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    1. 您現在的位置:主頁 > 健康 > 心靈雞湯 > 結節、囊腫、增生..有啥不同?到底哪個才是癌癥先兆?答案在這

      結節、囊腫、增生..有啥不同?到底哪個才是癌癥先兆?答案在這

      導讀:

      很多人體檢時,有時會查出各種“結節”“息肉”“囊腫”“增生”等,于是看到自己身體內長了一些多余的東西都會惴惴不安,甚至擔心這些會發展成癌。

      結節、息肉、囊腫、增生...這些到底哪個才是癌癥的先兆?

      結節:大部分都是良性的

      在影像檢查中(如CT、胸片),發現類圓形的直徑小于3厘米的病灶通常描述為結節灶,直徑小于1厘米時常被描述為“小結節”,直徑小于0.5厘米時就稱為微小或細小結節。隨著近年來多排螺旋CT的出現,小結節或微小結節發現得越來越多,但大部分是良性的。

      1. 肺部結節:一般年齡大、肺部有基礎疾病的人,做檢查易發現肺部結節。即使發現肺部結節也不必恐慌,因為其中只有極少部分人最后被證實是肺癌。此時必須找專業醫生鑒別判斷:對于小于5毫米的微小結節,僅做隨訪觀察,3個月到半年重新做一次CT檢查。如結節沒有變化、沒有異常增大,一般被認為是沒有風險的,有的甚至會隨著時間變化慢慢消失。1厘米以上的大結節,建議要盡早診治。

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      肺部結節

      2. 甲狀腺結節:臨床上有多種甲狀腺疾病如甲狀腺退行性病變、炎癥等都可以表現為結節。不過,甲狀腺結節的惡性率不足1%,絕大部分都是良性的,不需治療。

      息肉:有一部分會惡變

      息肉是人體某個正常結構上贅生的一塊“肉”。大多數息肉屬良性,但有一部分會惡變。建議只要在體檢中發現息肉就應盡可能切除,隨后送去病理活檢,確診息肉類型,防止復發。

      1. 腸息肉:腸道息肉有炎癥性息肉、腺瘤性息肉、增生性息肉3種類型,癌變幾率不同。只要及時發現并將其切除,隨后保證定期做腸鏡檢查及保持良好的生活習慣,即可有效預防復發及癌變。

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      2. 膽囊息肉:患者發現膽囊息肉后,可進一步做常規超聲加彩色多普勒超聲或聲學血管造影,內鏡超聲或CT增強掃描,以確定膽囊息肉是腫瘤性息肉還是非腫瘤性息肉(如膽固醇性息肉),通?刹捎梦撃懩仪谐g。

      囊腫:基本不需特殊治

      囊腫是一種良性包塊,有的單獨一個,也有多個的,一般來說對健康沒有多大影響,體檢查出也不必過于緊張。只要囊腫沒有對周圍器官存在壓迫癥狀或發炎感染,基本不需特殊治療。如肝囊腫過大,可能壓迫鄰近器官,引發不適癥狀,則需積極治療。如出現并發癥,像囊腫破裂、囊內出血等,需進行外科手術。

      1. 乳腺囊腫:乳腺囊腫嚴格意義上不能算是乳房疾病。95%的乳腺囊腫無需做特殊處理,只要定期觀察,每半年做一次B超,40歲以上患者每年加做一次鉬靶檢查。

      2. 肝囊腫:絕大多數肝囊腫不會癌變,且不會影響肝功能,所以只要肝囊腫沒有導致身體不適都可以不作處理,但建議每6個月做B超復查一次,觀察囊腫大小變化。

      3. 腎囊腫:腎囊腫以單純性腎囊腫較為多見,絕大多數單純性腎囊腫為良性,惡變幾率微乎其微,有一半以上的患者在發現前,幾乎沒任何癥狀。如果腎囊腫小于5厘米,且沒有給患者帶來不適,大可不必治療,一般3-6個月復查B超觀察其變化即可。

      增生:不一定會發展成癌

      增生分為生理性增生和病理性增生。生理性增生有時會對人體有益,病理性增生往往是有害的,但也不意味著增生就一定會發展成癌癥。

      1. 骨質增生:做X光檢查,經常會看見關節處有增生現象,也就是“骨刺”,尤其是頸椎、腰椎和膝關節。很多老人以為骨刺是病,發現一定要將其去除,有些人甚至聽信虛假廣告,想通過服藥溶骨。骨刺通常被認為是人體代償性的增生,即通過增生來幫助支撐身體、穩定關節。如果沒有給身體帶來不適,不需要做特殊處理。

      2. 前列腺增生:前列腺增生早期大多可保守治療,效果很好。目前還沒有良性前列腺增生向前列腺癌轉化的證據。

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      TAG:先兆 囊腫 結節 有啥 增生 哪個 才是 到底 不同 癌癥 ★★★ 友情提示:點擊圖片可進入下一頁 ★★★
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