结直肠癌术后转移率高？这三个问题你必要认识
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">做为</span>消化道最<span style="color: black;">平常</span>的肿瘤，结直肠癌<span style="color: black;">始终</span>备受<span style="color: black;">大众</span>的关注。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在结直肠癌<span style="color: black;">发掘</span>之初，大<span style="color: black;">都数</span><span style="color: black;">病人</span>能想到最直接的<span style="color: black;">处理</span><span style="color: black;">方法</span><span style="color: black;">便是</span>“手术切了”。但手术之后并非一劳永逸，术后仍然有高达30%~50%的<span style="color: black;">病人</span>会<span style="color: black;">显现</span>复发或转移。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-99ad630dfae0ff273b585b0a1d861a39_720w.webp" style="width: 50%; margin-bottom: 20px;"></div><span style="color: black;">照片</span><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;"><span style="color: black;">说到</span>转移，<span style="color: black;">一般</span><span style="color: black;">病人</span>们较为关心的有以下这三个问题：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.结直肠癌是怎么转移的？2.它最爱转移到什么位置？3.<span style="color: black;">怎么样</span><span style="color: black;">才可</span><span style="color: black;">发掘</span><span style="color: black;">是不是</span>转移了呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">俗话说的好：“不做<span style="color: black;">没</span>准备之事，不打<span style="color: black;">没</span>准备之仗”，想要<span style="color: black;">认识</span>这些疑问，就接着往下看吧~</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1、</span>结直肠癌<span style="color: black;">平常</span>的转移途径</p><span style="color: black;">做为</span>恶性肿瘤队伍中的一员，结直肠癌的转移途径和其它恶性肿瘤大同小异。
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一般</span>，结直肠癌会<span style="color: black;">经过</span>以下几种途径进行转移：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①直接浸润</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在结直肠癌中，<span style="color: black;">指的是</span>癌种以环状方式沿着肠管直接浸润，<span style="color: black;">同期</span>还会向肠壁的更深层继续发展，<span style="color: black;">倘若</span>此时癌种突破了肠壁上的浆膜层，就会直接侵犯到相邻的器官和组织（如肝、胆、膀胱、子宫、阴道等），从而<span style="color: black;">出现</span>转移。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②淋巴转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">是大<span style="color: black;">都数</span>肿瘤中比较<span style="color: black;">平常</span>的转移方式，它<span style="color: black;">亦</span>是结直肠癌的<span style="color: black;">重点</span>转移途径；<span style="color: black;">通常</span>肿瘤会<span style="color: black;">按照</span>淋巴结的位置，由近到远进行转移，如结肠上淋巴结、结肠旁淋巴结、系膜血管淋巴结、系膜根部淋巴结等。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-44db0e8fa1f0bec7a2a5528f138ca65c_720w.webp" style="width: 50%; margin-bottom: 20px;"></div><span style="color: black;">照片</span><span style="color: black;">源自</span>：AJCC第8版结直肠癌TNM分期图谱<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">③血行转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">是肿瘤<span style="color: black;">经过</span>血液运行的方式进行转移；<span style="color: black;">经过</span>这种方式，癌细胞会随着血液扩散到其它的组织和器官中，并<span style="color: black;">最后</span>形成转移癌；在结直肠癌中，癌细胞会沿着门静脉系统转移到各组织和脏器中去。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">④种植转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重点</span>指肠腔内外的癌细胞在脱落后，直接进入<span style="color: black;">病人</span>的腹腔或肠腔，最后直接种植在腹膜或其它黏膜上，种植方式分为：腹腔种植、肠腔种植、医源种植。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其中，腹腔种植的好发部位有大网膜、肠系膜、膀胱直肠陷凹、子宫直肠陷凹等，容易<span style="color: black;">导致</span>癌性腹膜炎；而肠腔种植<span style="color: black;">通常</span>会在肠腔黏膜受损时<span style="color: black;">出现</span>；医源种植则多出<span style="color: black;">此刻</span>手术的过程中，癌细胞容易种植在吻合口和腹壁切口。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">认识</span>完这几种<span style="color: black;">重点</span>的转移方式后，让<span style="color: black;">咱们</span><span style="color: black;">一块</span>来<span style="color: black;">瞧瞧</span>，这些狡猾的癌细胞到底都爱往<span style="color: black;">哪里</span>跑？</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、</span>结直肠癌最爱转移的部位</p>经过医学专家们的<span style="color: black;">长时间</span><span style="color: black;">科研</span>，<span style="color: black;">咱们</span><span style="color: black;">发掘</span>，原来结直肠癌最爱转移的部位有这3个：
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">01肝脏</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结直肠癌最爱<span style="color: black;">经过</span>血行转移将癌细胞送到肝脏。<span style="color: black;">科研</span>者<span style="color: black;">发掘</span>，有15%~25%的结直肠癌<span style="color: black;">病人</span>在确诊时就<span style="color: black;">发掘</span>有肝转移的<span style="color: black;">状况</span>了。<span style="color: black;">由于</span><span style="color: black;">初期</span>结直肠癌的症状并不<span style="color: black;">显著</span>或<span style="color: black;">无</span>症状，<span style="color: black;">因此</span>这部分<span style="color: black;">病人</span>在确诊时就<span style="color: black;">已然</span><span style="color: black;">出现</span>了肝脏转移。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>还有15%~25%的<span style="color: black;">病人</span>在做完原发结直肠癌的根治手术后<span style="color: black;">出现</span>了肝转移，<span style="color: black;">倘若</span>转移病灶比<span style="color: black;">很强</span>，<span style="color: black;">病人</span>的肝功能<span style="color: black;">亦</span>会受到影响，可能会<span style="color: black;">显现</span>黄疸、腹水、低蛋白等症状，右上腹<span style="color: black;">亦</span>会<span style="color: black;">显现</span><span style="color: black;">必定</span>程度的隐痛、钝痛。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">02肺部</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肺部是结直肠癌转移的第二好发部位，肺转移肿瘤可能<span style="color: black;">出现</span>在单侧，<span style="color: black;">亦</span>可能双侧都<span style="color: black;">出现</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在一项结直肠癌</p>
你的努力一定会被看见，相信自己，加油。
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