论坛 › 安徽 › 甲状腺癌又上热搜，预防甲状腺癌的最佳办法是按时体检、即时治疗

nykek5i 发表于 2024-6-21 13:23:32

甲状腺癌又上热搜，预防甲状腺癌的最佳办法是按时体检、即时治疗

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/5OUyK6retEYEUGtVZLaaibwD06OSLw9YMvE27TnsHYAGYT9cCT8nPy3a1r8Zibq1BaQFysxN69DeGwz5na1xhLxg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></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;">近期</span>，中国内地女歌手、网络主播冯提莫<span style="color: black;">病患</span>甲状腺癌晚期的<span style="color: black;">信息</span>瞬间引爆<span style="color: black;">博客</span>，在很<span style="color: black;">短期</span>内就冲上热搜<span style="color: black;">第1</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">冯提莫在一档视频访谈节目中<span style="color: black;">叫作</span>，之前停播半年，“是<span style="color: black;">由于</span>身体健康出了点<span style="color: black;">情况</span>，得了一个癌症，甲状腺癌，恶性晚期。”所幸手术很成功，一度嗓子很沙哑，<span style="color: black;">日前</span><span style="color: black;">已然</span>“完全恢复”。</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/zUPlOoPhgabnbGHPoINRZjX0IxyibYBltFTasibNJGUXuxsPJ5JvHHPfGricqDIsFZzxtKAWFhmpD66wSjvicfbsEg/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></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对冯提莫的<span style="color: black;">忽然</span>“爆料”，网友们<span style="color: black;">热榜</span>纷纷。冯提莫年纪轻轻<span style="color: black;">为么</span><span style="color: black;">病患</span>甲状腺癌，还是晚期？还有网友<span style="color: black;">叫作</span>甲状腺癌完全可治愈，一点<span style="color: black;">亦</span>不可怕。今天<span style="color: black;">咱们</span>针对甲状腺癌简要讲几个方面——</span></p><strong style="color: blue;">甲状腺癌类型有<span style="color: black;">那些</span>？</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">甲状腺癌<span style="color: black;">日前</span>可分为四种病理类型：甲状腺乳头状癌、甲状腺滤泡状癌、甲状腺髓样癌和甲状腺未分化癌。</span></span></p>1<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺乳头状癌</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺乳头状癌是最<span style="color: black;">平常</span>的甲状腺恶性肿瘤，占所有甲状腺癌的<span style="color: black;">85%</span><span style="color: black;">上下</span>。甲状腺乳头状癌<span style="color: black;">一般</span><span style="color: black;">无</span><span style="color: black;">显著</span>的临床症状，<span style="color: black;">通常</span>是<span style="color: black;">经过</span>甲状腺触诊和甲状腺<span style="color: black;">B</span>超<span style="color: black;">发掘</span>。癌肿<span style="color: black;">很强</span>时可<span style="color: black;">显现</span>压迫症状，常可压迫气管、食管，<span style="color: black;">显现</span><span style="color: black;">呼气</span>困难、吞咽困难等症状。肿瘤局部侵犯神经时可<span style="color: black;">显现</span>声音嘶哑。<span style="color: black;">出现</span>颈淋巴结转移<span style="color: black;">亦</span>可<span style="color: black;">导致</span><span style="color: black;">显著</span>的颈部肿块，<span style="color: black;">引起</span><span style="color: black;">病人</span>就诊。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺乳头状癌是甲状腺癌预后最好的类型，美国<span style="color: black;">SEER</span>数据库的资料<span style="color: black;">显示</span>，<span style="color: black;">2013</span>年美国甲状腺癌<span style="color: black;">5</span>年<span style="color: black;">存活</span>率<span style="color: black;">已然</span>高达<span style="color: black;">98.2%</span>。</span></p>2<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺滤泡状癌</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;"><span style="color: black;">甲状腺滤泡状癌是甲状腺癌第二大<span style="color: black;">平常</span>分型，发病率</span><span style="color: black;">6</span></span><span style="color: black;">%-10%<span style="color: black;">，</span></span><span style="color: black;">滤泡状癌和乳头状癌起源部位相同、分化<span style="color: black;">状况</span>类似、临床预后相仿、治疗手段一致，因而常常被统<span style="color: black;">叫作</span>为分化型甲状腺癌。</span></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;">滤泡状癌较乳头状癌较少<span style="color: black;">出现</span>淋巴结转移，可<span style="color: black;">初期</span>经血运<span style="color: black;">出现</span>远处转移，转移到肺、肝和骨及中枢神经系统，预后较乳头状癌差，但较髓样癌和未分化癌好。</span></span></p>3<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺髓样癌</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺髓样癌是<span style="color: black;">源自</span>于甲状腺滤泡旁细胞（<span style="color: black;">C</span>细胞）的恶性肿瘤，发病率较低，仅占所有甲状腺癌的<span style="color: black;">2%&nbsp;</span>～&nbsp;<span style="color: black;">3%</span>。髓样癌<span style="color: black;">能够</span>分为散发性和家族性。散发性约占<span style="color: black;">所有</span>髓样癌的<span style="color: black;">70%</span>，好发于<span style="color: black;">50&nbsp;</span>～&nbsp;<span style="color: black;">60</span>岁；家族性髓样癌是常染色体显性遗传<span style="color: black;">疾患</span>，约占<span style="color: black;">所有</span>髓样癌的<span style="color: black;">30%</span>，发病年龄相对较小。甲状腺髓样癌<span style="color: black;">没</span>乳头或滤泡结构，呈未分化状，细胞<span style="color: black;">摆列</span>呈巢状或囊状；瘤内有淀粉样物沉积，可有颈淋巴结侵犯和血行转移。</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;">没</span>论散发性还是家族性髓样癌，预后均较分化型甲状腺癌差。</span></p>4<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺未分化癌</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺未分化癌<span style="color: black;">是由于</span>未分化的甲状腺滤泡细胞<span style="color: black;">形成</span>的高度侵袭性恶性肿瘤，是甲状腺癌中预后最差的一种，中位<span style="color: black;">存活</span>时间仅为<span style="color: black;">5&nbsp;</span>～&nbsp;<span style="color: black;">10</span>个月，<span style="color: black;">病人</span>典型症状为<span style="color: black;">快速</span>增大、质硬、固定的颈部包块伴广泛侵犯<span style="color: black;">周边</span>组织，<span style="color: black;">30%</span>～<span style="color: black;">40%</span>的<span style="color: black;">病人</span>伴有远处转移如肺、骨和脑。</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;">日前</span><span style="color: black;">针对</span>甲状腺未分化癌尚<span style="color: black;">没</span>较好的治疗手段，仅靠手术<span style="color: black;">没</span>法取得良好的疗效。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/5OUyK6retEZvhE3zldr044JDtgc5Dc6Hlq8Z3L11Ccbee5QhUibMRsnbohryicYl6ZXB4Sibe4MpaibkQqC5A8d12A/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;">甲状腺癌<span style="color: black;">怎样</span>筛查？</strong>
    <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;">1.外科体检：</strong></span></strong></span><span style="color: black;">颈部甲状腺触诊<span style="color: black;">检测</span>有<span style="color: black;">必定</span>的概率可<span style="color: black;">发掘</span>甲状腺结节，但触诊只能<span style="color: black;">发掘</span><span style="color: black;">很强</span>的结节，<span style="color: black;">针对</span>较小的结节或<span style="color: black;">必须</span><span style="color: black;">认识</span>结节的内部特征，则需借助超声<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;"><span style="color: black;"><strong style="color: blue;">2.超声<span style="color: black;">检测</span>：</strong></span></strong></span><span style="color: black;">是甲状腺结节最常用且首选的影像学<span style="color: black;">检测</span><span style="color: black;">办法</span>。超声<span style="color: black;">检测</span>操作简便、<span style="color: black;">没</span>创、<span style="color: black;">花费</span>较小，高分辨率超声可检出甲状腺内直径 &gt;2 mm 的微小结节，清晰地<span style="color: black;">表示</span>其边界、形态及内部结构等信息。</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>可对甲状腺结节恶性程度进行<span style="color: black;">评定</span>，可参考下表标准。</span></p><span style="color: black;">甲状腺影像报告</span><span style="color: black;">和数据系统(TI-RADS)<span style="color: black;">归类</span>和恶性<span style="color: black;">危害</span></span><img src="https://mmbiz.qpic.cn/mmbiz_png/vwCb7hsvFM2ibMYIictqzEraUSgxEkELiazMIegkoUIAvRXaEiaZImKp76V1vCfT6ibkPHRtl1PibAVZkz2JPHG5nBNA/640?wx_fmt=png&amp;random=0.4210819412804878&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">当超声报告提示结节<span style="color: black;">归类</span>在4类及以上时，或结节<span style="color: black;">很强</span><span style="color: black;">显现</span>相应的压迫症状如声嘶、吞咽困难等，或伴有甲亢、甲减症状，就应当<span style="color: black;">重视</span>，需<span style="color: black;">即时</span>到医院就诊。</span><strong style="color: blue;">甲状腺癌的治疗<span style="color: black;">办法</span>有<span style="color: black;">那些</span>？</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">日前</span>，甲状腺癌的治疗<span style="color: black;">重点</span><span style="color: black;">包含</span>手术、放射性碘治疗、外放射治疗和靶向<span style="color: black;">药品</span>治疗。</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;">1.手术治疗</strong></span></strong><span style="color: black;">是甲状腺癌的首选治疗<span style="color: black;">办法</span>，<span style="color: black;">通常</span>采用微创手术或次/全甲开刀切除，<span style="color: black;">日前</span>甲状腺微创手术是<span style="color: black;">大夫</span>和<span style="color: black;">病人</span>的首选方式，<span style="color: black;">没</span>创口，最大程度的<span style="color: black;">保存</span>了甲状腺功能，<span style="color: black;">精细</span>度高，能够精确到两毫米，有效避免喉返神经<span style="color: black;">损害</span><span style="color: black;">导致</span>的声音嘶哑，<span style="color: black;">病人</span>在局麻下，20-30分钟完成手术，住院时间短，<span style="color: black;">花费</span>低</span><strong style="color: blue;"><span style="color: black;">。</span></strong></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;">2.放射性碘治疗</strong></span></strong><span style="color: black;"><span style="color: black;">重点</span>用于分化型甲状腺癌，<span style="color: black;">能够</span>消灭残留的甲状腺组织或转移灶，<span style="color: black;">加强</span><span style="color: black;">存活</span>率。</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;"><span style="color: black;"><strong style="color: blue;">3.外放射治疗</strong></span></strong><span style="color: black;"><span style="color: black;">重点</span>用于<span style="color: black;">不可</span>手术或<span style="color: black;">不可</span>接受放射性碘治疗的<span style="color: black;">病人</span>，<span style="color: black;">能够</span>缓解局部压迫症状或<span style="color: black;">掌控</span>肿瘤生长。</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;"><span style="color: black;"><strong style="color: blue;">4.靶向<span style="color: black;">药品</span>治疗</strong></span></strong><span style="color: black;"><span style="color: black;">重点</span>用于晚期或难治性的甲状腺癌，<span style="color: black;">能够</span><span style="color: black;">控制</span>肿瘤血管生成或肿瘤细胞信号通路，延缓肿瘤<span style="color: black;">发展</span>。</span></span></p><strong style="color: blue;"><span style="color: black;">怎样</span>预防和治疗甲状腺癌呢？</strong>
    <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;">1.<span style="color: black;">定时</span>体检</span></strong><span style="color: black;">：<span style="color: black;">定时</span>体检是<span style="color: black;">初期</span><span style="color: black;">发掘</span>甲状腺癌的<span style="color: black;">要紧</span>手段。<span style="color: black;">经过</span><span style="color: black;">定时</span><span style="color: black;">检测</span>甲状腺的<span style="color: black;">体积</span>和形状，<span style="color: black;">能够</span>及早<span style="color: black;">发掘</span>任何<span style="color: black;">反常</span>。</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;"><span style="color: black;">2.自我<span style="color: black;">检测</span></span></strong><span style="color: black;">：<span style="color: black;">每一个</span>人都<span style="color: black;">能够</span><span style="color: black;">经过</span>自我<span style="color: black;">检测</span>来观察甲状腺的变化。<span style="color: black;">办法</span>是用手指轻轻触摸颈部前方，<span style="color: black;">检测</span><span style="color: black;">是不是</span>有肿块或<span style="color: black;">反常</span>。</span></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;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/zUPlOoPhgabnbGHPoINRZjX0IxyibYBlt3jHffTTH7xicqjuKIQNJ4rYV0Ljh1vB0Wrmt6mvibvp4bnibicuTicmtmfw/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></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;">3.高<span style="color: black;">危害</span>人群筛查</span></strong><span style="color: black;">：有些人患甲状腺癌的<span style="color: black;">危害</span>更高，例如有家族史、曾经接受过头颈部放射治疗或有甲状腺结节的人。<span style="color: black;">针对</span>这些人群，应<span style="color: black;">定时</span>进行甲状腺超声<span style="color: black;">检测</span>。</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;"><span style="color: black;">4.及早治疗</span></strong><span style="color: black;">：<span style="color: black;">倘若</span>被诊断出<span style="color: black;">身患</span>甲状腺癌，及早治疗是至关<span style="color: black;">要紧</span>的。治疗<span style="color: black;">办法</span><span style="color: black;">包含</span>手术切除甲状腺、放射治疗和化疗等。治疗<span style="color: black;">方法</span>将<span style="color: black;">按照</span><span style="color: black;">病人</span>的<span style="color: black;">详细</span><span style="color: black;">状况</span>而定。</span></span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/5OUyK6retEaicibAAPH9stOuvdQu9lXgLkcjRJaPUbVpL02FdjORzaDXgbAIglbWjFRIaZy0NXHHjibruv2Gk3ia7A/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/5OUyK6retEaicibAAPH9stOuvdQu9lXgLkWSqqr0bT4kajFY1HODjz9wPlgt2vb5mzrNVzCgdA2biajlhVRX6qLqQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><strong style="color: blue;">END</strong><strong style="color: blue;">历</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">2023年全国老年健康宣传周全民科普答</a>题<span style="color: black;">起步</span></p><strong style="color: blue;">史</strong>
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wrjc1hod 发表于 2024-10-3 20:50:14

楼主继续加油啊！外链论坛加油！

qzmjef 发表于 2024-11-7 11:53:28

你的见解独到，让我受益匪浅，非常感谢。

nykek5i 发表于 2024-11-13 08:19:47

太棒了、厉害、为你打call、点赞、非常精彩等。

查看完整版本: 甲状腺癌又上热搜，预防甲状腺癌的最佳办法是按时体检、即时治疗