11
防病之窗
юᆇબܸ̈dᑗґɪ࿁ً͠໗ᐖٙ
ط
ᐕͦ
ۃ
ᒔ
πίɓԬᜑٙʱd˸ધʕ̯ਜˋഐ
މ
Էd
ᛡً͠໗ᐖʕ̯ਜˋഐᔷଟ༰৷dҢ
ࡁ
࿁
ஔʕΏ
ࡖ
षଣᗇྼًٙ͠໗ᐖd੬ආБཫԣٙ
ʕ̯ਜˋഐધfШ݊ྼስʕdɓԬਿᄴᔼ৫ස
࿁ᅂ྅ኪ
א
ᑗґᏨʕᜑମ੬ٙˋഐආБ
ط
ᐕ
ધd
٫א
̥ৰ̙ဲˋഐdધආБʔ
ᇍʔ࿏ֵd͟Ϥிϓʕ̯ਜూ೯ଟᄣ৷dԴઃ٫
ዝʔ̀
ࠅ
ٙɚϣ˓ஔfюᆇબ੶ሜ¨ϣ˓ஔ࿁
໕ᆯઃ٫Їᗫࠠ
ࠅ
dɓ͇ආБ¦ɚϣ˓ஔ§d˓
ஔٙᗭ
ܓ
ձࠬᎈਗ਼ึʔΝ
ܓ
ήᄣɽdཫ
ܝ
ࣖ
؈
ɰ
ึɽ͂ұϔf©
юᆇબႩ
މ
d࿁ෂ୕ٙΌً͠໗ʲৰ̋ஔ
ܝ
ΝЗ९
ط
ᐕٙ˙
ج
d࿁҅ࠢɓਉًٙ͠໗ᐖd
̙˸፯ήආБఊਉ໗ʲৰdவ၇˙
ج
̙˸һ
λή
ڭ
वɓً֛ٙ͠໗̌ঐd৷ઃ٫ٙஔ
ܝ
͛
ݺ
ۜሯdΝࣛᒔঐࠥЭஔ
ܝ
ЭАඑसٙ೯͛ଟf¨
ཀεϋᑗґ᜕ٙጐଢ଼dБఊਉ໗ʲৰஔٙઃ٫
ཫ
ܝ
ࣖ
؈
ձБᕐਉʲৰஔٙ˷Νf©
隨訪，為何不必可少？
ᎇஞఱً݊͠໗໕ᆯ˓ஔഐҼ
ܝ
֛ಂ̘ᔼ৫ટաᔼ
ࢪٙᏨ
ݟ
ၾ
ط
ᐕfϞԬઃ٫
ط
ᐕഐҼ
ܝ
ӚϞႩॆᎇ
ஞdኬ
ߧ
̈ତ໕ᆯూ೯
א
ᔷࣛdӚϞϘಂ೯ତձ
ʿࣛஈଣϾఄ̰əΎϣ
ط
ᐕٙዚึf
юᆇબႩ
މ
dᎇஞٙ˴
ࠅ
࿁྅݊ె໕ᆯઃ٫f
͟ె໕ᆯٙ͛
ي
ኪБ
މ
ܼ̍ʔաࠢՓٙऍᆗ
͛
ڗ
d̙˸
ض
ഹˋ၍eА૰Ⴣஈᔷf̋ɪ᎘᎕
ଡ଼ᔌ༆࡚ልᕏd˴
ࠅ
ᛔኜεd˓ஔe׳ᐕࣛ
ࠅ
Ͻ
ᅇ᎘᎕ٙ̌ঐၾҖ࿒ഃΪ९d˓ஔᇍఖʔ̙ঐᗳ
Чe໖ԟჿɽd
ה
˸Ϟ̙ঐ̈ତ
ط
ᐕ
ܝ
ٙ҅
ూ೯
א
Ⴣஈᔷf̈ତ҅ూ೯ࣛdνঐϘಂ೯
ତdʥϞ̙ঐஷཀΎϣ˓ஔછՓशषd
ޟ
Ї
ط
ᓹष
㵿f
ࠅ
ซϘಂ೯ତdᗫᒟί֛ಂᎇஞf
юᆇબܸ̈dᎇஞٙ˴
ࠅ
lz࢙݊ᔼࢪٙᏨdᔼ
ࢪᏐႩॆᏨ
ݟ
҅Ϟщూ೯d
ط
ᐕ
ܝ
ٙኜ֜̌ঐν
Оd᎕ϞೌᔷٙˋഐfՉϣ֛݊ಂᏨ
ݟ
˪dΪ
٬މ
ً݊͠໗ᐖჃஈᔷٙ˴
ࠅ
ኜ֜ʘ
ɓd࿁˴ൡϞո֛৶़೨ٙषɛ
ࠅ
ਂΝЗ९৶ધ
dરৰ৶ᔷ̙ٙঐf൴ᑊ
ت
Ꮸ
ݟ
ӿᛔfΪӿᛔ
͵݊໕ᆯ੬ԈٙᔷЗd࿁Ϟᑊᄞe۟А
א
ආ
٫ڜ
Ꮠ̋ਂlzጕᗝᏨ
ݟ
f࿁
ݔ
Ԭ໕ᆯ̙˸ආБ͛
ʷᏨdνᄀۚᐖઃ٫Ꮠ֛ಂᏨ
ݟ
VCA
{
IgA
EB
ष
ݭ
ҤࡡdΌً͠໗ʲৰًٙ͠໗ᐖઃ٫Ꮸ
ݟ
А
ً͠໗ଢஐͣ˥dً͠໗ᅵᐖઃ٫Ꮸࠥඑ
९eᐖ
ߝ
Ҥࡡf˸ɪܸᅺʺ৷dจբഹ໕ᆯూ೯ٙ
̙ঐd
ࠅ
ˏৎ৷
ܓ
ࠠൖf
隨訪期限是多久？
юᆇબႩ
މ
ࡡ
ۆ
ɪᏐԒᎇஞdɓছί
ط
ᐕഐҼ
ٙୋɓϋlzdɧ
ࡈ
˜ɓϣdୋɚϋʬ
ࡈ
˜ɓϣdୋ
ɧϋ˸
ܝ
ɓϋЇˇɓϣd್ઃ٫̈ତၾ໕ᆯ
ط
ᐕ
ϞᗫٙʔቇdᏐʿ̘ࣛᔼ৫ఱൢf
The Incidence Rate of Thyroid Cancer is Subtly Becoming Higher
According to Prof Wu Yi of the Fudan University, most thyroid cancers have no pain nor signs of infection. Ultra-sound scanning helps
diagnosis and may differentiate from benign lesions, e.g., branchial cleft and thyro-glossal cysts and even Hashimoto thyroiditis,
an auto-immune disease. In areas of higher iodine intake, there may be fewer aggressive follicular and anaplastic cancers than
papillary ones. Although excessive iodine may increase risks of thyrotoxicosis (thyroid excess), those not so affected may take iodized
salt, especially as thyroid deficiency leads to myxedema, mental deficiency and affecting brain development. The choice operation
is prophylactic block dissection of neck nodes after frozen section for the exact tumor pathology of the lesion at operation; resecting
half of the thyroid is preferred, with less risk of low blood calcium. Cancer follow up is for local relapse, regional and distant organ
spread. After total thyroid resection, check the serum thyroglobulin for relapse. For medullary cancers, check calcitonin and carcino-
embroyonic antigen (CEA). Take care!
