不是所有甲状腺癌都必要手术切！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近年来甲状腺癌发病率<span style="color: black;">始终</span>在攀升，<span style="color: black;">亦</span>越来越<span style="color: black;">导致</span>人们的<span style="color: black;">注意</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-b2ad3cb58f83cb7882b017378e51fd19_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，<span style="color: black;">包含</span>乳头状癌、滤泡状癌、未分化癌和髓样癌四种病理类型。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其中乳头状癌最<span style="color: black;">平常</span>，生活中<span style="color: black;">非常多</span>人将这种甲状腺癌<span style="color: black;">叫作</span>作“懒癌”，这是<span style="color: black;">由于</span>大<span style="color: black;">都数</span>甲状腺<span style="color: black;">病人</span>在<span style="color: black;">初期</span>症状并不<span style="color: black;">显著</span>，对生活的影响<span style="color: black;">亦</span>不严重，有比<span style="color: black;">很强</span>的救治空间。</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>，甲状腺乳头状癌之<span style="color: black;">因此</span>被<span style="color: black;">叫作</span>为“懒癌”，是<span style="color: black;">由于</span>它病程发展较慢，救治机会<span style="color: black;">很强</span>。虽然恶性肿瘤都对健康有<span style="color: black;">必定</span>的损害，但随着体检中<span style="color: black;">彩超</span><span style="color: black;">检测</span>的普及，甲状腺癌尤其是<span style="color: black;">少于</span>1公分的甲状腺微小癌，<span style="color: black;">发掘</span>率<span style="color: black;">亦</span>越来越高。而甲状腺癌<span style="color: black;">初期</span>的<span style="color: black;">病人</span>，经过<span style="color: black;">即时</span>治疗，<span style="color: black;">通常</span>均可<span style="color: black;">得到</span>较满意的治疗效果，预后<span style="color: black;">亦</span>比较好。<span style="color: black;">因此呢</span>，有人戏<span style="color: black;">叫作</span>甲状腺癌是最幸福的癌，并不<span style="color: black;">必须</span>谈癌色变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随着医疗技术的发展，<span style="color: black;">日前</span>一部分甲状腺乳头状癌<span style="color: black;">已然</span>不<span style="color: black;">必须</span>手术切除，避免了脖子上长长的刀口，更<span style="color: black;">要紧</span>的是，<span style="color: black;">亦</span><span style="color: black;">能够</span>避免了切除后的<span style="color: black;">长时间</span>服药“优甲乐”治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>《甲状腺良性结节、微小癌及颈部转移性淋巴结热消融治疗专家共识(2018版)》，以下甲状腺癌<span style="color: black;">能够</span>做“<span style="color: black;">没</span>疤”消融治疗，供<span style="color: black;">大众</span>参考：</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">适应证需<span style="color: black;">同期</span>满足以下9条。</h2>
<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径≤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>多灶性甲状腺癌;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6.<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;">7.<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;">8.<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;">9.<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;">尽管甲状腺乳头状癌被<span style="color: black;">叫作</span>为懒癌，但还是有一部分会<span style="color: black;">出现</span>复发和转移。</p>
楼主的文章深得我心，表示由衷的感谢！ 期待楼主的下一次分享！”
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