癌症病人腰痛背痛腿痛怎么样来诊断是不是有癌骨转移和治疗？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症（乳腺癌、肺癌、肾癌、前列腺癌、甲状腺癌、肠癌、胃癌等），<span style="color: black;">倘若</span><span style="color: black;">显现</span>腰痛背痛或腿痛的时候，<span style="color: black;">是不是</span><span style="color: black;">寓意</span>着癌症骨转移了？不<span style="color: black;">必定</span>的。有时候是癌症骨转移的，有时候<span style="color: black;">亦</span>可能不是癌症骨转移，仅仅是滑膜炎或骨关节炎等炎症性<span style="color: black;">病痛</span>。这个<span style="color: black;">怎样</span>以最有效的<span style="color: black;">办法</span>诊断和排除癌症骨转移呢？<span style="color: black;">倘若</span>是癌症骨转移，要<span style="color: black;">怎样</span>来有效处理和最佳治疗呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首要</span>，癌症最容易转移都胸椎和腰椎的脊柱上，<span style="color: black;">因此</span>，<span style="color: black;">倘若</span><span style="color: black;">显现</span>胸椎或腰椎的<span style="color: black;">病痛</span>，请立即做MRI，不要去折腾其他<span style="color: black;">检测</span>。<span style="color: black;">由于</span>MRI<span style="color: black;">能够</span>直接<span style="color: black;">知道</span>的进行排查性诊断，<span style="color: black;">便是</span>说，做好MRI，<span style="color: black;">倘若</span>是阴性的结果，<span style="color: black;">必定</span>不是在胸椎和腰椎的转移了。<span style="color: black;">针对</span>下肢<span style="color: black;">病痛</span><span style="color: black;">亦</span>是<span style="color: black;">同样</span>，直接MRI。但<span style="color: black;">倘若</span><span style="color: black;">病人</span>是担心全身骨转移，<span style="color: black;">况且</span>还<span style="color: black;">无</span><span style="color: black;">详细</span>临床表现<span style="color: black;">病痛</span>或不适，则恶意采取骨扫描来进行初次的筛选性诊断，但即使骨扫描<span style="color: black;">得到</span>了某个部位阳性浓聚，<span style="color: black;">亦</span>未必就<span style="color: black;">必定</span>是癌症骨转移，最后还是<span style="color: black;">必须</span>MRI进行排查性<span style="color: black;">检测</span>的。<span style="color: black;">那样</span>是不是<span style="color: black;">所有</span>来一个MRI都<span style="color: black;">处理</span>了诊断问题了呢？答案不是的。有时MRI太过于<span style="color: black;">敏锐</span>，<span style="color: black;">发掘</span>了局部的<span style="color: black;">有些</span><span style="color: black;">反常</span>信号，<span style="color: black;">然则</span><span style="color: black;">实质</span>可能是局部炎症或其他<span style="color: black;">疾患</span>信号，这个时候<span style="color: black;">必要</span>采取CT去进一步对骨组织进行<span style="color: black;">检测</span>，判断骨组织的破坏<span style="color: black;">状况</span><span style="color: black;">是不是</span>有，<span style="color: black;">因此</span>CT癌症骨转移中<span style="color: black;">常常</span>有时候在MRI之后采用的，而不是先用CT再做MRI，<span style="color: black;">因此</span>这<span style="color: black;">亦</span>是<span style="color: black;">为么</span>西方国家的数据MRI多，而CT数据较少的<span style="color: black;">原由</span>所在。<span style="color: black;">另外</span>CT<span style="color: black;">拥有</span>辐射而MRI<span style="color: black;">无</span>辐射，<span style="color: black;">因此</span>MRI比较适合<span style="color: black;">初期</span>。<span style="color: black;">然则</span>MRI<span style="color: black;">亦</span>是个麻烦的检查，<span style="color: black;">由于</span><span style="color: black;">检测</span>时间等待较长，<span style="color: black;">病人</span>总是要排队。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span><span style="color: black;">病人</span><span style="color: black;">期盼</span>一次性<span style="color: black;">认识</span>所有内脏和骨组织<span style="color: black;">是不是</span>有转移，最佳的<span style="color: black;">检测</span><span style="color: black;">办法</span>是PET-CT<span style="color: black;">检测</span>，<span style="color: black;">此刻</span>瑞金医院<span style="color: black;">已然</span>有PET-MRI<span style="color: black;">检测</span>，这种<span style="color: black;">检测</span>更加<span style="color: black;">没</span>害且诊断率更高。PET-CT是<span style="color: black;">拥有</span><span style="color: black;">必定</span>辐射剂量的，<span style="color: black;">因此</span><span style="color: black;">倘若</span>原发癌症<span style="color: black;">无</span>骨转移或转移的高概率，则不<span style="color: black;">必定</span>要做。<span style="color: black;">然则</span><span style="color: black;">倘若</span>癌症容易<span style="color: black;">出现</span>转移的话，PET-CT不失为一种良好的<span style="color: black;">检测</span>策略。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">检测</span>出来癌症骨转移之后，将要<span style="color: black;">怎样</span>除了呢？原则<span style="color: black;">便是</span>，全身治疗<span style="color: black;">第1</span>，<span style="color: black;">药品</span><span style="color: black;">掌控</span>和癌症本身的治疗是最<span style="color: black;">要紧</span>的。其次，是判断局部<span style="color: black;">是不是</span><span style="color: black;">能够</span><span style="color: black;">掌控</span>和症状处理。癌症骨转移的局部<span style="color: black;">掌控</span>在四肢的话，手术数据绝对<span style="color: black;">能够</span>切除和最佳的<span style="color: black;">办法</span>。<span style="color: black;">倘若</span>在脊柱、骨盆等部位，则手术完全切除实际上不可能的，即使有些医院说en bloc手术切除，<span style="color: black;">亦</span>是会有残留肿瘤的。放疗<span style="color: black;">亦</span><span style="color: black;">不可</span>杀灭所有肿瘤细胞，放疗<span style="color: black;">更加多</span>的治疗<span style="color: black;">目的</span>是减轻<span style="color: black;">病痛</span>和适当部分<span style="color: black;">掌控</span>肿瘤细胞生长。<span style="color: black;">因此</span>这些骨转移，<span style="color: black;">倘若</span>在四肢，请找<span style="color: black;">可靠</span>的骨肿瘤<span style="color: black;">大夫</span>手术，<span style="color: black;">倘若</span>在脊柱和骨盆，则<span style="color: black;">能够</span>先找放疗<span style="color: black;">大夫</span>，但<span style="color: black;">倘若</span>脊柱和骨盆的癌症破坏范围<span style="color: black;">很强</span>，会<span style="color: black;">诱发</span>病理骨折的话，请找骨肿瘤<span style="color: black;">大夫</span>，<span style="color: black;">由于</span>放疗<span style="color: black;">没</span>法<span style="color: black;">处理</span>病理骨折或即将即将<span style="color: black;">显现</span>的病理骨折。<span style="color: black;">倘若</span>癌症压迫在脊髓和神经，则<span style="color: black;">不消</span>找其他<span style="color: black;">大夫</span>了，<span style="color: black;">必定</span>找骨肿瘤<span style="color: black;">大夫</span>手术<span style="color: black;">处理</span>。至于介入的微创手术，<span style="color: black;">倘若</span>肿瘤不大<span style="color: black;">初期</span>，还是一种<span style="color: black;">办法</span>，<span style="color: black;">然则</span><span style="color: black;">倘若</span>破坏较为严重，<span style="color: black;">尤其</span>是<span style="color: black;">病痛</span>较重，<span style="color: black;">没</span>法做起来的，一动就<span style="color: black;">病痛</span>的，则介入<span style="color: black;">大夫</span>的微创是<span style="color: black;">没</span>法<span style="color: black;">处理</span>问题的，而微创手术倒是可能<span style="color: black;">处理</span>问题的。骨肿瘤<span style="color: black;">大夫</span><span style="color: black;">倘若</span><span style="color: black;">没</span>法把脊柱或骨盆肿瘤切除干干净，<span style="color: black;">那样</span><span style="color: black;">为么</span>要找骨肿瘤<span style="color: black;">大夫</span>呢？<span style="color: black;">原由</span>是骨肿瘤<span style="color: black;">大夫</span><span style="color: black;">能够</span>对肿瘤进行减瘤手术，<span style="color: black;">同期</span>进行重建功能，让<span style="color: black;">病人</span>不<span style="color: black;">病痛</span>，有效<span style="color: black;">加强</span>生活质量。减瘤手术，在某些癌症中<span style="color: black;">亦</span>是<span style="color: black;">能够</span>延长生命的，当然不是所有癌症减瘤手术都<span style="color: black;">能够</span>延长生命。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">从而言之，癌症<span style="color: black;">出现</span>骨转移，找到靠谱的骨肿瘤<span style="color: black;">大夫</span>，是一个蛮好的<span style="color: black;">选取</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最后，癌症骨转移大<span style="color: black;">都数</span>不<span style="color: black;">必须</span>手术，但有些癌症骨转移的手术效果很好。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“癌症骨转移，<span style="color: black;">不应</span>手术的不要乱手术，应该手术的不要逃避错失机会。”</p>
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