<span style="color: black;">显现</span>了N1a，N1b</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">亦</span>就<span style="color: black;">寓意</span>着你的甲状腺癌转移到了淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">N1a，N1b<span style="color: black;">表率</span>转移到不同区域的淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">N1a<span style="color: black;">指的是</span>转移到中央区淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">N1b<span style="color: black;">指的是</span>转移到非中央区淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但N1a和N1b并不说明淋巴转移的严重程度</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴转移的严重程度<span style="color: black;">重点</span>依据淋巴结里转移灶的<span style="color: black;">体积</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. 血道转移</p>
<div style="color: black; text-align: left; margin-bottom: 10px;">
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/v2-a243e5a0bd38a283d980da50bf51e015_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;">甲状腺中有小血管</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">绿色的甲状腺癌细胞<span style="color: black;">亦</span><span style="color: black;">能够</span><span style="color: black;">经过</span>红色的小血管</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在别的器官着陆</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌远处转移最<span style="color: black;">平常</span>的部位是肺</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">比较严重的<span style="color: black;">状况</span><span style="color: black;">亦</span><span style="color: black;">能够</span>转移到其余的器官</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">甲状腺癌的转移<span style="color: black;">次序</span></h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不同的甲癌细胞</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">它们对不同转移通道的<span style="color: black;">爱好</span>不同</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>乳头状癌，它们在淋巴道中比较活跃</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>滤泡状癌，它们在血道中比较活跃</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>未分化癌，它们<span style="color: black;">爱好</span>大面积侵犯<span style="color: black;">周边</span>组织</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-b1d7f1c7068f528712ae4aa7436643bf_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;"><span style="color: black;">经过</span>甲癌细胞在不同通道里的活跃程度</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">能够</span>准确的预测不同类型甲状腺癌的转移<span style="color: black;">次序</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>以乳头状癌为例</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">它们比较早的时候就会沿着淋巴道转移到淋巴结</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种转移<span style="color: black;">一般</span>是微小转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随着时间的<span style="color: black;">发展</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴结转移病灶<span style="color: black;">逐步</span>长大</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">同期</span>甲状腺癌<span style="color: black;">亦</span>会侵犯<span style="color: black;">周边</span>组织</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当<span style="color: black;">显现</span>了大面积的淋巴结转移和<span style="color: black;">周边</span>组织侵犯时</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">乳头状癌才有远处转移的<span style="color: black;">前提</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一个典型的乳头状癌即便不接受治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">从最早的淋巴道转移到能<span style="color: black;">经过</span>血道远处转移<span style="color: black;">最少</span><span style="color: black;">必须</span>十年</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span><span style="color: black;">大众</span>真的<span style="color: black;">无</span>必要</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">身体上一有动静就联系到甲癌上来</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">必须</span>记住的是：甲癌远转并非一蹴而就的事情</p>最后，欢迎关注最有逼格的甲状腺公众号：温哥华小文青
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