甲状腺结节发展到4a、4b类癌变几率大吗？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">想必<span style="color: black;">大众</span>对4a、4b这两个词都不陌生</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">都是在<span style="color: black;">检测</span>报告单里面的“常客”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但还是有<span style="color: black;">非常多</span>人对<span style="color: black;">她们</span><span style="color: black;">认识</span>过少</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">引起</span>会<span style="color: black;">显现</span>以下<span style="color: black;">状况</span>，自乱阵脚</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“上次<span style="color: black;">检测</span>还是2类，这才隔了不到1年怎么变成3类了？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“我的甲状腺结节<span style="color: black;">已然</span>4a了，怎么办？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“完了，我的结节<span style="color: black;">已然</span>4b了，是不是<span style="color: black;">已然</span>癌变了啊？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“癌症啊，怎么办？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">......</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这些<span style="color: black;">状况</span>都<span style="color: black;">已然</span>屡见不鲜</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">然则</span>关于甲状腺结节4a、4b会不会癌变</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这还有待商榷</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不如跟着<span style="color: black;">大夫</span>看下去，说不定就会找到答案。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-b8e59ecebc3ff97962c7639bb7183617_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;">TI-RADS等级</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在那之前<span style="color: black;">咱们</span>先来<span style="color: black;">瞧瞧</span><span style="color: black;">检测</span>报告中TI-RADS的等级<span style="color: black;">状况</span>以及程度：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1类：正常甲状腺，<span style="color: black;">没</span>结节，或手术全切的甲状腺复查（<span style="color: black;">没</span><span style="color: black;">反常</span><span style="color: black;">发掘</span>者）；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2类：典型而<span style="color: black;">知道</span>的良性结节，如腺瘤和囊性为主的结节；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3类：不太典型的良性结节，如表现<span style="color: black;">繁杂</span>的结节性甲状腺肿，恶性<span style="color: black;">危害</span><span style="color: black;">少于</span>5%；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4类：可疑恶性结节</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4a低度可疑恶性，恶性<span style="color: black;">危害</span>5%-10%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4b中度可疑恶性，恶性<span style="color: black;">危害</span>10%-50%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4c高度可疑恶性，恶性<span style="color: black;">危害</span>50%-85%</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5类：是典型的甲状腺癌，恶性<span style="color: black;">危害</span>85%～100%，<span style="color: black;">可疑</span>甲状腺恶性结节伴颈部淋巴结转移；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6类：是经细胞学和组织学病理证实的甲状腺恶性病变，需经手术和放疗及化疗。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-57f137757a920fe4b684c5bec2ebb4da_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;">会</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌变</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">吗？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">由上可知<span style="color: black;">检测</span>报告上<span style="color: black;">表示</span>4a、4b均是中低<span style="color: black;">危害</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">绝大<span style="color: black;">都数</span>的结节穿刺出来都是良性的</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span><span style="color: black;">大众</span>不必恐慌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">然而</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这并<span style="color: black;">不可</span><span style="color: black;">表率</span>查出了4a、4b的结节</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">就能“高枕<span style="color: black;">没</span>忧，不闻不问”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">还有5%-15%恶变的<span style="color: black;">危害</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-859ee8a9fa75d379b4593af09b9ac76e_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;">至于会不会癌变</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">详细</span>还得结合结节<span style="color: black;">体积</span>、近期变化、血液指标等综合判断</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">总之，一切以正规医院医学依据为准</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">并且在病情诊断之后积极<span style="color: black;">协同</span>治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不要等甲状腺结节恶变之后才<span style="color: black;">懊悔</span>！</p>
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