7wu1wm0 发表于 2024-6-21 19:38:31

你认识甲状腺乳头状癌吗?


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近年来,甲状腺癌患病率<span style="color: black;">连续</span><span style="color: black;">提升</span>,甲状腺癌<span style="color: black;">重点</span>有四种类型(<span style="color: black;">按照</span>显微镜下所见):甲状腺乳头状癌(PTC)、甲状腺滤泡癌(FTC)、甲状腺髓样癌(MTC)、甲状腺未分化癌(ATC)。今天<span style="color: black;">咱们</span>要说的<span style="color: black;">便是</span>甲状腺乳头状癌,乳头状癌是甲状腺癌里面最<span style="color: black;">平常</span>的一种,<span style="color: black;">亦</span>是恶性度最低的。占<span style="color: black;">所有</span>甲状腺癌的75%,属发病率最高的一种。而<span style="color: black;">所说</span>微小癌,<span style="color: black;">指的是</span>肿瘤直径在10mm以下的甲状腺癌,“微小”与恶性<span style="color: black;">危害</span><span style="color: black;">没</span>关,只跟肿瘤<span style="color: black;">体积</span><span style="color: black;">相关</span>。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-8070416ea2f868e9c52c507942871bda_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;"><strong style="color: blue;">甲状腺乳头状癌高发的<span style="color: black;">原由</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺乳头状癌高发公认的影响<span style="color: black;">原因</span>有:辐射性射线、良性甲状腺结节的病变恶化、遗传、内分泌<span style="color: black;">原因</span>以及<span style="color: black;">膳食</span>等,<span style="color: black;">各样</span>内因和外因都会<span style="color: black;">引起</span>甲状腺乳头状癌的发病率<span style="color: black;">上升</span>;另一个<span style="color: black;">原由</span>是<span style="color: black;">此刻</span>的<span style="color: black;">检测</span>手段更先进,过去<span style="color: black;">检测</span><span style="color: black;">重点</span>靠<span style="color: black;">大夫</span>手摸,很大程度上依赖于<span style="color: black;">大夫</span>本身的经验,而<span style="color: black;">此刻</span><span style="color: black;">检测</span>采用高频彩超且彩超<span style="color: black;">大夫</span><span style="color: black;">亦</span>受过系统培训和学习,非常小的甲状腺乳头状癌都能<span style="color: black;">发掘</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺乳头状癌的确切成因尚<span style="color: black;">没</span><span style="color: black;">结论</span>,到<span style="color: black;">日前</span>为止还<span style="color: black;">无</span>甲状腺乳头状癌<span style="color: black;">基本</span>预防<span style="color: black;">办法</span>,<span style="color: black;">因此</span>早<span style="color: black;">发掘</span>、早诊断、早治疗仍然<span style="color: black;">要紧</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">得了甲状腺乳头状癌怎么办?</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">微小癌在指南上<span style="color: black;">能够</span>先不手术,<span style="color: black;">定时</span>复查<span style="color: black;">评定</span><span style="color: black;">就可</span>。但随着体检超声分辨力<span style="color: black;">加强</span>,越来越多微小癌被<span style="color: black;">发掘</span>,<span style="color: black;">非常多</span><span style="color: black;">病人</span>仅<span style="color: black;">定时</span>复查不做处理总觉得有心理<span style="color: black;">包袱</span>。而传统手术<span style="color: black;">亦</span>面临任何手术的典型<span style="color: black;">危害</span>,<span style="color: black;">包含</span><span style="color: black;">流血</span>、感染和<span style="color: black;">麻木</span>问题。除此之外,甲状腺手术<span style="color: black;">一般</span>会在颈部底部产生 1-2 英寸的疤痕,不仅影响美观,还影响甲状腺功能,全切<span style="color: black;">病人</span><span style="color: black;">必须</span>终身服药,<span style="color: black;">况且</span>皮肤的末梢神经被切断<span style="color: black;">亦</span>不可再生,<span style="color: black;">非常多</span>人颈部会终生有异样感觉。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span><span style="color: black;">初期</span>的乳头状癌而言,除了手术切除等之外,还有一种微创治疗方式--微波消融。原位灭活肿瘤后再随访观察,既达到了治愈肿瘤的目的,又减轻了<span style="color: black;">病人</span>带瘤随访的焦虑。甲状腺微波消融术后只会留下针孔般<span style="color: black;">体积</span>的疤痕,外形上更加美观。乳头状癌消融后<span style="color: black;">通常</span>半年<span style="color: black;">上下</span>就<span style="color: black;">能够</span>被吸收,被正常甲状腺组织增生填充,不影响甲状腺功能,<span style="color: black;">亦</span>不<span style="color: black;">必须</span>终生吃药。近年来,微波消融技术在临床多个<span style="color: black;">行业</span>实现了突破和发展,得到了广大医疗专家的肯定,<span style="color: black;">作为</span>了<span style="color: black;">非常多</span>结节和肿瘤<span style="color: black;">病人</span>的福音,不失为一个好的治疗<span style="color: black;">选取</span>。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-fe53d52651cb93425108c459f759be43_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-94adafcd83171377328ef8f87213e400_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;">△微波消融甲状腺结节术中(图中设备及一次性微波消融针均来自于南京亿高)</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-504bd21569b7570efc3a4f77e6bcb029_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;">△微波消融术前结节<span style="color: black;">明显</span>皮肤表面,术后<span style="color: black;">一月</span><span style="color: black;">没</span>任何疤痕(<span style="color: black;">照片</span><span style="color: black;">源自</span>:南京亿高)</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">[<span style="color: black;">更加多</span>信息查看亿高官网:微波治疗仪-高频电刀-射频消融-南京亿高医疗 (<a style="color: black;"><span style="color: black;">http://</span><span style="color: black;">njeco.cn</span></a>)]</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">什么<span style="color: black;">状况</span>下甲状腺乳头状癌<span style="color: black;">能够</span>采用微波消融术呢?</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">需<span style="color: black;">同期</span>满足以下8条。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①非病理学高危亚型;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②<span style="color: black;">意见</span><span style="color: black;">选取</span>肿瘤直径≤5mm(对肿瘤四周均未紧贴包膜者可放宽至直≤1cm),且结节距离内侧后包膜>2mm;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">③<span style="color: black;">没</span>甲状腺被膜受侵且<span style="color: black;">没</span><span style="color: black;">周边</span>组织侵犯;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">④癌灶不<span style="color: black;">位置于</span>峡部;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">⑤<span style="color: black;">没</span>甲状腺癌家族史;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">⑥<span style="color: black;">没</span>青少年或童年时期颈部放射暴露史;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">⑦<span style="color: black;">没</span>淋巴结或远处转移证据;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">⑧<span style="color: black;">病人</span>经医护人员充分<span style="color: black;">通知</span>后,仍拒绝外科手术,<span style="color: black;">亦</span>拒绝密切随访的。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">怎样</span>预防甲状腺癌?</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">Ø 童年时期<span style="color: black;">尽可能</span>避免接触放射线。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">Ø 有甲状腺家族史的人群<span style="color: black;">定时</span>甲状腺体检<span style="color: black;">初期</span>筛查。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">Ø 有甲状腺<span style="color: black;">疾患</span>的<span style="color: black;">病人</span>如桥甲炎等,<span style="color: black;">定时</span>到医院<span style="color: black;">检测</span>,必要时<span style="color: black;">药品</span><span style="color: black;">干涉</span>,防止病情恶化。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">Ø 关于<span style="color: black;">膳食</span>,在<span style="color: black;">膳食</span>中很难对碘的摄入有<span style="color: black;">知道</span>规定,只需营养<span style="color: black;">平衡</span><span style="color: black;">就可</span>;<span style="color: black;">能够</span>避免<span style="color: black;">长时间</span>高碘<span style="color: black;">食品</span>的摄入。</p>




b1gc8v 发表于 2024-9-30 15:58:48

你的见解真是独到,让我受益匪浅。

m5k1umn 发表于 2024-10-11 02:08:45

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j8typz 发表于 2024-10-18 10:01:36

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7wu1wm0 发表于 2024-10-22 08:44:15

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b1gc8v 发表于 2024-11-3 15:33:34

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