甲状腺癌科普之一——认识甲状腺癌
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺癌<span style="color: black;">作为</span>发病率<span style="color: black;">提升</span>最快的实体肿瘤，在女性癌症中排第五位。在我国甲状腺癌发病率在过去10年增长了近5倍，女性癌症中居第4位，部分城市排名<span style="color: black;">第1</span>。什么是甲状腺癌？什么<span style="color: black;">原由</span><span style="color: black;">引起</span>甲状腺癌发病率如此之高？诊断了甲状腺癌怎么办？<span style="color: black;">怎样</span>预防甲状腺癌？</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROCcxssewhUITL6jJ8XU1ObuiaiaQU89SwlhA8OOwTbWmzg6pg1okziaWWQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROwDRXaRicPaaZibicZwNBT7jIeC4TT5UCSUncvGnqkicPAdSw9ibMkicXw8UA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><strong style="color: blue;">甲状腺是什么？甲状腺癌又是什么东东？</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺是人体<span style="color: black;">要紧</span>的内分泌器官之一</span><span style="color: black;">，它分泌的甲状腺素是维持人体代谢的<span style="color: black;">要紧</span>激素，甲状腺素少了新生儿会智力低下，儿童<span style="color: black;">生长</span>迟缓，成人记忆<span style="color: black;">衰退</span>，准妈妈流产，甲状腺素多了甲亢，<span style="color: black;">因此</span>要不多不少。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺内细胞<span style="color: black;">出现</span>癌变产生的甲状腺恶性肿瘤<span style="color: black;">便是</span>甲状腺癌，<span style="color: black;">重点</span>分为乳头状癌、滤泡状癌、髓样癌、未分化癌四种。每一种癌均各有特点，临床表现、治疗<span style="color: black;">办法</span>和预后<span style="color: black;">亦</span>不尽相同。<span style="color: black;">咱们</span>常说的“甲状腺癌效果好”只<span style="color: black;">指的是</span><span style="color: black;">初期</span>的分化型甲状腺癌（乳头状癌、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;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROa8fQx0pY77fGXTiaGcjVlq8R8XbwyYsZg0W4aibXtHa1tUejgfraMUMw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span><span style="color: black;">甲状腺在人体的位置</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROwDRXaRicPaaZibicZwNBT7jIeC4TT5UCSUncvGnqkicPAdSw9ibMkicXw8UA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><strong style="color: blue;">以前怎么<span style="color: black;">无</span>听说过这个癌呢？什么<span style="color: black;">原由</span><span style="color: black;">引起</span>其发病率如此之高？</strong></span> </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺癌如此高发一方面是<span style="color: black;">此刻</span>的<span style="color: black;">检测</span>手段先进了，过去<span style="color: black;">检测</span>靠<span style="color: black;">大夫</span>手摸，当然<span style="color: black;">不易</span><span style="color: black;">发掘</span>，<span style="color: black;">此刻</span>都用高频彩超了<span style="color: black;">况且</span>彩超<span style="color: black;">大夫</span>个个都很牛了，非常小的甲状腺癌都能<span style="color: black;">发掘</span>；另一方面则是<span style="color: black;">各样</span>内因和外因<span style="color: black;">引起</span>甲状腺癌的发病率<span style="color: black;">上升</span>。甲状腺癌的确切成因尚<span style="color: black;">没</span><span style="color: black;">结论</span>，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>。到<span style="color: black;">日前</span>为止还<span style="color: black;">无</span>甲状腺癌<span style="color: black;">基本</span>预防<span style="color: black;">办法</span>，<span style="color: black;">因此</span></span><span style="color: black;">早<span style="color: black;">发掘</span>、早诊断、早治疗</span><span style="color: black;">仍然<span style="color: black;">要紧</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROtRzrzpu1ImicRR7gsBFJR2El5iaZ5elOQgscg4TLqZR6RcGINw06yEPQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span><span style="color: black;">甲状腺癌的<span style="color: black;">彩超</span>图像</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;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROwDRXaRicPaaZibicZwNBT7jIeC4TT5UCSUncvGnqkicPAdSw9ibMkicXw8UA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></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;"><span style="color: black;">怎样</span>早<span style="color: black;">发掘</span>甲状腺癌？</span></strong> </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">①<span style="color: black;">一般</span>情况下，颈部彩超<span style="color: black;">检测</span><span style="color: black;">没</span>创伤、<span style="color: black;">没</span>辐射、<span style="color: black;">能够</span>多次<span style="color: black;">检测</span>，<span style="color: black;">经过</span>彩超基本<span style="color: black;">能够</span><span style="color: black;">发掘</span>大<span style="color: black;">都数</span>的甲状腺结节，牛逼的彩超<span style="color: black;">大夫</span><span style="color: black;">能够</span>确定结节的良恶性；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">②接下来<span style="color: black;">通常</span>是<span style="color: black;">意见</span>做血清甲状腺免疫功能<span style="color: black;">检测</span>看甲状腺功能有<span style="color: black;">无</span>问题；<span style="color: black;">倘若</span><span style="color: black;">可疑</span>髓样癌的还要查血清降钙素，癌胚抗原；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">③彩超<span style="color: black;">可疑</span>有不良影像的结节，再行细针穿刺细胞学<span style="color: black;">检测</span>，<span style="color: black;">加强</span>了恶性肿瘤的确诊率；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">④还有肿瘤的分子诊断，许多恶性肿瘤都有癌基因表达，甲状腺癌<span style="color: black;">亦</span>不例外。这些<span style="color: black;">检测</span><span style="color: black;">办法</span>以后祥聊。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROgSs1liaLQ5RI3G1vYkwaU0gUazLEcDFjyuicickRJbASEj7O0Azicma7yw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span><span style="color: black;"><span style="color: black;">彩超</span>引导下甲状腺结节穿刺细胞学<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;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROwDRXaRicPaaZibicZwNBT7jIeC4TT5UCSUncvGnqkicPAdSw9ibMkicXw8UA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></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;">诊断了甲状腺癌怎么办：</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;">针对</span>乳头状癌、滤泡状癌和髓样癌<span style="color: black;"><span style="color: black;">首要</span><span style="color: black;">选取</span>手术治疗，不<span style="color: black;">必须</span>放化疗</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLRO7iapVib14gzxgmRvb68ibBz2tvlKGaXUhKPqaSJbQQSib33LMPtibhGmxWQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;">注：碘131治疗不是人人都<span style="color: black;">必须</span>哦！要听专科<span style="color: black;">大夫</span>意见！</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROZ6RYDJ1GYFzPz6mDA8heQ8Cb4w0Ljv1EGSVtyNibtgrP0GO5yomICicw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><span style="color: black;">倘若</span>患的是未分化癌就非常不幸了，大<span style="color: black;">都数</span>就诊时已<span style="color: black;">没</span>法手术，<span style="color: black;">能够</span>放化疗和靶向<span style="color: black;">药品</span>治疗，预后很差。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROwDRXaRicPaaZibicZwNBT7jIeC4TT5UCSUncvGnqkicPAdSw9ibMkicXw8UA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">怎样</span>预防甲状腺癌？</span></strong></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;">①</span>童年时期<span style="color: black;">尽可能</span>避免接触放射线。</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;">②</span>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。</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;">③</span>有甲状腺<span style="color: black;">疾患</span>的<span style="color: black;">病人</span>如桥甲炎，<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>。</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;">④</span>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。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（以上<span style="color: black;">照片</span>来自互联网） </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROwDRXaRicPaaZibicZwNBT7jIeC4TT5UCSUncvGnqkicPAdSw9ibMkicXw8UA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><img src="http://mmbiz.qpic.cn/mmbiz/Vgcm0bBvRPkTWpR2FsxFWXyOaPD4cLROT3rz27l9zhaNaX8Fy5BMEECsI1dXTUlUnpgd5AibsvDqGNV2QI2IzHQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&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;"><strong style="color: blue;">王朝晖 </strong><strong style="color: blue;"><span style="color: black;">专家</span>医师</strong><strong style="color: blue;">/</strong><strong style="color: blue;">硕导 </strong><strong style="color: blue;">头颈外科</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">四川省有<span style="color: black;">明显</span>贡献的优秀专家</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">四川省卫生计生委学术技术带头人</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">中国抗癌协会甲状腺癌专委会委员</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">中国医师协会外科医师分会甲状腺外科医师委员会委员</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;">专业介绍：</strong><span style="color: black;">长时间</span>从事头颈、颌面外科<span style="color: black;">疾患</span>诊治，甲状腺癌手术及综合治疗有较深临床造诣，<span style="color: black;">善于</span>甲状腺肿瘤和口腔耳鼻咽喉等头颈肿瘤的规范性治疗及功能重建，系西部该<span style="color: black;">行业</span>学术技术带头人。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">门诊时间：周一上午</strong></p>
感谢你的精彩评论，带给我新的思考角度。 这夸赞甜到心里，让我感觉温暖无比。 你的见解真是独到，让我受益良多。
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