医生喊话《小欢喜》刘静：“别怕，能治好！”

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                    <section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br  /></p><section powered-by="gulangu"><p>最近，全网热播剧《小欢喜》，占据了人们的茶余饭后，我也是每天定时搬着小板凳来到电视前。这两天看到剧里最温柔的刘静不幸得了癌症，看的好心疼，真是想给导演“送刀片”。</p><p><br  /></p><p>但定睛一看她手里的检查报告——乳腺癌二期，作为肿瘤专业的医务人员，我的紧张感降了大半。</p><p><br  /></p><p><strong><span>早期乳腺癌 ，其实没那么可怕，接下来，我带大家了解一下早期乳腺癌。</span></strong></p><p><br  /></p><p>首先呢，跟大家交代一下刘静是个什么样的人：</p><p><br  /></p><p>陪儿子赛车</p></section><section powered-by="gulangu"><section><p><img src="image/20201014/7c00965f113f7d8b4744ed2efb32c9ed_2.png" /></p></section></section><section powered-by="gulangu"><p>接送丈夫上下班</p></section><section powered-by="gulangu"><section><p><img src="image/20201014/290b7613a23e4a683836832b364bf7bd_3.jpg" /></p></section></section><section powered-by="gulangu"><p>家里大小事务一概全揽，而且还能那么温柔，从不发火，隔壁家的小孩都想跟她交朋友</p></section><section powered-by="gulangu"><section><p><img src="image/20201014/ffbaca777ee779c45eea0bda4bb29db5_4.jpg" /></p></section></section><section powered-by="gulangu"><p>同时，又在天文馆负责重要工作</p></section><section powered-by="gulangu"><section><section><p><img src="image/20201014/ebef1aacb23f8eed0261e24d01eb7bc4_5.jpg" /></p></section></section></section><section powered-by="gulangu"><p><span>这样的好女人，就是《小欢喜》中最受欢迎的妈妈——刘静。</span></p><p><span></span></p><p>娴静美好如她，温柔贤惠如她，竟然查出得了乳腺癌！</p></section><section powered-by="gulangu"><section><p><img src="image/20201014/ef3ac9c7f24dbfc077592b293eea761a_6.jpg" /></p></section></section><section powered-by="gulangu"><p><br  /></p><p>那么，了解早期乳腺癌，要从它的诊断开始。</p><p><br  /></p></section><section powered-by="gulangu"><section><section></section><section></section><section></section></section><section><p><strong>早期乳腺癌是如何诊断的？</strong></p></section></section><section powered-by="gulangu"><section></section></section><section powered-by="gulangu"><section><p><img src="image/20201014/d78ba5c691f16568dbf94257f563410f_7.jpg" /></p></section></section><section powered-by="gulangu"><p>回顾刘静检查到确诊的过程，首先是超声检查，超声发现了大小约10×12mm的乳腺肿块；而后做了钼靶检查，结果为4C，意思为恶性可能性高，最后刘静瞒着丈夫和孩子独自去医院做“手术”。现在我来一一解释一下这个诊断过程。</p><p><br  /></p><p>一般体检触诊发现肿块后，医生会建议进一步做<strong>影像学检查（包括超声、钼靶和乳腺核磁），来评估肿块的良恶性</strong>。关于影像学检查结果的分级，简单了解一下：</p></section><section powered-by="gulangu"><section><p><img src="image/20201014/8ec98b5f5a5754148ddcd1e0dfa53915_8.png" /></p></section></section><section powered-by="gulangu"><p>如上图所示，她的检查结果是4C，因此需要进一步做组织活检，确认肿瘤的良恶性。这里的活检就是剧里说的“小手术”。</p><p><br  /></p><p><span><strong>活检是乳腺癌诊断的“金标准”，也是确诊的唯一方法。</strong></span><strong></strong>那么一定有人要问为什么刘静做了两次活检呢？因为穿刺活检一般是在超声指导下的定位取组织，所以位置的偏差在技术层面上是可以理解的。</p><p><em></em></p><p><br  /></p></section><section powered-by="gulangu"><section><section></section><section></section><section></section></section><section><p><strong>乳腺癌二期可怕吗？</strong></p></section></section><section powered-by="gulangu"><p><br  /></p><p>最终刘静的活检结果为乳腺癌，二期，相信有很多人都不知道二期是什么概念，严重不严重？那么我们先了解一下乳腺癌的分期。</p></section><section powered-by="gulangu"><section><p><img src="image/20201014/57602a96f781a4f461ab60a4f50908a0_9.jpg" /></p></section></section><section powered-by="gulangu"><p>以刘静为例，双侧乳腺导管癌（未见浸润性）：属于早期。TNM分期为：T2N0M0。意思是肿瘤大小在2~5cm之间（T2），未发现淋巴转移（N0），无身体其他部位的转移（M0）。</p><p><br  /></p><p><strong>Ⅱ期乳腺癌是早期阶段，目前的五年生存率约80%</strong>，因此，不要害怕，积极治疗，相信自己和医生。</p><p><br  /></p></section><section powered-by="gulangu"><section><section></section><section></section><section></section></section><section><p><strong>乳腺癌二期怎么治？</strong></p></section></section><section powered-by="gulangu"><section></section></section><section powered-by="gulangu"><section><p><img src="image/20201014/380ef9769077682ba96dc5efbb8b39b0_10.jpg" /></p></section></section><section powered-by="gulangu"><p>相信很多人都跟她一样，确诊乳腺癌后吓坏了，对于治疗也有各种各样的问题。镇定，现在就让我来为您拨云见日！</p><p><br  /></p><p>关于乳腺癌的治疗，目前主要是四大方式：<strong>手术、放疗、化疗、内分泌治疗和靶向治疗</strong>。在剧中，刘静不接受手术治疗，认为“手术=不完整的女人”，这也道出了许多年轻乳腺癌患者的心声。</p><p><br  /></p><p>其实，随着治疗技术的进步，手术切除的范围在逐步减少，<strong>保乳治疗已经逐渐成为一项成熟的早期乳腺癌治疗方法了</strong>。手术治疗是早期乳腺癌最有效的方案，特别是对于像刘静这样非浸润性的患者，术后经过一段时间的复查，如未发现体内癌细胞的复发和转移，可以判断为临床治愈。</p><p><br  /></p><p>当然，<span><strong>保乳治疗不只是手术，而是一个完整的治疗方案</strong></span>。其治疗结果被证明可以达到全切的效果。放化疗及内分泌治疗可以作为辅助治疗措施，针对不同的具体情况具体实施。</p><p><em></em></p><p><br  /></p></section><section powered-by="gulangu"><section><p><img src="image/20201014/49d7f7de1a01d9ee132b42cb0c057311_11.png" /></p></section></section><section powered-by="gulangu"></section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><p><strong>纠正剧里的小错误</strong></p></section></section><section></section></section></section><section powered-by="gulangu"><p><br  /></p></section><section powered-by="gulangu"><section><section><p><strong>早期乳腺癌可以不手术只化疗（?）</strong></p></section><section><section></section><section></section></section></section></section><section powered-by="gulangu"><section><section><section></section></section></section><section></section><section><section powered-by="gulangu"><p>乳腺癌确诊后都需要手术的，即使是早期，只是手术切除的范围有差别。随着治疗技术的不断提高，乳腺癌手术治疗可以做到只切除肿瘤，或者只切除乳腺后安装假体。化疗和放疗是手术的辅助治疗。术前放化疗可以控制肿瘤的大小，尽量减少切除范围。术后放化疗的目的是预防转移和复发，进行巩固性治疗。</p></section></section><section><section><section></section></section></section></section><section powered-by="gulangu"><p><br  /></p></section><section powered-by="gulangu"><section><section><p><strong>化疗一定会掉头发（?）</strong></p></section><section><section></section><section></section></section></section></section><section powered-by="gulangu"><section><section><section></section></section></section><section></section><section><section powered-by="gulangu"><p>化疗是化疗药物治疗的简称。江湖中化疗药物的副作用让大家“惊恐”，例如：化疗必然呕吐，化疗一定掉头发，一旦化疗死的快等等。其实呢，化疗确实是细胞毒性药物，会对细胞有杀伤作用，但是现代的制药技术可以使大多数药物进入体内后有选择性，对正常细胞的影响很小，因此，绝大多数病人都能较好的耐受化疗。即使出现了脱发，治疗结束后也可以再长出来，为了恢复健康可以戴一段时间帽子或者假发应对。</p></section></section><section><section><section></section></section></section></section><section powered-by="gulangu"><section></section></section><section powered-by="gulangu"><section><p><img src="image/20201014/49d7f7de1a01d9ee132b42cb0c057311_11.png" /></p></section></section><section powered-by="gulangu"><p><br  /></p><p>其实，现实生活中有很多像刘静一样的女人，兼顾工作和家庭，默默付出，小编向她们致敬。随着女性自查意识的提高和检查手段的不断提升，乳腺癌在早期的发现占比增加。早期乳腺癌的治疗如上所述处于一个比较乐观的现状。</p></section><section powered-by="gulangu"><section><p><img src="image/20201014/da535c150f8b8caec9928432d7791013_13.png" /></p></section></section><section powered-by="gulangu"><p><br  /></p><p>“<span><strong>不要吃一些含激素类的东西，另外，一定要乐观、开朗</strong></span>”，这是<span>剧里医生对刘静说</span><span>的话，也送给所有乳腺癌患者。</span></p><p><br  /></p><p>当然了，希望所有的朋友每天都开开心心，虽然生活常有不如意，但还是要欢喜面对~</p><p><br  /></p><p><span>本文转载自公众号“</span><span>美</span><span>中嘉和肿瘤</span><span>防治</span><span>”</span></p><p><span><br  /></span></p><section><a data-miniprogram-appid="wxdc7efe409d688f37" data-miniprogram-path="pages/authorizationLogin/authorizationLogin" data-miniprogram-nickname="" href="" data-miniprogram-type="image" data-miniprogram-servicetype="" href=""><p><img src="image/20201014/2e25c809fffd6ef0866d70b58effc1a6_14.gif" /></p></a><br  /></section><section><br  /></section><section powered-by="gulangu"><section powered-by="gulangu"><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph"><section><section><section data-brushtype="text"><strong>相关阅读</strong></section></section></section><section><section></section></section><section data-width="100%"><section><section><section><section data-width="100%"><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><section><p><img src="image/20201014/2aac877ff9233ba5a66e7a5ff3a4febf_15.gif" /></p></section><section data-brushtype="text">戳一下，更有料！</section></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><br  /></section><p><span>乳腺X线摄影仍然是乳腺癌筛查和检测的黄金标准</span></p><p><br  /></p><p>一首歌的时间就能完成乳腺智能超声检查，飞利浦出新招！<br  /></p><p><br  /></p><p>最新DR、乳腺X射线机、数字胃肠机、C形臂X射线机、X射线骨密度仪销量排行榜<br  /></p></section></section></section></section></section></section></section></section></section><p><br  /></p><p><p><img src="image/20201014/cd6e6da350853c459044672a7cf353fb_16.jpg" /></p></p></section><p><span></span></p>