生气会导致结节吗? 1 肺结节 由于胸部 CT 越来越精确,越来越多的小结节被扫描发现,而这些结节可能是以下情况[1]:
目前尚未发现生气等情绪可能导致肺结节,但是有很多人查出来肺结节后异常紧张。看到这里的朋友要放宽心,从前文不难看出,绝大多数的肺结节都不是恶性肿瘤,经过统计发现,恶性结节只占所有结节数的 1%左右[2]。 2 甲状腺结节
图片来源:pixabay 3 乳腺结节
纤维腺瘤、腺瘤、脂肪瘤、错构瘤、纤维瘤 发现结节了要怎么办? 1 如果发现了肺结节 2 如果发现了甲状腺结节 3 如果发现了乳腺结节 参考文献 [1]Loverdos K, Fotiadis A, Kontogianni C, et al. Lung nodules: A comprehensive review on current approach and management. Ann Thorac Med. 2019;14(4):226-238. [2]McWilliams A, Tammemagi MC, Mayo JR, et al. Probability of cancer in pulmonary nodules detected on first screening CT. N Engl J Med. 2013;369(10):910-919. [3]Gharib H, Papini E. Thyroid nodules: clinical importance, assessment, and treatment. Endocrinol Metab Clin North Am. 2007;36(3):707-vi. [4]Durante C, Grani G, Lamartina L, et al. The Diagnosis and Management of Thyroid Nodules: A Review [published correction appears in JAMA. 2018 Apr 17;319(15):1622]. JAMA. 2018;319(9):914-924. [5]Hegedüs L. Clinical practice. The thyroid nodule. N Engl J Med. 2004;351(17):1764-1771. [6]Liu Y, Lai F, Long J, et al. Screening and the epidemic of thyroid cancer in China: An analysis of national representative inpatient and commercial insurance databases. Int J Cancer. 2021;148(5):1106-1114. [7]Cao YM, Zhang TT, Li BY, et al. Prognostic evaluation model for papillary thyroid cancer: a retrospective study of 660 cases. Gland Surg. 2021;10(7):2170-2179. [8]Ito Y, Miyauchi A, Kihara M, et al. Overall Survival of Papillary Thyroid Carcinoma Patients: A Single-Institution Long-Term Follow-Up of 5897 Patients. World J Surg. 2018;42(3):615-622. [9]Malherbe F, Nel D, Molabe H, et al. Palpable breast lumps: An age-based approach to evaluation and diagnosis. S Afr Fam Pract (2004). 2022;64(1):e1-e5. [10]Njeze GE. Breast lumps: a 21-year single-center clinical and histological analysis. Niger J Surg. 2014;20(1):38-41. [11]Iqbal FM, Ali H, Vidya R. Breast lumps: a rare site for rheumatoid nodules. BMJ Case Rep. 2015;2015:bcr2014208586. [12]Long Y, Zhang W, Zheng M, et al. Association between breast nodules, anxiety, depression and metabolic risk factors in a Chinese cohort. Front Psychiatry. 2023;14:944354. [13]Xu C, Ganesan K, Liu X, et al. Prognostic Value of Negative Emotions on the Incidence of Breast Cancer: A Systematic Review and Meta-Analysis of 129,621 Patients with Breast Cancer. Cancers (Basel). 2022;14(3):475. [14]Liu C, Cui Y. 肺结节评估四大指南比较分析. Zhongguo Fei Ai Za Zhi. 2017;20(7):490-498. [15]中华医学会内分泌学分会, 中华医学会外科学分会甲状腺及代谢外科学组, 中国抗癌协会头颈肿瘤专业委员会, 等. 甲状腺结节和分化型甲状腺癌诊治指南(第二版) [J] . 中华内分泌代谢杂志, 2023, 39(3) : 181-226. 策划制作 作者丨蒋永源 第三军医大学内科硕士 审核丨唐芹 中华医学会科学普及部主任 研究员 策划 | 王梦如 责编 | 王梦如 |
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