拿到体检报告心里咯噔！有反常指标？等等！医生专家告诉你：哪些嫑多虑，哪些须注意
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">又到一年体检季，</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">当体检报告拿到手，</strong></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;">你<span style="color: black;">晓得</span><span style="color: black;">那些</span>指标<span style="color: black;">反常</span><span style="color: black;">没</span>须多虑，</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;">那些</span>指标<span style="color: black;">反常</span><span style="color: black;">必须</span>高度<span style="color: black;">注意</span>，</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">乃至</span>与肿瘤<span style="color: black;">相关</span>吗？</strong></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;">一块</span><span style="color: black;">认识</span>一下——</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">体检项目中</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">这些跟肿瘤<span style="color: black;">相关</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">体检项目与肿瘤息息<span style="color: black;">关联</span>的，</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">重点</span><span style="color: black;">包含</span></span></strong><span style="color: black;"><strong style="color: blue;">这9类</strong></span><strong style="color: blue;"><span style="color: black;">：</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■肿瘤标志物检测</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■<span style="color: black;">彩超</span><span style="color: black;">检测</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■胃、肠镜</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■胸片</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■基因检测</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■粪便<span style="color: black;">检测</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■妇科宫颈涂片或TCT</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■乳腺钼钯摄片</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■核磁共振<span style="color: black;">检测</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q4.itc.cn/q_70/images03/20240419/8c5acb6831d54c6caf64729700a230bc.gif" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">实质</span>体检中，<span style="color: black;"><strong style="color: blue;">这项肿瘤检测项目不必全都做</strong></span>，但<span style="color: black;">亦</span><span style="color: black;"><strong style="color: blue;">需<span style="color: black;">按照</span><span style="color: black;">自己</span><span style="color: black;">状况</span>进行科学搭配</strong></span>。<span style="color: black;">例如</span>，<span style="color: black;">不可</span>一上来就做核磁进行全身扫描；再<span style="color: black;">例如</span>，单纯<span style="color: black;">选取</span>做肿瘤标志物这一项，<span style="color: black;">亦</span>是不<span style="color: black;">恰当</span>的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肿瘤标志物除了与肿瘤<span style="color: black;">相关</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">还受这些<span style="color: black;">原因</span>影响</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">良性<span style="color: black;">疾患</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">如<span style="color: black;"><strong style="color: blue;">慢性肝病、慢性肾病、胆石症、糖尿病以及<span style="color: black;">吃下</span>过某些<span style="color: black;">药品</span></strong></span>等。例如<span style="color: black;">身患</span>肝肾囊肿的<span style="color: black;">病人</span>，其血清癌胚抗原（CEA）和胰腺、肠癌<span style="color: black;">关联</span>抗原CA19-9等会<span style="color: black;">上升</span>，<span style="color: black;">乃至</span>超过正常值多倍。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">身体炎症、生理变化、生活习惯</strong></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;">身体有点炎症</strong></span><span style="color: black;"><span style="color: black;">亦</span>会<span style="color: black;">引起</span>肿瘤标志物指标<span style="color: black;">上升</span></span>，并且像怀孕、吸烟、酗酒等<span style="color: black;"><strong style="color: blue;">生理变化和不良生活习惯</strong></span><span style="color: black;"><span style="color: black;">亦</span>会<span style="color: black;">引起</span>其<span style="color: black;">上升</span></span>。<span style="color: black;"><strong style="color: blue;">与宠物过于亲密接触</strong></span><span style="color: black;">亦</span>会<span style="color: black;">引起</span>肿瘤标志物的<span style="color: black;">上升</span>，医学上<span style="color: black;">叫作</span>为假阳性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q6.itc.cn/q_70/images03/20240419/9da9f0f9e9d641bba900c3a11a768762.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">检测干扰</strong></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;">抽血时的污染、抽血<span style="color: black;">导致</span>的红细胞破裂、标本<span style="color: black;">保留</span><span style="color: black;">欠妥</span>、试剂差异及检测欠规范</strong></span>等<span style="color: black;">原因</span><span style="color: black;">亦</span>会干扰<span style="color: black;">检测</span>结果。有些肿瘤细胞分泌的肿瘤标志物很少，<span style="color: black;">亦</span>会影响其在<span style="color: black;">初期</span>癌症筛查中的准确性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3类人应重点关注</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肿瘤指标物</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">易患肿瘤的高危人群</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">如<span style="color: black;"><strong style="color: blue;">40岁以上的肝炎、肝硬化<span style="color: black;">病人</span></strong></span>，<span style="color: black;"><strong style="color: blue;">60岁以上<span style="color: black;">身患</span>前列腺肥大的老年<span style="color: black;">病人</span></strong></span>，<span style="color: black;"><strong style="color: blue;">有肿瘤家族史的人</strong></span>等，<span style="color: black;">必须</span>有针对性地进行肝癌、前列腺癌等肿瘤标志物检测。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q7.itc.cn/q_70/images03/20240419/3f9acd6002e14918bf16b3d4d44727ce.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">疑似肿瘤<span style="color: black;">病人</span></strong></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;">有些</span><span style="color: black;">病人</span>在影像<span style="color: black;">检测</span>中<span style="color: black;">发掘</span>疑似癌症</strong></span><span style="color: black;">，例如<span style="color: black;">发掘</span>卵巢肿物疑似卵巢癌，<span style="color: black;">发掘</span>肺有磨玻璃结节疑似肺癌等，就<span style="color: black;">必须</span>做肿瘤标志物检测来辅助诊断和初步分型，但<span style="color: black;">最后</span>的诊断依据仍是病理及影像学等。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肿瘤<span style="color: black;">病人</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肿瘤标志物在<span style="color: black;"><strong style="color: blue;">肿瘤<span style="color: black;">病人</span>的预后判断、疗效观察及复发监测</strong></span>等方面有<span style="color: black;">要紧</span>参考价值。如肿瘤<span style="color: black;">病人</span>术后，</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■肿瘤标志物指标<span style="color: black;">显著</span>下降，可能提示治疗有效；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■变化不大<span style="color: black;">乃至</span>还<span style="color: black;">上升</span>，可能疗效欠佳；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■下降又<span style="color: black;">上升</span>，提示有复发的可能。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不想癌症“静悄悄”地来</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;">认识</span>、防治、筛查</strong></span>尤为<span style="color: black;">要紧</span>！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">正值第三十届全国肿瘤防治宣传周</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（4月15日至21日）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">上海市总工会女职工委员会</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">携手复旦大学<span style="color: black;">附庸</span>肿瘤医院</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">推出——</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/q_70/images03/20240419/520154caeaf84f16a2598ce5bf3dc0db.jpeg" 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="//q9.itc.cn/q_70/images03/20240419/c5b69fb60dd14505bbb1488d572bdc2a.gif" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">第 五 讲</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肿瘤指标的<span style="color: black;">恰当</span><span style="color: black;">诠释</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由复旦大学<span style="color: black;">附庸</span>肿瘤医院</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">检验科、<span style="color: black;">精细</span>中心副<span style="color: black;">专家</span></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;">卢仁泉</span></strong><span style="color: black;">开讲</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/q_70/images03/20240419/ddd6a6b2e134484bb00f541b9ece6a0d.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">什么是肿瘤标志物（TM）？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■存在于肿瘤细胞内或细胞膜表面物质，由肿癌细胞表达分泌入血液、其它体液及组织中；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">■由机体对肿瘤反生免疫反应而产生并进入体液或组织中的物质；</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;">这两类物质都<span style="color: black;">能够</span>被临床检测到</span></strong>，并用于<span style="color: black;">指点</span>肿瘤的诊断和治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/q_70/images03/20240419/ddd6a6b2e134484bb00f541b9ece6a0d.png" style="width: 50%; margin-bottom: 20px;"></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;">肿瘤指标正常，<span style="color: black;">是不是</span>没患癌？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">■</span><strong style="color: blue;"><span style="color: black;">TM的器官特异性和肿瘤特异性均不太理想</span></strong><span style="color: black;">，既存在在肿瘤中，<span style="color: black;">亦</span>存在于正<span style="color: black;">一般人</span>和非肿瘤<span style="color: black;">病人</span>血液和体液中；</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;">各人的<span style="color: black;">基本</span>TM水平不同，<span style="color: black;">不可</span>单凭超过参考范围进行诊断</span></strong>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一块</span>来认真听讲</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">⬇️</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/q_70/images03/20240419/a78bcfd4b79f4609b94202c5ad383ec0.gif" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">预告</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/q_70/images03/20240419/a78bcfd4b79f4609b94202c5ad383ec0.gif" style="width: 50%; margin-bottom: 20px;"></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;">第六讲</span></strong></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;">《八段锦功法演示》</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">将于下周一（4月22日）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">精彩上线，敬请期待～</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">想要<span style="color: black;">认识</span><span style="color: black;">更加多</span>内容</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">进入【申工社】<span style="color: black;">微X</span>公众号</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">点击<strong style="color: blue;"><span style="color: black;">【工社活动-肿瘤防治十日谈】</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">就可在线学习～</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/q_70/images03/20240419/97999534ff904d1d80b791aa53d2eb9f.jpeg" 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;">本期编辑：茅轶婧</span></p>
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