体检测出肿瘤标志物加强,我该怎么办?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转眼间<span style="color: black;">已然</span>快到年底,于是<span style="color: black;">非常多</span>单位又<span style="color: black;">起始</span>了一年一次的员工体检了。</p><span style="color: black;">亦</span>正<span style="color: black;">因此呢</span>,<span style="color: black;">近期</span>不少拿到自己“成绩单”的<span style="color: black;">伴侣</span>,会<span style="color: black;">显现</span><span style="color: black;">各样</span>问题。其中,让不少人比较<span style="color: black;">留意</span>的,是一项名为“肿瘤标志物”的<span style="color: black;">检测</span>。<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-329b0244f2979e6f1a3a18cccabbca4f_720w.webp" style="width: 50%; margin-bottom: 20px;"></div><span style="color: black;">源自</span>:盛诺病友互助群<h2 style="color: black; text-align: left; margin-bottom: 10px;">作者:啊不</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">像这位群友<span style="color: black;">说到</span>的CA199,正是不少体检中<span style="color: black;">平常</span>的血液肿瘤标志物检测项目之一。除此之外,甲胎蛋白AFP、前列腺特异性抗原PSA、癌胚抗原CEA、癌抗原CA125、神经元特异性烯醇化酶NSE等,<span style="color: black;">亦</span>都是肿瘤标志物,而这些指标确实和癌症是有<span style="color: black;">必定</span><span style="color: black;">相关</span>性的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>CA199,与消化道恶性肿瘤如胰腺癌、肝胆癌、胃癌、结直肠癌都<span style="color: black;">相关</span>,尤其在胰腺癌中,<span style="color: black;">反常</span>增长对应癌变的阳性率相对更高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">又<span style="color: black;">例如</span>CEA,在乳腺癌、肺癌、肝癌、胰腺癌、卵巢癌、泌尿系统癌症等恶性肿瘤中,<span style="color: black;">平常</span>有<span style="color: black;">上升</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">还有AFP,会在<span style="color: black;">非常多</span>原发性肝癌中<span style="color: black;">上升</span>,PSA则能<span style="color: black;">帮忙</span>辅助诊断<span style="color: black;">初期</span><span style="color: black;">无</span>症状的前列腺癌,等等。</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>,血液肿瘤标志物的检测,的确在某些时候,有助于癌症的筛查和诊断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但这并不<span style="color: black;">寓意</span>着,体<span style="color: black;">检测</span>出这些指标<span style="color: black;">上升</span>,就<span style="color: black;">必定</span>会得癌症。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-ba504cf6afd6cbfe9e48e161266d4260_720w.webp" style="width: 50%; margin-bottom: 20px;"></div><span style="color: black;">源自</span>:摄图网<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">1、</span>肿瘤标志物<span style="color: black;">反常</span>,<span style="color: black;">常常</span>只是虚惊一场</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">正如骑白马的不<span style="color: black;">必定</span>是王子,<span style="color: black;">亦</span>可能是唐僧,肿瘤标志物<span style="color: black;">反常</span>,<span style="color: black;">常常</span>只是虚惊一场。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>说CA199,在胰腺炎、肝炎、肝硬化、胆囊炎、胆道炎、肺炎、肺结核、胸膜炎、肾衰、梗阻性<span style="color: black;">疾患</span>、自体免疫性<span style="color: black;">疾患</span>等<span style="color: black;">许多</span>良性<span style="color: black;">疾患</span>中,<span style="color: black;">亦</span>可能<span style="color: black;">升高</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">再<span style="color: black;">例如</span>CA125这种<span style="color: black;">平常</span>于妇科癌症(如卵巢癌、子宫癌)的肿瘤标志物,<span style="color: black;">亦</span>会有类似的问题。如子宫肌瘤、子宫内膜异位等<span style="color: black;">平常</span>妇科<span style="color: black;">疾患</span>,<span style="color: black;">亦</span>可能<span style="color: black;">引起</span>CA125的<span style="color: black;">上升</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-fe6fe2f3894ee1d2d91832ad1ca83077_720w.webp" style="width: 50%; margin-bottom: 20px;"></div><span style="color: black;">源自</span>:摄图网<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">即便是前列腺特异性抗原PSA,<span style="color: black;">倘若</span><span style="color: black;">上升</span>,<span style="color: black;">亦</span>可能不是前列腺癌,而是良性的前列腺增生、炎症等问题。</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>虽然挂着“标志物”的名,却<span style="color: black;">无</span>能力用来准确反映到底<span style="color: black;">是不是</span>患癌。<span style="color: black;">因此呢</span>即便体检报告上指标<span style="color: black;">反常</span>,<span style="color: black;">亦</span>不必惊慌失措,很大可能,只<span style="color: black;">不外</span>是炎症<span style="color: black;">或</span>其他良性<span style="color: black;">疾患</span>。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">2、</span>肿瘤标志物正常,<span style="color: black;">亦</span>不见得没事</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在癌症<span style="color: black;">病人</span>病友群中,曾见到过不少<span style="color: black;">病人</span>抱怨,年年体检,肿瘤标志物<span style="color: black;">始终</span>都很正常,结果<span style="color: black;">忽然</span>就确诊了</p>
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