甲状腺肿瘤百问百答
甲状腺肿瘤百问百答
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》采取一问一答的形式，全书大约一百多个问题。
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》整体从四个...
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》采取一问一答的形式，全书大约一百多个问题。
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》整体从四个方面进行叙述，分别为基础疑问、诊断疑问、治疗疑问以及康复疑问。
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》中还配有图片，整体风格活泼，内容浅显易懂，便于普通读者掌握甲状腺肿瘤的相关知识，进而改变生活中的不良习惯，建立科学正确的生活方式；患有甲状腺肿瘤的患者，能通过对疾病的了解，以良好的心态来面对疾病，取得良好的预后。
什么是甲状腺？
甲状腺有什么功能？
什么是甲状腺激素？
甲状腺炎是如何进行分类的？
什么是单纯性甲状腺肿？
碘和甲状腺肿的关系是什么？
什么是桥本甲状腺炎？
甲状腺腺瘤是良性的吗？需要手术吗？
甲状腺癌离我们远吗？
为什么近年来甲状腺癌越来越多？
甲状腺癌的发生与哪些因素有关？
哪些人容易患甲状腺癌？
甲状腺癌是不治之症吗？
胸部及骨骼X线片：常规胸片观察有无转移，必要时行骨骼摄片。本病可发生骨转移，以颅骨较多；次为胸骨柄、锁骨、肋骨、脊椎、盆骨、肱骨及股骨等。骨转移一般表现为溶骨性破坏，无骨膜反应，可侵犯邻近软组织。
（2）CT诊断。CT检查对大多数病例可提出良恶性诊断依据，而且可明确显示病变范围，尤其对胸内扩展的病变范围以及与邻近大血管的关系.为制订治疗方案提供可靠依据。通过CT检查可确定肿瘤为单一还是多发，瘤体为实质性还是混合性，肿瘤内是否存在囊变、坏死、钙化及其形态，对囊性变者可通过增强扫描确定其形态，囊壁厚薄是否均匀，有无瘤结节，并且进一步了解甲状腺肿瘤对邻近肌肉组织、气管、食管壁、颈血管鞘的侵犯情况和是否存在颈淋巴结转移。然而，CT检查仍有其局限性，不可避免地存在误诊或漏诊，因此，在诊断时应注意与腺瘤及结节性甲状腺肿的鉴别。同时可结合超声、MRI、PET-CT及放射性核素检查，有助于提高乳头状甲状腺微小癌的早期诊断率。
（3）磁共振成像。磁共振成像（MRI）可明确显示甲状腺肿瘤的范围及其与邻近组织关系。甲状腺癌MRI表现特征：①肿瘤非均质性改变，表现为肿瘤内信号不均匀，其发生机制与瘤内出血、坏死，囊变有关。当肿瘤生长速度超过微血管的生长速度时，肿瘤细胞就会坏死，同时也会出现囊变，也易侵犯周围血管和瘤体内部的血管而导致出血。而甲状腺良性病变也易发生出血、囊变等，因此肿瘤信号的不均匀只是恶性肿瘤的一个征象，单一的不均匀性信号不能可靠地鉴别肿瘤的良恶性，需要结合其他征象综合考虑。②肿瘤表现为不规则、分叶状。③瘤周不完整包膜样低信号影，这是MRI诊断甲状腺癌的特征性表现之一。包膜样低信号位于甲状腺肿瘤与正常组织之间.主要由包膜／假包膜（主要是纤维组织）构成，于TIWI和T2WI上均表现为低信号影。
（4）正电子发射计算机断层扫描。正电子发射计算机断层扫描（PET-CT）是目前的、准确性较高的核医学显像技术，它能较早期地揭示生物机体的异常功能、代谢变化，甚至可在机体出现临床症状、体征或病变解剖形态发生改变之前发现病灶，从而有助于疾病尤其是恶性肿瘤病变的早期诊断、早期治疗及对疾病的发生、发展和转归的及时判断，而多排螺旋CT则可以显示人体精密的解剖结构，解决了PET显像所存在的解剖定位关系不清的缺陷，因此PET-CT将功能图像和解剖图像进行了精确地融合，能方便地检测出更细小的病变组织，并能提供精确的解剖定位，进一步提高了对肿瘤诊断的正确性。PET-CT的优势主要体现在：①确诊原发灶后，能一次全面了解潜在区域淋巴结及远处转移灶并完善分期；②术后评估残留病灶或复发；③部分患者通过其他常规影像学检查难以确诊，而又不愿接受细针抽吸等有创检查；④部分甲状腺良恶性肿瘤原发灶的鉴别；⑤PETCT诊断灵敏度较高，可为外科精确制订治疗方案提供有益参考。由于PETCT价格较高，无法作为常规检查，但不失为一个有益的补充手段。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》采取一问一答的形式，全书大约一百多个问题。
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》整体从四个方面进行叙述，分别为基础疑问、诊断疑问、治疗疑问以及康复疑问。
《医患交流·癌症防治与康复系列丛书：甲状腺肿瘤百问百答》中还配有图片，整体风格活泼，内容浅显易懂，便于普通读者掌握甲状腺肿瘤的相关知识，进而改变生活中的不良习惯，建立科学正确的生活方式；患有甲状腺肿瘤的患者，能通过对疾病的了解，以良好的心态来面对疾病，取得良好的预后。
什么是甲状腺？
甲状腺有什么功能？
什么是甲状腺激素？
甲状腺炎是如何进行分类的？
什么是单纯性甲状腺肿？
碘和甲状腺肿的关系是什么？
什么是桥本甲状腺炎？
甲状腺腺瘤是良性的吗？需要手术吗？
甲状腺癌离我们远吗？
为什么近年来甲状腺癌越来越多？
甲状腺癌的发生与哪些因素有关？
哪些人容易患甲状腺癌？
甲状腺癌是不治之症吗？
胸部及骨骼X线片：常规胸片观察有无转移，必要时行骨骼摄片。本病可发生骨转移，以颅骨较多；次为胸骨柄、锁骨、肋骨、脊椎、盆骨、肱骨及股骨等。骨转移一般表现为溶骨性破坏，无骨膜反应，可侵犯邻近软组织。
（2）CT诊断。CT检查对大多数病例可提出良恶性诊断依据，而且可明确显示病变范围，尤其对胸内扩展的病变范围以及与邻近大血管的关系.为制订治疗方案提供可靠依据。通过CT检查可确定肿瘤为单一还是多发，瘤体为实质性还是混合性，肿瘤内是否存在囊变、坏死、钙化及其形态，对囊性变者可通过增强扫描确定其形态，囊壁厚薄是否均匀，有无瘤结节，并且进一步了解甲状腺肿瘤对邻近肌肉组织、气管、食管壁、颈血管鞘的侵犯情况和是否存在颈淋巴结转移。然而，CT检查仍有其局限性，不可避免地存在误诊或漏诊，因此，在诊断时应注意与腺瘤及结节性甲状腺肿的鉴别。同时可结合超声、MRI、PET-CT及放射性核素检查，有助于提高乳头状甲状腺微小癌的早期诊断率。
（3）磁共振成像。磁共振成像（MRI）可明确显示甲状腺肿瘤的范围及其与邻近组织关系。甲状腺癌MRI表现特征：①肿瘤非均质性改变，表现为肿瘤内信号不均匀，其发生机制与瘤内出血、坏死，囊变有关。当肿瘤生长速度超过微血管的生长速度时，肿瘤细胞就会坏死，同时也会出现囊变，也易侵犯周围血管和瘤体内部的血管而导致出血。而甲状腺良性病变也易发生出血、囊变等，因此肿瘤信号的不均匀只是恶性肿瘤的一个征象，单一的不均匀性信号不能可靠地鉴别肿瘤的良恶性，需要结合其他征象综合考虑。②肿瘤表现为不规则、分叶状。③瘤周不完整包膜样低信号影，这是MRI诊断甲状腺癌的特征性表现之一。包膜样低信号位于甲状腺肿瘤与正常组织之间.主要由包膜／假包膜（主要是纤维组织）构成，于TIWI和T2WI上均表现为低信号影。
（4）正电子发射计算机断层扫描。正电子发射计算机断层扫描（PET-CT）是目前的、准确性较高的核医学显像技术，它能较早期地揭示生物机体的异常功能、代谢变化，甚至可在机体出现临床症状、体征或病变解剖形态发生改变之前发现病灶，从而有助于疾病尤其是恶性肿瘤病变的早期诊断、早期治疗及对疾病的发生、发展和转归的及时判断，而多排螺旋CT则可以显示人体精密的解剖结构，解决了PET显像所存在的解剖定位关系不清的缺陷，因此PET-CT将功能图像和解剖图像进行了精确地融合，能方便地检测出更细小的病变组织，并能提供精确的解剖定位，进一步提高了对肿瘤诊断的正确性。PET-CT的优势主要体现在：①确诊原发灶后，能一次全面了解潜在区域淋巴结及远处转移灶并完善分期；②术后评估残留病灶或复发；③部分患者通过其他常规影像学检查难以确诊，而又不愿接受细针抽吸等有创检查；④部分甲状腺良恶性肿瘤原发灶的鉴别；⑤PETCT诊断灵敏度较高，可为外科精确制订治疗方案提供有益参考。由于PETCT价格较高，无法作为常规检查，但不失为一个有益的补充手段。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
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