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体内有癌,肩膀先知,肩膀若出现一个特征,体检时一定要排查肝癌
2020-01-07 23:43   来源:  www.hiltontiles.com   评论:0 点击:

体内有癌,肩膀先知,肩膀若出现一个特征,体检时一定要排查肝癌48岁的蒋女士最近两个月总是感到右侧肩膀疼

48岁的蒋女士最近两个月总是感到右侧肩膀疼痛不适,刚开始的时候以为是肩周炎,但是检查了肩关节和颈椎,发现都没有问题,又做了一段时间的理疗,还是没有什么效果。

Ms. Jiang,48, who has been feeling pain and discomfort in her right shoulder for the last two months, thought it was shoulder periarthritis at the beginning, but examined the shoulder and cervical vertebrae and found that there was no problem, and after a period of physical therapy, it still had little effect.

医生说,肝癌在不断进展的时候,很容易侵犯右侧的膈肌,就会引起牵拉性疼痛,所以肝癌的患者,常常会出现右侧肩痛,有的患者既有肝区疼痛,也有右侧肩痛,也有的患者,则以右侧肩痛为主要的症状表现。

Doctors said that liver cancer in continuous progress, it is easy to invade the right side of the diaphragm, will cause traction pain, so liver cancer patients, often will appear right shoulder pain, some patients have both liver area pain, but also right shoulder pain, some patients, the right shoulder pain as the main symptom.

检查显示,蒋女士是一名慢性乙型病毒性肝炎患者,在我国,乙肝是导致肝硬化和原发性肝癌的罪魁祸首,很多人知道自己有乙肝,但漫长的时间里,却漠不关心,从不到医院去检查一下乙肝病毒定量,肝功能和肝脏彩超,也有的人,是根本不知道自己有乙肝,体检的时候也从未进行过类似的体检。

Examination shows that ms. jiang is a chronic hepatitis b patient, in our country, hepatitis b is the cause of liver cirrhosis and primary liver cancer, many people know that they have hepatitis b, but for a long time, but indifferent, never go to the hospital to check the hepatitis b virus quantification, liver function and liver color ultrasound, some people, is not aware that they have hepatitis b, the physical examination has never carried out a similar physical examination.

医生提醒,对于乙肝患者,或者平时喜欢长期酗酒的人群,一定要定期到医院检查一下肝脏,体检的时候要注意排查肝癌。

Doctors remind, for hepatitis B patients, or usually like long-term drinking people, must regularly go to the hospital to check the liver, physical examination should pay attention to check liver cancer.

第一,肝脏CT,彩超或核磁共振,如果其中一个检查,发现了直径超过2厘米以上的肿块,高度怀疑恶性肿瘤,这个时候,要结合第二个检查。

First, liver CT, color ultrasound or MRI, if one of the tests, found more than 2 centimeters in diameter of the mass, highly suspected malignant tumor, this time, to be combined with the second examination.

第二,甲胎蛋白,特异性非常高,如果影像学检查提示原发性肝癌,甲胎蛋白明显升高,这个时候,诊断原发性肝癌没有问题。

Second, alpha fetoprotein, the specificity is very high, if the imaging examination indicates that primary liver cancer, alpha fetoprotein significantly increased, at this time, there is no problem in the diagnosis of primary liver cancer.

如果肝脏发现肿块,甲胎蛋白不高,还是无法明确是不是肝癌,这个时候可以考虑进行肝穿刺活检,以明确肿块病理学性质。

If the liver found a mass, the alpha-fetoprotein is not high, or cannot be clear whether it is liver cancer, this time can be considered for liver biopsy to clarify the pathological nature of the mass.

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