甲状腺癌的复发和转移，身体显现这些“信号”，必定要警觉！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">现实生活中，当听到癌症转移这个<span style="color: black;">专题</span>，<span style="color: black;">咱们</span>总是一声叹息。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">似乎<span style="color: black;">大众</span>都会觉得很可怕，<span style="color: black;">亦</span>有人认为一旦转移就没得治了。今天咱们就<span style="color: black;">来讲</span>一说，甲状腺癌术后还会不会复发、转移？</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-223f0b2264898afcdd84d015c28161b2_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;">甲状腺癌是最<span style="color: black;">平常</span>的甲状腺恶性肿瘤，约占全身恶性肿瘤的1%，分化型甲状腺癌<span style="color: black;">包含</span>乳头状癌和滤泡状癌，是最<span style="color: black;">重点</span>的甲状腺癌类型，涵盖了90%以上的患者，其<span style="color: black;">重点</span>治疗手段是手术。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>，做了手术，<span style="color: black;">是否</span><span style="color: black;">寓意</span>着<span style="color: black;">已然</span>治愈？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实，<span style="color: black;">日前</span>专业界并<span style="color: black;">无</span>公认的甲状腺癌“治愈”标准，大约30%的分化型甲状腺癌<span style="color: black;">病人</span>会<span style="color: black;">显现</span>术后复发<span style="color: black;">或</span>转移，其中2/3<span style="color: black;">出现</span>在术后十年之内。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-d278a82dda20e72264bbb93f70da7298_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">那些</span><span style="color: black;">原因</span>可能<span style="color: black;">增多</span>复发<span style="color: black;">危害</span>？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. 肉眼可见肿瘤侵犯了甲状腺<span style="color: black;">周边</span>的软组织；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 肿瘤未完全切除；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. <span style="color: black;">显现</span>远处转移；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4. 病理分期为N1（有区域淋巴结转移），并且转移的淋巴结最大直径大于3厘米；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5. <span style="color: black;">大夫</span>判断术后血清Tg（甲状腺球蛋白，thyroglobulin）水平<span style="color: black;">反常</span><span style="color: black;">升高</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6. 有广泛血管浸润的甲状腺滤泡状癌（血管侵犯大于4个病灶）。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>并<span style="color: black;">无</span><span style="color: black;">知道</span>医学证据<span style="color: black;">显示</span>，某种<span style="color: black;">食品</span>可能<span style="color: black;">增多</span>复发<span style="color: black;">危害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">不外</span>，应当注意<span style="color: black;">膳食</span>中的碘，海带、紫菜等含碘量较高的<span style="color: black;">食品</span><span style="color: black;">意见</span>少吃。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">如有<span style="color: black;">前提</span>，可用<span style="color: black;">没</span>碘盐做饭，但<span style="color: black;">倘若</span>家中有正<span style="color: black;">处在</span><span style="color: black;">生长</span>期的青少年儿童，则不必要苛求食用<span style="color: black;">没</span>碘盐。<span style="color: black;">由于</span>碘对儿童体格和智力的<span style="color: black;">生长</span>是不可或缺的。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-bf42de50b37d4636b9b32977c592517f_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">复发可能有<span style="color: black;">那些</span>“信号”？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌根治术后，几乎所有<span style="color: black;">病人</span>都会感到不同程度颈部<span style="color: black;">病痛</span>或不适，这是复发的“信号”吗？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">并非如此！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痛感与复发转移等并<span style="color: black;">无</span><span style="color: black;">知道</span>的关系。在手术过程中，神经、肌肉、血管等组织<span style="color: black;">损害</span>，都会<span style="color: black;">引起</span>恢复期<span style="color: black;">显现</span>颈部不适和<span style="color: black;">病痛</span>，<span style="color: black;">能够</span><span style="color: black;">经过</span><span style="color: black;">恢复</span><span style="color: black;">熬炼</span>来减轻。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">显现</span>以下<span style="color: black;">状况</span>，提示您<span style="color: black;">必须</span>格外<span style="color: black;">重视</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. 术后复查<span style="color: black;">发掘</span>有新的颈部肿块，要<span style="color: black;">即时</span>做 B 超<span style="color: black;">检测</span><span style="color: black;">知道</span>性质；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 血液指标<span style="color: black;">反常</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-865142bafa22133193999caba09f7fc4_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">甲状腺癌最容易转移到哪里呢?</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、淋巴转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌转移到淋巴<span style="color: black;">平常</span>的症状有颈部肿块，<span style="color: black;">倘若</span>肿块<span style="color: black;">很强</span>，压迫到神经血管，会<span style="color: black;">导致</span><span style="color: black;">病痛</span>的症状;压迫颈动脉或锁骨下动脉，会<span style="color: black;">导致</span>脏器缺血等症状;压迫臂丛神经，会<span style="color: black;">导致</span>活动<span style="color: black;">阻碍</span>、<span style="color: black;">病痛</span>等症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、肝转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌肝转移<span style="color: black;">亦</span>是比较<span style="color: black;">平常</span>的，肝转移病人<span style="color: black;">常常</span>以食欲不振，体重下降、伴有肝脏肿大、上腹部肿物为主，时有黄疸<span style="color: black;">显现</span>，多<span style="color: black;">没</span><span style="color: black;">显著</span>肝功能<span style="color: black;">阻碍</span>。上腹肿物、肝肿大、黄疸均为晚期表现。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-282cc7ca2c5681e2d0a5c942d7a63915_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;">3、肺转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肺转移转移途径<span style="color: black;">重点</span>是血行转移。肝细胞进入门静脉，经过肝再到达肺，<span style="color: black;">因此</span>肺转移者<span style="color: black;">都数</span>伴有肝转移。甲状腺癌肺转移在肺内形成多个转移结节，治疗效果<span style="color: black;">不良</span>，诊断时多<span style="color: black;">处在</span>晚期，已不宜再做手术。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、脑转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">脑转移多表现为颅内压<span style="color: black;">升高</span>，<span style="color: black;">重点</span>是<span style="color: black;">因为</span>肿瘤生长<span style="color: black;">快速</span>及<span style="color: black;">周边</span>水肿严重而<span style="color: black;">导致</span>，内压<span style="color: black;">升高</span>症状<span style="color: black;">显现</span>较<span style="color: black;">明显</span>，而<span style="color: black;">显现</span>头痛、恶心呕吐、视力下降等。局部症状可有肢体麻木或<span style="color: black;">没</span>力、偏瘫、偏盲、失语、局限性抽搐、共济失调等。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-b77ee8b6c9a1df80a868676e73bdb3c7_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">怎样</span>尽早<span style="color: black;">发掘</span>复发或转移的“苗头”？</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">手术后<span style="color: black;">定时</span>来医院随访、<span style="color: black;">按照</span>医嘱完成必要的<span style="color: black;">检测</span>，是<span style="color: black;">初期</span><span style="color: black;">发掘</span>复发或转移的<span style="color: black;">靠谱</span>办法。<span style="color: black;">通常</span><span style="color: black;">来讲</span>，术后一年内，每3个月复查一次；一年后酌情延长复查间隔时间，例如每6个月复查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span><span style="color: black;">必须</span><span style="color: black;">调节</span>甲状腺素片药量，则应在<span style="color: black;">调节</span>后1个月再次复查甲状腺功能，观察<span style="color: black;">药品</span>效果。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">温馨提醒：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌术后可能复发，<span style="color: black;">必要</span><span style="color: black;">按照</span>医嘱<span style="color: black;">定时</span>随访，<span style="color: black;">倘若</span>您的病情<span style="color: black;">显现</span>了波动，或<span style="color: black;">大夫</span><span style="color: black;">必须</span>您<span style="color: black;">增多</span>复查，请<span style="color: black;">必定</span><span style="color: black;">按照</span>医嘱。<span style="color: black;">才可</span>尽早<span style="color: black;">发掘</span>复发及转移病灶。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">PS:<span style="color: black;">文案</span><span style="color: black;">照片</span><span style="color: black;">源自</span>网络，侵删。所<span style="color: black;">触及</span>到各类药方、验方仅做信息分享，不<span style="color: black;">做为</span>医疗<span style="color: black;">意见</span>、<span style="color: black;">举荐</span>或指引。有问题可留言，觉得对您有所<span style="color: black;">帮忙</span>，记得看后点击关注，后续内容更好看</p>
“板凳”（第三个回帖的人） “板凳”（第三个回帖的人） 谢谢、感谢、感恩、辛苦了、有你真好等。
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