原创 男子后腰疼了6个月查出肺癌：身上3处病痛，或是癌症和疾患的征兆
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">老张正加着班，<span style="color: black;">忽然</span><strong style="color: blue;">后腰一阵<span style="color: black;">病痛</span></strong>，趴在桌上缓了好久都直不起腰。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实<span style="color: black;">这般</span>的<span style="color: black;">状况</span><span style="color: black;">已然</span>不是<span style="color: black;">第1</span>次<span style="color: black;">出现</span>了，从半年前<span style="color: black;">起始</span>他就感觉腰疼，只是当时以为工作经常坐着<span style="color: black;">引起</span>的职业病，<span style="color: black;">亦</span>没太<span style="color: black;">重视</span>，下班后买了点膏药贴着，就没再<span style="color: black;">重视</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">然而，随着时间的推移，他<strong style="color: blue;">腰疼的越来越厉害</strong>，一到<span style="color: black;">夜晚</span>简直痛到<strong style="color: blue;">难以入睡</strong>。</p><img src="//q4.itc.cn/images01/20240418/b3b19e9ecfc64ea0a7aefe16cf130b2e.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种<span style="color: black;">状况</span><span style="color: black;">连续</span>了几个月，才在家人劝说下去医院<span style="color: black;">检测</span>。然而这一查，却检出了肺癌。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“<span style="color: black;">大夫</span>，<strong style="color: blue;">我只是腰疼，怎么会是肺癌呢？</strong>”他拿着医院的诊断报告，<span style="color: black;">满脸</span>震惊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大夫</span>解释，他之<span style="color: black;">因此</span>会腰疼，其实是<strong style="color: blue;">肺癌<span style="color: black;">出现</span>腰椎转移</strong><span style="color: black;">引起</span>的，还提醒身体<span style="color: black;">显现</span><span style="color: black;">反常</span><span style="color: black;">病痛</span>，可能是癌症和<span style="color: black;">疾患</span>的征兆，千万别<span style="color: black;">忽略</span>了。</p><img src="//q7.itc.cn/images01/20240418/d2a7cc7d5b604ee0b3149ed5cc7e3899.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1、</span>腰痛<span style="color: black;">亦</span>可能是癌症信号，<span style="color: black;">怎样</span>区分？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实像老张<span style="color: black;">这般</span>的病例，临床上还真不少见，<span style="color: black;">非常多</span>人看到<span style="color: black;">这儿</span>很疑惑，<span style="color: black;">为何</span>癌症会<span style="color: black;">导致</span>腰痛呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">浙江医院肿瘤科副<span style="color: black;">专家</span>张宇</strong>解释，癌症<span style="color: black;">诱发</span>的腰痛可能是<strong style="color: blue;">癌症<span style="color: black;">出现</span>骨转移后破坏骨组织</strong><span style="color: black;">诱发</span>的<span style="color: black;">病痛</span>感；<span style="color: black;">亦</span>可能是<strong style="color: blue;">肿瘤压迫腰部神经</strong>以及<strong style="color: blue;">部分炎症反应</strong><span style="color: black;">导致</span>的腰痛症状。</p><img src="//q8.itc.cn/images01/20240418/a017b56cacbc404e9d0e185fdd250d4a.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">这儿</span>要<span style="color: black;">重视</span>的<span style="color: black;">是否</span>所有腰疼都和癌症<span style="color: black;">相关</span><strong style="color: blue;">，复旦大学<span style="color: black;">附庸</span>中山医院<span style="color: black;">大夫</span>孟尧</strong>解释，癌痛和<span style="color: black;">通常</span><span style="color: black;">病痛</span>有以下区别：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">通常</span><span style="color: black;">病痛</span><span style="color: black;">连续</span>时间不会很长，可缓解，但<strong style="color: blue;">癌症<span style="color: black;">导致</span>的<span style="color: black;">病痛</span><span style="color: black;">连续</span>时间长</strong>，只要一天<span style="color: black;">无</span>去除症灶，<span style="color: black;">病痛</span>会<span style="color: black;">始终</span>存在；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症<span style="color: black;">导致</span>的<span style="color: black;">病痛</span>还有<strong style="color: blue;"><span style="color: black;">连续</span>性、间断性、<span style="color: black;">爆发</span>性</strong>等特点；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌痛后期<strong style="color: blue;">会从躯干、精神全方位蔓延</strong>，<span style="color: black;">病人</span><span style="color: black;">乃至</span><span style="color: black;">没</span>法清楚描述<span style="color: black;">病痛</span>的部位和性质。</p><img src="//q6.itc.cn/images01/20240418/bd96e82c467549a6b7be9388228e7ed9.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2、</span>身上3处<span style="color: black;">显现</span><span style="color: black;">病痛</span>，或是癌症征兆</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">临床数据统计，25%<span style="color: black;">上下</span>的癌症新发病例、超过30%的癌症治疗中<span style="color: black;">病人</span>以及四分之三的晚期癌症<span style="color: black;">病人</span>都<span style="color: black;">显现</span>过<strong style="color: blue;">合并<span style="color: black;">病痛</span>症状</strong>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">浙江医院肿瘤科副<span style="color: black;">专家</span><strong style="color: blue;">医师张宇</strong><span style="color: black;">暗示</span>，<span style="color: black;">倘若</span>有以下部位经常<span style="color: black;">没</span>缘故<span style="color: black;">病痛</span>，小心的癌症的前兆。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1、上腹痛</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">上腹隐痛可能是<strong style="color: blue;">胰腺癌</strong>作祟，<span style="color: black;">通常</span>在夜间症状更加<span style="color: black;">显著</span>，<span style="color: black;">况且</span><span style="color: black;">病痛</span>剧烈，还会影响正常作息。</p><img src="//q6.itc.cn/images01/20240418/fca8b17bfed14edfb9bc1f68ccf32817.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2、右肩痛</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肺尖端<span style="color: black;">显现</span>肿瘤后，随着肿瘤<span style="color: black;">持续</span>生长，一旦压迫到胸膜<span style="color: black;">周边</span>的神经丛，就容易诱发类似肩关节、肩背肌肉<span style="color: black;">病痛</span>等症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另外</span>，<span style="color: black;">显现</span>肝癌后，右侧膈肌受肿瘤压迫<span style="color: black;">亦</span>会牵连<span style="color: black;">周边</span>神经，从而<span style="color: black;">诱发</span>右肩<span style="color: black;">病痛</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">张宇提醒<strong style="color: blue;"><span style="color: black;">连续</span>的肩膀<span style="color: black;">病痛</span>，且<span style="color: black;">没</span>法正常缓解要<span style="color: black;">思虑</span>癌症</strong>的可能性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3、肝区痛</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝脏对应的体表<span style="color: black;">倘若</span><span style="color: black;">显现</span><span style="color: black;">连续</span>且<span style="color: black;">持续</span>加重的<span style="color: black;">病痛</span>，可能是肝癌恶化后<span style="color: black;">持续</span>挤压肝脏包膜<span style="color: black;">导致</span><span style="color: black;">反常</span>表现。</p><img src="//q4.itc.cn/images01/20240418/73332cb1a7784f9788e8fe2853ace386.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除此之外，2021年<strong style="color: blue;">国家卫健委</strong>还曾刊文提醒，<span style="color: black;">短期</span>不明<span style="color: black;">原由</span>的消瘦、体表<span style="color: black;">反常</span>肿块、夜间盗汗、阴道<span style="color: black;">流血</span>、<span style="color: black;">长时间</span>便秘、腹胀腹泻、血便、尿血、<span style="color: black;">连续</span>咳嗽、<span style="color: black;">呼气</span>困难、乏力、皮肤状态<span style="color: black;">反常</span>这些<span style="color: black;">亦</span>是<strong style="color: blue;">癌症<span style="color: black;">初期</span>信号</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;">显现</span><span style="color: black;">以上</span>症状最好<span style="color: black;">即时</span>筛查</strong>，<span style="color: black;">知道</span>病因，以防耽误治疗<span style="color: black;">机会</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;">3、</span>癌症一<span style="color: black;">发掘</span><span style="color: black;">便是</span>晚期？<span style="color: black;">初期</span>筛查别<span style="color: black;">忽略</span>！</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我国国家癌症登记中心曾在<strong style="color: blue;">《柳叶刀》</strong><span style="color: black;">发布</span>过一篇关于癌症临床<span style="color: black;">科研</span>，<span style="color: black;">按照</span>采集到的来自我国12个省份、23个地区登记的在院癌症病人记录，<span style="color: black;">发掘</span>我国高发的5大癌症<span style="color: black;">病人</span>中，<span style="color: black;">处在</span>癌症晚期（3-4期）的比例超过50%。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">亦</span><span style="color: black;">便是</span>说，<strong style="color: blue;">超过一半的人一<span style="color: black;">发掘</span>癌症<span style="color: black;">便是</span>晚期</strong>。</p><img src="//q8.itc.cn/images01/20240418/426d8c5cc71c41648c697c9ce60f8ae7.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">专家提醒，<span style="color: black;">初期</span>筛查很<span style="color: black;">重要</span>，其实<strong style="color: blue;">临床<span style="color: black;">非常多</span><span style="color: black;">检测</span>手段<span style="color: black;">能够</span>在<span style="color: black;">初期</span><span style="color: black;">即时</span><span style="color: black;">发掘</span><span style="color: black;">非常多</span><span style="color: black;">平常</span>癌症</strong>，避免一<span style="color: black;">发掘</span><span style="color: black;">便是</span>晚期的<span style="color: black;">状况</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小艾整理了以下七大<span style="color: black;">平常</span>癌症的早筛<span style="color: black;">办法</span>，<span style="color: black;">意见</span><span style="color: black;">保藏</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1.乳腺癌</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">乳腺癌<span style="color: black;">重点</span>影像筛查手段为<strong style="color: blue;"><span style="color: black;">乳腺X线<span style="color: black;">检测</span>、乳腺<span style="color: black;">彩超</span></span></strong>，<span style="color: black;">通常</span><span style="color: black;">危害</span>人群<span style="color: black;">重点</span>特征为<strong style="color: blue;">40岁及以上</strong>，有过乳腺癌家族史、乳腺癌病史、胸部放疗剂量≥10 Gy、曾<span style="color: black;">身患</span>小叶原位癌、乳腺导管上皮不典型增生或小叶不典型增生等任一<span style="color: black;">状况</span>的女性。</p><img src="//q5.itc.cn/images01/20240418/5f6b322645f04065ad98da7d5f160520.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2.胃癌</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胃癌<span style="color: black;">初期</span>筛查手段<span style="color: black;">重点</span>是<strong style="color: blue;"><span style="color: black;">胃镜</span></strong>，重点<span style="color: black;">危害</span>人群<span style="color: black;">重点</span>是<strong style="color: blue;">45岁及以上</strong>，有居住胃癌高发地带、Hp感染、直系亲属有胃癌发病史、曾<span style="color: black;">身患</span>胃癌前<span style="color: black;">关联</span><span style="color: black;">疾患</span>、不良<span style="color: black;">膳食</span>习惯等任意<span style="color: black;">状况</span>，<span style="color: black;">必须</span><span style="color: black;">定时</span>进行胃癌筛查。</p><img src="//q7.itc.cn/images01/20240418/6744e84eb84a48778347bfbc2d27b34c.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3.前列腺癌</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重点</span>筛查手段为<strong style="color: blue;">前列腺特异性抗原（PSA）项目</strong>，超过60岁、45岁以上且有前列腺癌家族史或携带BRCA2基因突变等任意<span style="color: black;">状况</span>，属于重点关注人群。</p><img src="//q9.itc.cn/images01/20240418/40af6d0fe38f4b66ae41591cc86fe268.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">4.结直肠癌</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;">肠镜、大便隐血<span style="color: black;">实验</span></span></strong>都<span style="color: black;">能够</span><span style="color: black;">初期</span><span style="color: black;">发掘</span>癌症病灶，<span style="color: black;">尤其</span>是<strong style="color: blue;">有结直肠癌家族病史</strong>；曾确诊结直肠癌、肠道腺瘤等<span style="color: black;">疾患</span>；久治不愈的炎症性肠病；粪便潜血检测为阳性的人，都属于高危<span style="color: black;">危害</span>人群。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>，<span style="color: black;">平常</span><span style="color: black;">膳食</span>多为高糖、高胆固醇<span style="color: black;">食品</span>，还有<span style="color: black;">海量</span>烟酒摄入史、糖尿病、<span style="color: black;">肥壮</span>等<span style="color: black;">状况</span>都是结直肠癌的危险<span style="color: black;">原因</span>。</p><img src="//q6.itc.cn/images01/20240418/2d51fca26cbb424e9b681f165ceb66c0.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">5.肺癌</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;">临床胸部低剂量螺旋CT扫描可</span></strong>以在<span style="color: black;">初期</span>观察到肺癌病变<span style="color: black;">状况</span>，<strong style="color: blue;">45岁及以上</strong>，有<span style="color: black;">长时间</span>吸烟或二手烟、油烟吸入史，工作环境会接触氡、砷、铍、铬、镉、石棉等致癌物质、直系亲属有肺癌发病史等任意<span style="color: black;">状况</span>，属于肺癌重点<span style="color: black;">危害</span>人群，<span style="color: black;">意见</span><span style="color: black;">定时</span>筛查预防。</p><img src="//q9.itc.cn/images01/20240418/33440cc75287418aa435e8ba6787798f.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">6.肝癌</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝癌<span style="color: black;">初期</span>筛查手段<span style="color: black;">重点</span>是<strong style="color: blue;"><span style="color: black;">肝脏彩超、血清甲胎蛋白（AFP）<span style="color: black;">检测</span></span></strong>，年龄在<strong style="color: blue;">40岁及以上</strong>，有肝硬化病史或HCV慢性感染的人属于肝癌高危<span style="color: black;">危害</span>人群，<span style="color: black;">意见</span><span style="color: black;">定时</span>筛查。</p><img src="//q3.itc.cn/images01/20240418/c8210a89bd5d43619a7353fd67b3511f.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">7.宫颈癌</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">临床上的<strong style="color: blue;"><span style="color: black;">宫颈脱落细胞学<span style="color: black;">检测</span>、HPV<span style="color: black;">检测</span></span></strong>都<span style="color: black;">能够</span><span style="color: black;">发掘</span><span style="color: black;">初期</span>宫颈癌病灶，<span style="color: black;">意见</span>女性在<strong style="color: blue;">25-30岁起，<span style="color: black;">能够</span><span style="color: black;">定时</span>进行筛查预防。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">尤其</span>是有过HPV高危型感染、不良性生活习惯、早婚早育、多次孕产、私处卫生<span style="color: black;">前提</span><span style="color: black;">不良</span>、<span style="color: black;">长时间</span>吸烟、有免疫性<span style="color: black;">疾患</span>、营养<span style="color: black;">情况</span>不良等任意<span style="color: black;">状况</span>的人群，属于宫颈癌重点<span style="color: black;">危害</span>群体，<span style="color: black;">意见</span>做好<span style="color: black;">定时</span>筛查。</p><img src="//q6.itc.cn/images01/20240418/813986a2bf3d41759fe803286af196e9.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实<span style="color: black;">非常多</span>癌症<span style="color: black;">倘若</span><span style="color: black;">发掘</span>的<span style="color: black;">即时</span>，<span style="color: black;">干涉</span>的<span style="color: black;">即时</span>，治愈率并不低，加上<span style="color: black;">此刻</span>对癌症治疗手段<span style="color: black;">持续</span>更新，越来越多<span style="color: black;">病人</span>病情得到逆转，<span style="color: black;">因此</span><strong style="color: blue;">培养癌症早筛<span style="color: black;">认识</span>，才是防治癌症<span style="color: black;">重要</span>所在</strong>，高危人群尤其要<span style="color: black;">重视</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">参考资料：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《癌性<span style="color: black;">病痛</span>知多少》.浙中医大二院肿瘤内科.2023-12-12.</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《7大<span style="color: black;">平常</span>癌症的<span style="color: black;">初期</span>筛查<span style="color: black;">办法</span>，99%的人<span style="color: black;">懊悔</span><span style="color: black;">晓得</span>太晚！》.科普中国.2023-05-03.</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《五种高发癌症超一半<span style="color: black;">病人</span><span style="color: black;">发掘</span><span style="color: black;">便是</span>晚期，恶性肿瘤<span style="color: black;">初期</span>警报信号要<span style="color: black;">晓得</span>！》.健康时报.2023-03-12.</p>
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