甲状腺癌都很“温和”……是真是假?|谣言终结站|国产人妻人伦精品
甲状腺癌都很“温和”……是真是假?|谣言终结站
甲状腺癌在民间有“懒癌”“最幸运的癌”之称。这个说法到底有没有道理呢?其实不能一概而论,得结合具体情况分析。
从整体来看,甲状腺癌的预后确实比较好,但不同亚型的差别很大。其中最常见的是甲状腺乳头状癌,它的恶性度较低,5年生存率、10年生存率在90%左右,和其他很多恶性肿瘤比起来,治疗效果要好得多。
但是,并非所有甲状腺癌都“温和”。如甲状腺髓样癌、甲状腺未分化癌的恶性程度就相对较高,特别是甲状腺未分化癌进展迅速,容易出现局部侵犯与远处转移,且目前还没有有效的治疗手段,患者1年生存率不到20%。
因此,被确诊甲状腺癌后不能掉以轻心。甲状腺未分化癌在所有甲状腺癌中的占比不足2%,发病率比较低;其他绝大部分甲状腺癌只要接受规范的诊治和坚持复查随访,治疗效果都比较好。
对于甲状腺髓样癌、未分化癌等恶性度较高的亚型,治疗上不能只靠手术,还需要配合靶向治疗、化疗、放疗等手段,打好治疗“组合拳”,才能更好地控制病情。
是真是假弄不清?
评论区私我,帮您问专家!
辟谣
硬核打假 用♥辟谣
不听 不信 不传谣
关注合集【谣言终结站】
出品:健康报·谣言终结站科普小组
作者:中山大学肿瘤防治中心 杨安奎 陈树伟
(“健康中国”微信公众号)
###shennangzhong:lejieyuguanlishennangzhongshiyizhongchangjiandeshenzangjibing,tongchangbiaoxianweishenzangneibuhuobiaomiandexiaonangpao,nangpaoneichongmanyeti。zhezhongjibingwangwangshiliangxingde,daduoshuqingkuangxiabuhuiyinqimingxiandezhengzhuanghuojiankangwenti。genjuyixueyanjiu,shennangzhongzaichengnianrenzhongyouqipubian,suizhenianlingdezengchang,qifashenglvyehuizengjia。shennangzhongfenweijizhongleixing,qizhongzuichangjiandeshijiandanshennangzhong。zhezhongnangzhongtongchangshidangeqiexiaode,xingtaiguize,buhuiebian。jiandanshennangzhongdexingchengtongchangyuyichuanyinsu、laohuaguochenghuoshenzangdeqitajiegoubianhuayouguan。lingyizhongleixingshifuzashennangzhong,zhezhongnangzhongjiegoujiaofuza,youkenengcunzaiebiandefengxian,yincixuyaodingqijiancehepinggu。shennangzhongdezhengzhuangtongchangbumingxian,xuduohuanzhezaichangguitijianshicaihuiyiwaifaxian。ruguonangzhongjiaodahuoshuliangjiaoduo,kenenghuiyinqiyaotong、fubuzhangtonghuogaoxueyadengzhengzhuang。zaishaoshuqingkuangxia,ruguonangzhongpolie,huanzhekenenghuichuxianjixingfutonghuochuxianxueniaodengqingkuang。duiyuzhezhongqingkuang,jishijiuyishizhiguanzhongyaode。duiyushennangzhongdezhenduan,chaoshengjianzhashizuichangyongdefangfa,nenggouqingxidixianshishenzangdexingtaijinangzhongdetezheng。ciwai,CTheMRIdengyingxiangxuejianzhayekeyiyonglaijinyibupinggufuzanangzhong。tongguozhexiejianzha,yishengkeyipanduannangzhongdexingzhi,juedinghouxudeguanlihezhiliaofangan。duiyujiandan#(#)#(#)#(#)肾(shen)囊(nang)肿(zhong):(:)了(le)解(jie)与(yu)管(guan)理(li)肾(shen)囊(nang)肿(zhong)是(shi)一(yi)种(zhong)常(chang)见(jian)的(de)肾(shen)脏(zang)疾(ji)病(bing),(,)通(tong)常(chang)表(biao)现(xian)为(wei)肾(shen)脏(zang)内(nei)部(bu)或(huo)表(biao)面(mian)的(de)小(xiao)囊(nang)泡(pao),(,)囊(nang)泡(pao)内(nei)充(chong)满(man)液(ye)体(ti)。(。)这(zhe)种(zhong)疾(ji)病(bing)往(wang)往(wang)是(shi)良(liang)性(xing)的(de),(,)大(da)多(duo)数(shu)情(qing)况(kuang)下(xia)不(bu)会(hui)引(yin)起(qi)明(ming)显(xian)的(de)症(zheng)状(zhuang)或(huo)健(jian)康(kang)问(wen)题(ti)。(。)根(gen)据(ju)医(yi)学(xue)研(yan)究(jiu),(,)肾(shen)囊(nang)肿(zhong)在(zai)成(cheng)年(nian)人(ren)中(zhong)尤(you)其(qi)普(pu)遍(bian),(,)随(sui)着(zhe)年(nian)龄(ling)的(de)增(zeng)长(chang),(,)其(qi)发(fa)生(sheng)率(lv)也(ye)会(hui)增(zeng)加(jia)。(。)肾(shen)囊(nang)肿(zhong)分(fen)为(wei)几(ji)种(zhong)类(lei)型(xing),(,)其(qi)中(zhong)最(zui)常(chang)见(jian)的(de)是(shi)简(jian)单(dan)肾(shen)囊(nang)肿(zhong)。(。)这(zhe)种(zhong)囊(nang)肿(zhong)通(tong)常(chang)是(shi)单(dan)个(ge)且(qie)小(xiao)的(de),(,)形(xing)态(tai)规(gui)则(ze),(,)不(bu)会(hui)恶(e)变(bian)。(。)简(jian)单(dan)肾(shen)囊(nang)肿(zhong)的(de)形(xing)成(cheng)通(tong)常(chang)与(yu)遗(yi)传(chuan)因(yin)素(su)、(、)老(lao)化(hua)过(guo)程(cheng)或(huo)肾(shen)脏(zang)的(de)其(qi)他(ta)结(jie)构(gou)变(bian)化(hua)有(you)关(guan)。(。)另(ling)一(yi)种(zhong)类(lei)型(xing)是(shi)复(fu)杂(za)肾(shen)囊(nang)肿(zhong),(,)这(zhe)种(zhong)囊(nang)肿(zhong)结(jie)构(gou)较(jiao)复(fu)杂(za),(,)有(you)可(ke)能(neng)存(cun)在(zai)恶(e)变(bian)的(de)风(feng)险(xian),(,)因(yin)此(ci)需(xu)要(yao)定(ding)期(qi)监(jian)测(ce)和(he)评(ping)估(gu)。(。)肾(shen)囊(nang)肿(zhong)的(de)症(zheng)状(zhuang)通(tong)常(chang)不(bu)明(ming)显(xian),(,)许(xu)多(duo)患(huan)者(zhe)在(zai)常(chang)规(gui)体(ti)检(jian)时(shi)才(cai)会(hui)意(yi)外(wai)发(fa)现(xian)。(。)如(ru)果(guo)囊(nang)肿(zhong)较(jiao)大(da)或(huo)数(shu)量(liang)较(jiao)多(duo),(,)可(ke)能(neng)会(hui)引(yin)起(qi)腰(yao)痛(tong)、(、)腹(fu)部(bu)胀(zhang)痛(tong)或(huo)高(gao)血(xue)压(ya)等(deng)症(zheng)状(zhuang)。(。)在(zai)少(shao)数(shu)情(qing)况(kuang)下(xia),(,)如(ru)果(guo)囊(nang)肿(zhong)破(po)裂(lie),(,)患(huan)者(zhe)可(ke)能(neng)会(hui)出(chu)现(xian)急(ji)性(xing)腹(fu)痛(tong)或(huo)出(chu)现(xian)血(xue)尿(niao)等(deng)情(qing)况(kuang)。(。)对(dui)于(yu)这(zhe)种(zhong)情(qing)况(kuang),(,)及(ji)时(shi)就(jiu)医(yi)是(shi)至(zhi)关(guan)重(zhong)要(yao)的(de)。(。)对(dui)于(yu)肾(shen)囊(nang)肿(zhong)的(de)诊(zhen)断(duan),(,)超(chao)声(sheng)检(jian)查(zha)是(shi)最(zui)常(chang)用(yong)的(de)方(fang)法(fa),(,)能(neng)够(gou)清(qing)晰(xi)地(di)显(xian)示(shi)肾(shen)脏(zang)的(de)形(xing)态(tai)及(ji)囊(nang)肿(zhong)的(de)特(te)征(zheng)。(。)此(ci)外(wai),(,)C(C)T(T)和(he)M(M)R(R)I(I)等(deng)影(ying)像(xiang)学(xue)检(jian)查(zha)也(ye)可(ke)以(yi)用(yong)来(lai)进(jin)一(yi)步(bu)评(ping)估(gu)复(fu)杂(za)囊(nang)肿(zhong)。(。)通(tong)过(guo)这(zhe)些(xie)检(jian)查(zha),(,)医(yi)生(sheng)可(ke)以(yi)判(pan)断(duan)囊(nang)肿(zhong)的(de)性(xing)质(zhi),(,)决(jue)定(ding)后(hou)续(xu)的(de)管(guan)理(li)和(he)治(zhi)疗(liao)方(fang)案(an)。(。)对(dui)于(yu)简(jian)单(dan)