Cov kws kho mob: Oops koj yeej tsis muaj mob qog noj ntshav

2024 Tus sau: Seth Attwood | [email protected]. Kawg hloov kho: 2023-12-16 16:06

Tom qab ntau xyoo ntawm kev kuaj mob qog noj ntshav tsis raug nrog kev kho mob tom ntej thiab ntau lab tus neeg tsis noj qab haus huv, National Cancer Institute thiab JAMA JAMA (Journal of American Medical Association) tau lees paub tias lawv ua tsis ncaj ncees lawm.

Rov qab rau xyoo 2012, National Cancer Institute tau coj pab pawg kws tshaj lij los tshuaj xyuas qhov kev faib tawm ntawm qee qhov kev kuaj mob qog noj ntshav feem ntau thiab tom qab ntawd "kev kuaj mob" ntau dhau thiab kho cov mob hnyav dhau. Lawv tau txiav txim siab tias tej zaum ntau lab tus tib neeg tau raug kuaj pom tsis zoo nrog lub mis, prostate, thyroid thiab mob ntsws cancer thaum qhov tseeb lawv cov mob muaj kev nyab xeeb thiab yuav tsum tau txhais tias yog "cov kab mob benign epithelial." Tsis tau thov txim. Cov xov xwm loj tsis quav ntsej qhov no kiag li. Txawm li cas los xij, qhov tseem ceeb tshaj plaws tseem tsis tau ua tiav: tsis muaj kev hloov pauv hauv cov kev coj ua ntawm kev kuaj mob, kev tiv thaiv thiab kev kho mob qog noj ntshav tau tshwm sim.

Yog li, ntau lab tus tib neeg hauv Tebchaws Meskas thiab thoob plaws ntiaj teb uas paub tseeb tias lawv muaj tus kabmob kheesxaws tuag taus thiab cov uas tau ua phem thiab ua phem rau qhov no, zoo li tau hnov. “Auj … Peb ua yuam kev. Koj tsis tau mob qog noj ntshav tiag tiag. "

Yog tias koj saib qhov teeb meem tsuas yog los ntawm qhov kev xav ntawm "kev kuaj mob ntau dhau" thiab "kev thim rov qab" ntawm mob qog noj ntshav hauv Tebchaws Meskas hauv 30 xyoo dhau los, ces kwv yees li ntawm cov poj niam cuam tshuam yuav sib npaug li 1.3 lab. Feem ntau ntawm cov poj niam no tsis txawm xav tias lawv tau dhau los ua neeg raug tsim txom thiab ntau tus ntawm lawv hais txog lawv "tus neeg ua phem" raws li Stockholm Syndrome, vim lawv xav tias lawv txoj sia tau "txuag" los ntawm kev kho tsis tsim nyog. Qhov tseeb, cov kev mob tshwm sim, ob qho tib si lub cev thiab kev puas siab puas ntsws, yuav luag txo qis lawv qhov zoo thiab lub neej expectancy.

Thaum lub National Cancer Institute tau tshaj tawm, cov neeg uas tau sib cav ntev ntev tias feem ntau kuaj pom "mob qog noj ntshav thaum ntxov" hu ua encapsulated mammary duct carcinoma (DCIS) tsis yog qhov tsis zoo, thiab yog li ntawd yuav tsum tsis txhob raug kho nrog lumpectomy, mastectomy., radiation therapy, thiab chemotherapy.

Dr. Sayer Gee, tus tsim ntawm greenmedinfo.com scientific kev tshawb fawb kev tshawb fawb archive project, tau koom tes nrog kev qhia rau tib neeg txog qhov teeb meem ntawm "overdiagnosis" thiab "retreatment" rau ntau xyoo. Ob xyoos dhau los nws tau sau ib tsab xov xwm "Kev mob qog nqaij hlav qog noj ntshav tshwm sim los ntawm cov ntaub ntawv tsis raug, tsis yog mob qog noj ntshav", uas nws tau lees paub los ntawm kev sau ntau cov kev tshawb fawb los ntawm ntau lub teb chaws, uas pom tau tias qhov nce sai ntawm cov qog nqaij hlav qog nqaij hlav yog txuam nrog misclassification thiab misdiagnosis. Lwm cov kev tshawb fawb tau xav txog tib daim duab hauv kev kuaj mob qog nqaij hlav hauv lub mis thiab prostate, thiab txawm tias qee hom qog nqaij hlav zes qe menyuam. Nws yuav tsum nco ntsoov tias tus qauv kev kho mob rau cov kev kuaj mob no yog tshem tawm cov khoom nruab nrog cev, nrog rau kev siv hluav taws xob thiab tshuaj tua kab mob. Ob lub tom kawg yog cov muaj zog carcinogens uas ua rau mob qog noj ntshav ntawm cov mob tsis zoo no thiab mob qog noj ntshav thib ob.

Thiab, raws li feem ntau yog cov ntaub ntawv nrog cov kev tshawb fawb uas cuam tshuam cov qauv kev kho mob, cov kev tshawb fawb no kuj tsis ua rau nws tshaj tawm!

Thaum kawg, ua tsaug rau kev siv zog ntawm ntau tus kws kho mob oncologists ncaj ncees, ib qho ntawm cov kab mob kheesxaws feem ntau tau raug muab faib ua benign. Nws yog hais txog papillary thyroid cancer. Tam sim no yuav tsis muaj kev zam txim rau cov kws kho mob oncologist uas muab cov neeg mob los kho cov teeb meem tsis zoo no, qhov hloov pauv hloov pauv nrog kev pab ntawm tag nrho cov thyroid caj pas ua raws li kev siv xov tooj cua iodine, muab tus neeg mob rau cov tshuaj hormones hluavtaws rau lub neej thiab kev kho mob tas li. concomitant cov tsos mob. Rau ntau lab tus tib neeg "kho" rau "mob qog noj ntshav", cov ntaub ntawv no tuaj lig, tab sis rau ntau tus yuav cawm tau ntau yam kev txom nyem uas tsis tsim nyog thiab ua rau lub neej tsis zoo vim kev kho mob tsis zoo.

Hmoov tsis zoo, qhov xwm txheej no tsis tau dhau los ua qhov kev xav hauv xov xwm loj, uas txhais tau tias ntau txhiab tus neeg yuav raug kev txom nyem "los ntawm inertia" kom txog thaum cov tshuaj ua haujlwm rau nws.

Zaj duab xis:

HUAB TAIS HAUJ LWM HAUV QHOV CHAW UA HAUJ LWM NTAWM CANCER Cancer tsuas yog cov tsos mob xwb, tsis yog ua rau mob

Aws…! "Nws hloov tawm tias nws tsis yog mob qog noj ntshav!" lees txais National Cancer Institute (NCI) hauv Phau Ntawv Xov Xwm ntawm American Medical Association (JAMA)

Lub Plaub Hlis 14, 2016, nyob rau hauv ib tsab xov xwm hu ua "Nws Tsis Cancer: Cov Kws Kho Mob Reclassified Thyroid Cancer," New York Times tau taw qhia rau cov kev tshawb fawb tshiab luam tawm hauv JAMA Oncology uas yuav tsum hloov mus ib txhis li cas peb faib, kuaj xyuas, thiab kho cov kab mob thyroid. mob qog noj ntshav.

Ib pawg kws kho mob thoob ntiaj teb tau txiav txim siab tias hom mob qog noj ntshav uas ib txwm tau muab cais ua mob qog noj ntshav tau hloov pauv tsis yog mob qog noj ntshav.

Qhov tshwm sim yog ib qho kev hloov pauv hauv kev faib tawm ntawm tus mob mus rau benign. Nyob rau hauv txoj kev no, ntau txhiab tus neeg yuav muaj peev xwm zam kom tsis txhob muaj lawv cov thyroid caj pas tshem tawm, kev kho mob radioactive iodine, siv cov tshuaj hormones synthesized nyob rau lub neej, thiab kev kuaj xyuas tsis tu ncua. Tag nrho cov no yog txhawm rau "tiv thaiv" los ntawm cov qog uas tsis muaj kev phom sij.

Qhov kev tshawb pom ntawm cov kws tshaj lij no thiab cov ntaub ntawv ua rau lawv tau luam tawm thaum lub Plaub Hlis 14th hauv phau ntawv JAMA Oncology. Qhov kev hloov pauv xav tias yuav cuam tshuam rau ntau dua 10,000 tus neeg mob qog noj ntshav hauv ib xyoos hauv Tebchaws Meskas ib leeg. Qhov kev tshwm sim no yuav tau txais txiaj ntsig thiab raug sau tseg los ntawm cov neeg uas tau thawb rau kev faib tawm ntawm lwm hom mob qog noj ntshav, suav nrog qee qhov ntawm lub mis, prostate thiab ntsws.

Ib tug qog reclassified yog ib pob me me nyob rau hauv cov thyroid caj pas uas yog ib puag ncig tag nrho los ntawm lub capsule ntawm cov ntaub so ntswg fibrous. Nws cov nucleus zoo li mob qog noj ntshav, tab sis cov hlwb ntawm kev tsim tsis mus dhau ntawm lawv cov tshuaj ntsiav thiab yog li kev ua haujlwm kom tshem tawm tag nrho cov qog thiab tom qab kev kho mob nrog cov xov tooj cua iodine tsis tsim nyog thiab tsis poob - qhov no yog qhov xaus los ntawm oncologists. Tam sim no lawv tau hloov lub npe loj los ntawm "encapsulated follicular thyroid papillary carcinoma" mus rau "noneinvasive follicular thyroid neopolasm nrog papillary-zoo li nuclear nta, los yog NIFTP". Lo lus "carcinoma" tsis yog tshwj xeeb.

Ntau tus oncologists ntseeg tias qhov no yuav tsum tau ua ntev dhau los. Tau ntau xyoo, lawv tau tawm tsam kom rov faib cov pawg me me ntawm lub mis, ntsws thiab prostate, nrog rau qee yam mob qog noj ntshav, thiab tshem tawm lub npe "mob cancer" los ntawm kev kuaj mob. Qhov tsuas yog rov faib ua ntej qhov no yog theem pib ntawm mob qog noj ntshav ntawm cov kab mob genitourinary, ua rau xyoo 1998 thiab kev hloov pauv thaum ntxov ntawm lub ncauj tsev menyuam thiab zes qe menyuam txog 20 xyoo dhau los. Txawm li cas los xij, sib nrug los ntawm cov kws kho mob tshwj xeeb hauv cov thyroid caj pas, tsis muaj leej twg tuaj yeem ua qhov no txij thaum ntawd los.

"Qhov tseeb, qhov tsis sib xws yog qhov tseeb," American Cancer Society tus kws kho mob Otis Broughley hais tias, "qhov kev hloov pauv tau tshwm sim nyob rau hauv qhov sib txawv ntawm cov pov thawj tshawb fawb. Qhov no yog li cas precancerous me me lumps los ua lub npe hu ua theem xoom mob cancer. Cov qog me me thiab thaum ntxov prostate tau dhau los ua cov qog nqaij hlav cancer. Nyob rau tib lub sijhawm, niaj hnub kev tshuaj ntsuam xyuas xws li ultrasound, xam tomography, kev kho magnetic resonance pom ntau thiab ntau dua ntawm cov "mob qog noj ntshav" me me, tshwj xeeb tshaj yog cov nodes hauv cov thyroid caj pas.

Dr. John C. Morris, tus thawj tswj hwm ntawm American Thyroid Association thiab Mayo Clinic tus kws tshaj lij ntawm cov tshuaj hais tias "Yog tias nws tsis yog mob qog noj ntshav, cia peb tsis hu nws tias mob cancer."

Dr. Barnett Es Krammer, tus thawj coj ntawm kev tiv thaiv kab mob qog noj ntshav ntawm National Cancer Institute, tau hais tias: "Peb txhawj xeeb ntau ntxiv tias cov ntsiab lus uas peb siv tsis zoo li peb txoj kev nkag siab txog kev mob qog noj ntshav."Nws hais ntxiv tias: "Kev hu xov tooj rau kev mob qog noj ntshav thaum lawv tsis yog, ua rau kev kho tsis tsim nyog thiab raug mob."

Cov kab lus txuas ntxiv mus hais tias thaum qee lub chaw kho mob tshwj xeeb twb tau pib kho cov thyroid caj pas kom tsis muaj zog, qhov no tseem tsis yog cov qauv hauv lwm qhov chaw kho mob. Hmoov tsis zoo, muaj cov qauv uas feem ntau yuav siv sijhawm li 10 xyoo rau cov pov thawj tshawb fawb los cuam tshuam hauv kev kho mob. Yog li ntawd, cov tshuaj tsis tshua muaj "scientifically sound" dua li nws hais.

Obviously, qhov tseeb hais txog qhov tseeb ua rau mob qog noj ntshav, nrog rau qhov tseeb hais txog cov dab neeg uas nthuav tawm los ntawm kev lag luam qog noj ntshav, tab tom pib nkag mus rau hauv cov tsev kho mob xws li JAMA thiab txawm tias hauv xov xwm, uas feem ntau ua lub luag haujlwm loj hauv kev sib kis. cov ntaub ntawv tsis raug ntawm lub ncauj lus no.

Txawm tias qhov kev vam meej no, peb yuav tsum ua haujlwm txuas ntxiv mus rau qhov kev taw qhia no. Kev tshawb fawb thiab kev kawm yuav tsum tau ua ntxiv mus. Ntxiv nrog rau papillary thyroid cancer, qhov no feem ntau cuam tshuam txog kev mob qog noj ntshav ntawm lub mis, qee qhov tsim ntawm prostate (intrapithelial neoplasia) thiab ntsws. Thaum qhov kev faib tawm ntawm cov xwm txheej no tuaj yeem ua tiav, qhov no yuav ua rau muaj kev hloov pauv tseem ceeb hauv lawv cov txheej txheem kho mob. Tam sim no lawv yuav tsis raug kho nrog kev txiav tawm hauv nruab nrog cev, tshuaj tua kab mob carcinogenic thiab kho hluav taws xob, uas txhais tau hais tias ntau lab tus tib neeg yuav tsis tau txais kev kho mob tsis txaus ntseeg uas rau txim rau lawv mus tas li kev txom nyem thiab kev vam khom rau cov tshuaj tseem ceeb, thiab ntau ntawm lawv yuav zam qhov tshwm sim ntawm theem nrab. mob qog noj ntshav los ntawm hom kev kho mob no…. Rau ntau tus, malignancy ntawm cov txheej txheem kuj yuav tsis tshwm sim los ntawm kev kho tshuaj lom uas ua rau lub cev tiv thaiv thiab hloov cov txheej txheem benign mus rau hauv kev txhoj puab heev malignant.

Tsuas yog xav txog tias muaj pes tsawg tus neeg thoob ntiaj teb tau raug kev txom nyem thiab tseem yuav raug cuam tshuam, yog tias tsuas yog hauv Tebchaws Meskas thiab tsuas yog mob qog noj ntshav muaj 1.3 lab tus poj niam? Tam sim no nws yuav tsum tau pom tseeb rau txhua tus neeg nyob qhov twg cov nom tswv oncology tau txais cov txiaj ntsig zoo li no, qhov twg nws kho mob qog noj ntshav hauv ntau dua 50% ntawm cov neeg mob. Lawv feem ntau tsis tau kuaj mob qog noj ntshav kom raug, thiab yog tias cov "cov neeg mob" no dim txoj kev kho mob, lawv tau raug kho mob cancer. Ntxiv mus, yog tias muaj ntau tom qab 5-15 xyoo tsim cov qog nqaij hlav thib ob, ces lawv yeej tsis tau cuam tshuam nrog kev kho mob carcinogenic yav dhau los.

Ntau tus kws kho mob oncologists, thiab tshwj xeeb tshaj yog cov neeg uas siv lub tswv yim naturopathic ntawm kev nkag siab thiab kho mob qog noj ntshav, ntseeg tias cov qog nqaij hlav asymptomatic tsis tas yuav kho txhua, tab sis tsuas yog ua qee yam kev hloov pauv hauv lawv txoj kev ua neej, kev noj haus thiab kev xav. Txawm li cas los xij, koj tuaj yeem mus ntxiv thiab hais cov lus ntawm tus xibfwb ntawm University of California ntawm Bakerley, Dr. kev kho mob, nyob nruab nrab 4 npaug ntev dua li cov neeg tau txais kev kho mob.

Tag nrho cov no yuam kom peb saib tshiab ntawm qhov xwm txheej nrog kev kuaj mob thiab kev kho mob ntawm tus kab mob no, nrog rau qhov tseeb tias, hmoov tsis, hnub no peb tsis tuaj yeem tso siab rau cov tshuaj no.

Saib ntxiv: Cov tshuaj mob qog noj ntshav tau paub ntev ntev