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　　近日，多名女性读者反映，在单位组织的体检中，被查出患有“甲状腺结节”。记者随即走访了省会一些医院，发现从去年以来，“甲状腺彩超”成为不少单位组织体检时的“热门项目”，而通过体检，很多单位都发现了此类病例，而且患者以女性居多。

recently，More than female readers reflect，In the unit organization in physical examination，Was diagnosed with“Thyroid nodules”。Reporters then visited capital some hospitals，Found that since last year，“Thyroid colour to exceed”As many units of medical organization“Popular project”，And through the medical，Many units have discovered such cases，And with a female predominance。

　　专家说，甲状腺疾病偏爱女性，男女比例约为1∶3，而甲状腺癌近些年也在增加，20年间增加了4至5倍。

Experts say，Thyroid disease preference for women，The proportion of men to women is about 1:3，And thyroid cancer in recent years are also on the increase，20 years increased 4 to 5 times。

现状 status

　　甲状腺疾病“偏爱”女性 Thyroid disease“preference”women

　　昨日,根据单位安排,小王走进省人民医院去体检,在检查甲状腺彩超时，医生告诉她，她有“甲状腺结节”。而在这次体检中，被查出结节的并不止她一个人。

yesterday,According to the arrangement of unit of,Wang walked into the province people's hospital physical examination,During the inspection when thyroid colour to exceed，The doctor told her，She has“Thyroid nodules”。And in the physical examination，Was found nodules and more than she。

　　“从去年开始，来我们医院体检的单位，大部分都把甲状腺彩超列入职工的检查项目。而每次单位的体检中，一般都能查出好几个甲状腺结节的病人。”该院体检科彩超室的一位男医生说。

“Since last year，To our hospital medical units，Most of the staff and workers in the thyroid colour to exceed examination project。And each unit of physical examination，Can usually find out several thyroid nodules of the patients。”The hospital medical department colour to exceed chamber of a male doctors say。

　　“甲状腺结节是甲状腺增生性疾病，多见的是结节性甲状腺肿。”省肿瘤医院头颈科主任医师秦建武说，这种病发病率很高，其中，尤以女性多见，女性人群的发病率为20%～70%，女性和男性的比例约为3∶1。

“Thyroid nodule is thyroid hyperplastic diseases，See more is nodular goiter。”Provincial tumor hospital head and neck section chief physician QinJianWu said，This kind of disease incidence rate is very high，the，Especially in the women see more，The incidence of women who is 20% ~ 70%，The proportion of women and men about 3:1。

　　甲状腺结节中癌的比例高吗？

Thyroid nodule in the proportion of cancer high？

　　“不是很高。”秦建武说，在所有的甲状腺结节中有5%～15%是恶性的。

“Is not very high。”QinJianWu said，In all of the thyroid nodules 5% ~ 15% are malignant。

警惕 alert

　　甲状腺癌20年增加了4至5倍 Thyroid carcinoma 20 years increased 4 to 5 times

　　不过，值得警惕的是，虽然甲状腺结节中癌的比例并不是很高，但是甲状腺癌的病人却正在逐年上升。

but，Alarmed that，Although the proportion of cancer in thyroid nodule and is not very high，But thyroid cancer patients is rising year by year。

　　“现在的甲状腺癌发病率比20年前增加了4～5倍。”秦建武说，发病率提高是一个全球问题，据美国的资料，自1989年～2012年发病率增长4.99倍。北京2012年6月发布2011年度健康白皮书：甲状腺癌由2001年女性恶性肿瘤第十位升至第五位，是上升最快的女性恶性肿瘤，每年增长14.2%，在9年间增长了225.2%。

“Now thyroid cancer incidence of a disease more than 20 years ago increased 4 ~ 5 times。”QinJianWu said，Incidence rate increase is a global problem，According to the data，From 1989 ~ 2012 annual incidence increased by 4.99 times。Beijing June 2012 released 2011 annual health white paper：Thyroid carcinoma from 2001 female malignant tumor tenth to fifth place，Is the fastest rising female malignant tumor，Grew by 14.2% a year，In the nine years increased by 225.2%。

　　而在河南，每年会新增一万多个甲状腺癌病人。

And in henan，Each year more than ten thousand new thyroid cancer people。

　　为什么会逐年增加？秦建武说，医学界公认的一个主要原因是检测手段提高，比如彩超技术普及、超声科医生检查水平提高以及仪器的准确度、灵敏度提高等。当然，他认为，其他一些因素也不可忽视。

Why will increase year by year？QinJianWu said，The medical profession recognized as one of the main reasons is to improve detection means，Such as color dopplar ultrasound technology popularization、Ultrasonic family doctor check level and improve the accuracy of the instrument、Sensitivity improvement of。Of course，He thinks，Other factors can not be ignored。

　　他解释说，目前，医学界对甲状腺癌的确切成因尚无定论，公认的影响因素有：辐射性射线、良性甲状腺结节的病变恶化、遗传、环境污染、工作压力以及饮食等。

He explained that，At present，The medical profession the exact cause of thyroid cancer remains to be seen，The influence factors of recognized have：Radioactive rays、Benign thyroid nodule lesions deterioration、genetic、Environmental pollution、Working pressure and diet, etc。

　　此外，他说，因为碘是合成甲状腺激素的原料，碘摄入量与甲状腺疾病有着密切关系，碘摄入量过低或过高，都会导致甲状腺疾病。

In addition，He said，Because iodine is thyroid hormone synthesis of raw materials，Iodine intake and thyroid diseases have close relationship，Iodine intake too low or too high，Will lead to thyroid disease。

提醒 remind

　　查出结节后要定期体检 Find out nodules after regular health checks

　　甲状腺结节是一种生活中常见的病，大多甲状腺结节患者早期都没有明显症状，只是在体检中被发现。

Thyroid nodule is a kind of life common disease，Most of the patients with thyroid nodule early are not have apparent symptom，Just in the physical examination was found。

　　秦建武说，若查出患有甲状腺结节，不要过于紧张，首先要确认是哪一类。若是非肿瘤性，则可能是由炎症引起的，不必过于担心，在炎症等消退后自然会消失；若是良性，则不用进行手术，平时注意饮食习惯，保持良好作息，半年或一年内进行复查即可。

QinJianWu said，If diagnosed with thyroid nodules，Don't be nervous，First of all to make sure what kind of。If the tumor is，It may be caused by inflammation，Don't worry too much，In inflammation receded will naturally disappear；If it is benign，Do not have an operation，Usually pay attention to diet，Maintain good work and rest，Half an year or a year can be for review。

　　一般来说，甲状腺结节不需要手术，只有出现了这四种情况才考虑手术：一、结节很大，有压迫性症状；二、胸骨后甲状腺结节；三、甲状腺结节合并甲亢的；四、怀疑结节是恶性的，若是恶性，则有可能是患了甲状腺癌，这就必须及时赴医院就诊，进行手术治疗。

Generally speaking，Thyroid nodule don't need surgery，Only appeared these four kind of circumstance to consider surgery：a、Nodules big，There is oppression symptoms；two、Retrosternal thyroid nodules；three、Thyroid nodule merger of hyperthyroidism；four、Doubt is a malignant nodules，If malignant，It may be suffering from thyroid carcinoma，This must be promptly to the hospital，For surgical treatment。

　　“甲状腺癌是所有癌症中预后最好的癌症之一，只要治疗及时、正确，对患者生活的影响并不会很大。”秦建武说，从临床看，目前分化型甲状腺癌病人，术后10年的生存率可达90%。　(大河报记者李晓敏)

“Thyroid carcinoma is all cancer prognosis in one of the best cancer，As long as timely treatment、correct，The influence of the life of patients will not be great。”QinJianWu said，From clinical see，At present people differentiated thyroid cancer，After 10 years of survival rate can reach 90%。(The river LiXiaoMin news reporter)