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5ep9lzv 发表于 2024-6-15 09:00:15

小疙瘩不痛不痒竟是癌？癌症的10大征兆要晓得 | 科普多一点

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">腋窝摸到一颗小疙瘩</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">不痛不痒</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">！！！</span></strong>最后竟是癌！！！</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">据浙江大学医学院<span style="color: black;">附庸</span>邵逸夫医院介绍，2023年年底，徐女士（化名）<span style="color: black;">没</span>意中<span style="color: black;">发掘</span>右侧腋窝长了一枚蚕豆<span style="color: black;">体积</span>的结节，不痛不痒，<span style="color: black;">由于</span>当时正好忙，以为是<span style="color: black;">疲劳</span><span style="color: black;">导致</span>，并未<span style="color: black;">留意</span>。不想腋窝的结节越来越大，于是到医院就诊。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLadjUd4HYIZe2obopTYlib6o842mG6RibEt7py00iarKrwagbcKQYCeyphzmlnekstaB4wAibgL1xnbZ6A/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">健康时报图</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">徐女士以为是自己平时太累了，手用得多，腋窝下有点发炎。但经过查体后，浙江大学医学院<span style="color: black;">附庸</span>邵逸夫医院乳腺外科<span style="color: black;">大夫</span>却<span style="color: black;">意见</span>徐女士进一步<span style="color: black;">检测</span>，要<span style="color: black;">瞧瞧</span><span style="color: black;">是否</span>乳腺癌。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">徐女士接受了腋下肿块穿刺活检，穿刺病理结果：转移性癌。后续又进行PET-CT等<span style="color: black;">检测</span>，排除了其他的<span style="color: black;">源自</span>，确诊了隐匿性乳腺癌。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">浙江大学医学院<span style="color: black;">附庸</span>邵逸夫医院肿瘤外科<span style="color: black;">专家</span>医师谢树夺在医院公号刊文中表示，隐匿性乳腺癌以腋窝淋巴结转移癌为<span style="color: black;">重点</span>表现，而临床体检及乳腺X线及超声均未<span style="color: black;">发掘</span>乳腺内原发癌。<span style="color: black;">少许</span>病例是在身体除了乳腺的其他部位<span style="color: black;">发掘</span>转移癌。隐匿性乳腺癌因其“隐匿”的特点，<span style="color: black;">因此呢</span>临床误诊漏诊率高。<span style="color: black;">①</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">虽然有些癌症<span style="color: black;">初期</span>症状不<span style="color: black;">显著</span>，但还是会有<span style="color: black;">有些</span>蛛丝马迹，<span style="color: black;">大众</span>务必要留意。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">癌症<span style="color: black;">出现</span>前的10大征兆</span></strong><strong style="color: blue;"><span style="color: black;">要留意</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其实<span style="color: black;">非常多</span>癌症让人害怕，就在于判断不准<span style="color: black;">初期</span>症状，容易<span style="color: black;">错失</span>。癌症<span style="color: black;">出现</span>前有<span style="color: black;">无</span>什么征兆呢？当然有。江西省赣州市肿瘤医院放疗技术科医师蔡艳在医院公众号刊文中<span style="color: black;">暗示</span>，癌症是不会<span style="color: black;">忽然</span><span style="color: black;">出现</span>的，而是一点点堆积出来的，有以下10个表现。<span style="color: black;">②</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">1. </strong></span><span style="color: black;">体重飞速下降。<span style="color: black;">通常</span>体重下降<span style="color: black;">重点</span>和糖尿病、甲亢、恶性肿瘤<span style="color: black;">相关</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">2. </strong></span><span style="color: black;">反复咳嗽。普通咳嗽<span style="color: black;">通常</span>两周<span style="color: black;">上下</span>就<span style="color: black;">能够</span>恢复，<span style="color: black;">倘若</span><span style="color: black;">长时间</span>咳嗽就要<span style="color: black;">警觉</span>肺癌了。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">3. </strong></span><span style="color: black;"><span style="color: black;">长时间</span>的口腔溃疡。舌头白斑<span style="color: black;">始终</span>不愈合，可能是癌症的一个信号。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">4. </strong></span><span style="color: black;">吞咽哽噎。这种<span style="color: black;">状况</span>很少<span style="color: black;">显现</span>，但<span style="color: black;">倘若</span><span style="color: black;">显现</span>，并伴有胸骨后的胀痛，要<span style="color: black;">警觉</span>食道癌。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">5.</strong></span><span style="color: black;">咽喉<span style="color: black;">病痛</span>。<span style="color: black;">倘若</span><span style="color: black;">无</span>症状时<span style="color: black;">显现</span>的嘶哑<span style="color: black;">病痛</span>，难以下咽，要<span style="color: black;">警觉</span>甲状腺癌和喉癌。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">6.</strong></span><span style="color: black;">排便<span style="color: black;">反常</span>。<span style="color: black;">倘若</span>排便形状、次数<span style="color: black;">出现</span>改变，<span style="color: black;">小心</span>肠癌。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">7. </strong></span><span style="color: black;"><span style="color: black;">连续</span>性的发热，并伴有乏力、食欲不振等<span style="color: black;">状况</span>，这就<span style="color: black;">必须</span><span style="color: black;">导致</span><span style="color: black;">注意</span>了。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">8. </strong></span><span style="color: black;">淋巴结肿大。<span style="color: black;">通常</span><span style="color: black;">是由于</span>发炎<span style="color: black;">导致</span>的，但<span style="color: black;">倘若</span><span style="color: black;">长期</span>不消肿，摸着有硬块，<span style="color: black;">无</span>任何的<span style="color: black;">病痛</span>，就要<span style="color: black;">警觉</span>肿瘤的可能性。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">9. </strong></span><span style="color: black;"><span style="color: black;">没</span>缘<span style="color: black;">没</span>故的阴道<span style="color: black;">流血</span>，要<span style="color: black;">警觉</span>宫颈癌<span style="color: black;">或</span>癌前病变。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">10.</strong></span><span style="color: black;">头痛加重，<span style="color: black;">同期</span><span style="color: black;">显现</span>恶心、呕吐<span style="color: black;">状况</span>，不要<span style="color: black;">忽略</span>。</span></p><span style="color: black;">预防癌症，需要做到“早<span style="color: black;">发掘</span>、早诊断、早治疗”，提倡每年一次体检。当<span style="color: black;">咱们</span>的身体发出信号时<span style="color: black;">必定</span>要<span style="color: black;">即时</span><span style="color: black;">看病</span>。</span><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/pSPpMZ6hLadjUd4HYIZe2obopTYlib6o8Y1GEibP4zSQnvWo0eUK7OugZibxqyROBVlc3y1vfk0lOKJJLicadAe6Vg/640?wx_fmt=jpeg&amp;from=appmsg&amp;wxfrom=5&amp;tp=webp&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">健康时报图 曹子豪摄</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">这几个身体指标<span style="color: black;">反常</span></span></strong><strong style="color: blue;"><span style="color: black;">要<span style="color: black;">小心</span></span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">厦门大学<span style="color: black;">附庸</span>中山医院肿瘤科<span style="color: black;">专家</span>医师潘战和曾<span style="color: black;">按照</span><span style="color: black;">平常</span>临床癌症<span style="color: black;">病人</span>体检报告经常<span style="color: black;">显现</span>“指标<span style="color: black;">反常</span>”进行了总结，提醒<span style="color: black;">大众</span>多加留意。<span style="color: black;">③</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">1. 血常规<span style="color: black;">检测</span><span style="color: black;">反常</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">血常规<span style="color: black;">重点</span><span style="color: black;">包含</span>白细胞、红细胞、血小板。<span style="color: black;">倘若</span><span style="color: black;">显现</span><span style="color: black;">显著</span><span style="color: black;">反常</span>，可能提示恶性肿瘤可能，得进一步<span style="color: black;">检测</span>。<span style="color: black;">倘若</span>这些指标只是轻度<span style="color: black;">上升</span>或降低，<span style="color: black;">不消</span>太担心。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（1）</strong></span><span style="color: black;">白细胞<span style="color: black;">显著</span><span style="color: black;">上升</span>伴血红蛋白降低（贫血）和血小板减少（容易<span style="color: black;">流血</span>），要<span style="color: black;">警觉</span>急性非淋巴细胞白血病、慢性粒细胞白血病；非血液系统的恶性肿瘤有时<span style="color: black;">亦</span>会<span style="color: black;">显现</span>白细胞的<span style="color: black;">反常</span><span style="color: black;">显著</span><span style="color: black;">上升</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（2）</strong></span><span style="color: black;">淋巴细胞为主的白细胞<span style="color: black;">显著</span><span style="color: black;">上升</span>，要<span style="color: black;">重视</span>排查淋巴细胞性白血病可能。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（3）</strong></span><span style="color: black;">白细胞、红细胞和血小板<span style="color: black;">同期</span>减少，三个指标<span style="color: black;">同期</span>减少<span style="color: black;">平常</span>于所有类型的急性白血病。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（4）</strong></span><span style="color: black;">血小板计数<span style="color: black;">上升</span>，<span style="color: black;">亦</span>见于非血液系统恶性肿瘤，<span style="color: black;">例如</span>肺癌、肠癌等。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（5）</strong></span><span style="color: black;">血红蛋白降低，<span style="color: black;">非常多</span>癌症发展到<span style="color: black;">必定</span>程度可能会<span style="color: black;">显现</span>血红蛋白降低（贫血）。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">2. 血生化<span style="color: black;">检测</span><span style="color: black;">反常</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">重点</span><span style="color: black;">包含</span>肝肾功能以及血糖血脂、心肌酶、电解质等。<span style="color: black;">倘若</span><span style="color: black;">显现</span>某些指标的<span style="color: black;">反常</span><span style="color: black;">亦</span>要<span style="color: black;">警觉</span>癌症可能，得去进一步<span style="color: black;">检测</span>排查。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（1）</strong></span><span style="color: black;">肝功能转氨酶和胆红素<span style="color: black;">反常</span>。<span style="color: black;">一般</span><span style="color: black;">暗示</span>肝肾胰有问题，其中<span style="color: black;">包含</span>恶性肿瘤。<span style="color: black;">针对</span>肝功能指标<span style="color: black;">反常</span>，要进一步<span style="color: black;">检测</span>以排查肝胆胰方面的<span style="color: black;">疾患</span>，当然<span style="color: black;">亦</span><span style="color: black;">包含</span>肝癌、胆管癌、胰腺癌等恶性肿瘤。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（2）</strong></span><span style="color: black;">碱性磷酸酶<span style="color: black;">显著</span><span style="color: black;">上升</span>。<span style="color: black;">重视</span>排查骨肿瘤（<span style="color: black;">包含</span>原发骨肿瘤和其他癌症骨转移）和肝脏肿瘤。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">（3）</strong></span><span style="color: black;">血钙<span style="color: black;">显著</span><span style="color: black;">上升</span>。肿瘤骨转移<span style="color: black;">出现</span>骨破坏，血钙可能会<span style="color: black;">上升</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">3. 超声<span style="color: black;">检测</span><span style="color: black;">反常</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">即最<span style="color: black;">平常</span>的<span style="color: black;">彩超</span>、彩超，<span style="color: black;">重点</span>用于甲状腺、浅表淋巴结、乳腺、心脏、肝胆胰脾、泌尿系统（肾脏、输尿管、膀胱、前列腺等）、女性子宫卵巢输卵管等的<span style="color: black;">检测</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">超声<span style="color: black;">检测</span>报告中<span style="color: black;">倘若</span><span style="color: black;">显现</span>下面这些字眼，要<span style="color: black;">警觉</span>恶性肿瘤可能：低回声或极低回声、实性结节、边缘<span style="color: black;">不但</span>整（成角、有毛刺等）或不清晰、形态不规则、纵横比大于1、微小钙化（沙砾样钙化）、血流丰富信号等。但切记<span style="color: black;">不可</span>简单对号入座，还<span style="color: black;">必须</span>进一步<span style="color: black;">检测</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">4. CT<span style="color: black;">检测</span><span style="color: black;">反常</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">常规体检很少做CT，<span style="color: black;">重点</span>用于肺癌筛查。肺部CT<span style="color: black;">发掘</span>肺结节<span style="color: black;">重点</span>有三类：实性结节、部分实性结节、磨玻璃结节。三者中，实性结节相对最为安全，磨玻璃结节次之，部分实性结节相对最危险。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span>肺结节带毛刺、边缘不规则、生长快、磨玻璃内部<span style="color: black;">显现</span>实性<span style="color: black;">成份</span>，就要高度<span style="color: black;">可疑</span>恶性可能。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">5. 肿瘤标志物<span style="color: black;">反常</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肿瘤标志物跟肿瘤的关系相对<span style="color: black;">来讲</span>更特异<span style="color: black;">有些</span>，但<span style="color: black;">亦</span><span style="color: black;">一样</span><span style="color: black;">不可</span>简单地对号入座。肿瘤标志物<span style="color: black;">上升</span>，并不<span style="color: black;">必定</span>是得了癌症，而得了癌症的人<span style="color: black;">亦</span>完全<span style="color: black;">能够</span>肿瘤标志物正常。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">体检<span style="color: black;">发掘</span>肿瘤标志物<span style="color: black;">上升</span>，<span style="color: black;">意见</span>找肿瘤专科<span style="color: black;">大夫</span>咨询，<span style="color: black;">大夫</span>会<span style="color: black;">按照</span><span style="color: black;">详细</span><span style="color: black;">状况</span>，综合多方面的<span style="color: black;">原因</span>分析，有的<span style="color: black;">定时</span>随访复查就<span style="color: black;">能够</span>，有的要进一步做针对性<span style="color: black;">检测</span>。</span></p><span style="color: black;">本文综合自：</span>
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听听海 发表于 2024-9-10 15:21:15

同意、说得对、没错、我也是这么想的等。

qzmjef 发表于 2024-10-26 13:04:37

你的见解真是独到，让我受益匪浅。

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