论坛 › 北京 › 11位国内顶级肿瘤专家眼中的癌症治疗

9q13nh 发表于 2024-5-18 20:54:55

11位国内顶级肿瘤专家眼中的癌症治疗

<strong style="color: blue;">点击标题下「癌友不孤单」可快速关注</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">近几日，魏则西事件，让<span style="color: black;">咱们</span><span style="color: black;">起始</span>重新看待了莆田系医院、百度竞价<span style="color: black;">宣传</span>等<span style="color: black;">许多</span>问题。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我国癌症病患总数<span style="color: black;">已然</span>超过1000万人，每年还会有新增350万的癌症<span style="color: black;">病人</span>。万一不幸<span style="color: black;">得到</span>癌症，<span style="color: black;">怎样</span>理性、科学<span style="color: black;">看病</span>？且来听听11位来自不同<span style="color: black;">行业</span>的顶级肿瘤专家，<span style="color: black;">仔细</span><span style="color: black;">诠释</span><span style="color: black;">各样</span>癌症的治疗。&nbsp;&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">肺癌：</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">初期</span>&lt;1厘米可手术切除</p>

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“与人们错误的观念相反，吃药，<span style="color: black;">常常</span>是晚期癌症的治疗<span style="color: black;">方法</span>，手术、放疗，才是<span style="color: black;">初期</span><span style="color: black;">乃至</span>中期<span style="color: black;">病人</span>的最佳手段。”<img src="http://mmbiz.qpic.cn/mmbiz/qPfq9fiakZy5YXkXNTddl82KmRmbxjbkI7v2jPUaYY5PHOF3KmNdhuOBKNQNXSAK9j17PlPMDGZyP5Llia8PRAnA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">吴一龙</strong></p><strong style="color: blue;">我国肺癌<span style="color: black;">科研</span><span style="color: black;">行业</span>的领军<span style="color: black;">名人</span>、广东省人民医院副院长、广东省肺癌<span style="color: black;">科研</span>所所长
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">吴一龙教授介绍，在中国，<span style="color: black;">日前</span>每年新发肺癌71万人，平均每隔30秒钟，就有1个人死于肺癌。在各地尤其是城市，肺癌<span style="color: black;">已然</span>高居死因首位；从<span style="color: black;">发掘</span>至死亡，晚期肺癌<span style="color: black;">病人</span>的<span style="color: black;">存活</span>期<span style="color: black;">常常</span>短至一年半载。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">吴一龙指出，每年做一次低剂量螺旋CT筛查，可减少20%的肺癌死亡率。手术切除<span style="color: black;">少于</span>1厘米的癌变，都<span style="color: black;">不消</span>做化疗，<span style="color: black;">况且</span>术后<span style="color: black;">存活</span>很好，80%以上的<span style="color: black;">病人</span>术后<span style="color: black;">存活</span>期在10年以上，<span style="color: black;">况且</span>20%的10年后死亡，很<span style="color: black;">大都是</span>死于其他<span style="color: black;">疾患</span>的。<span style="color: black;">这般</span>的有效性，<span style="color: black;">已然</span>几乎算治愈了。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">吴一龙强调，肺癌治疗前，“要唱三部曲”：病理诊断、肺癌分期、基因检测。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病理诊断，<span style="color: black;">经过</span>手术、活检、穿刺等<span style="color: black;">办法</span>，诊断病灶<span style="color: black;">可否</span>癌、是小细胞癌还是非小细胞癌。肺癌分期，采用PET/CT<span style="color: black;">做为</span><span style="color: black;">检测</span>方式，判断肺癌的严重程度，并且<span style="color: black;">能够</span>很好地定位肺癌的灶点，有<span style="color: black;">无</span>癌转移。非医学人员，只需<span style="color: black;">晓得</span>分期是属于原发性，有<span style="color: black;">无</span>淋巴结转移，<span style="color: black;">或</span>远处转移，就<span style="color: black;">能够</span>了。基因检测，确诊肺癌后，花2000元<span style="color: black;">上下</span>做基因检测，<span style="color: black;">检测</span><span style="color: black;">可否</span>有“表皮生长因子受体”基因突变。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">做完这“三部曲”，吴一龙<span style="color: black;">意见</span>，<span style="color: black;">根据</span>肺癌分期、基因检测结果，来决定治疗<span style="color: black;">方法</span>。<span style="color: black;">倘若</span>是一期肺癌，手术是毫<span style="color: black;">没</span>疑问的最好的治疗<span style="color: black;">方法</span>，赶快让<span style="color: black;">大夫</span>做手术，<span style="color: black;">能够</span>彻底治愈；到了二期肺癌，以手术为主综合治疗；三期肺癌，<span style="color: black;">已然</span>是比较严重的程度，要以非手术为主的综合治疗；到了第四期肺癌，则是以<span style="color: black;">药品</span>为主的治疗了。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">“与人们错误的观念相反，吃药，<span style="color: black;">常常</span>是晚期癌症的治疗<span style="color: black;">方法</span>，手术、放疗，才是<span style="color: black;">初期</span><span style="color: black;">乃至</span>中期<span style="color: black;">病人</span>的最佳手段。”</span></strong><span style="color: black;">吴一龙教授指出，如今<span style="color: black;">初期</span>肺癌手术<span style="color: black;">通常</span><span style="color: black;">仅在</span>胸部打两个孔，以胸腔镜进行微创手术，非常安全。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">另外</span>，<span style="color: black;">非常多</span>肺癌<span style="color: black;">病人</span><span style="color: black;">无</span>做基因检测，<span style="color: black;">乃至</span>明知<span style="color: black;">无</span>基因突变，却<span style="color: black;">保持</span>试吃靶向药。这让吴一龙非常着急——临床医学证实，<span style="color: black;">倘若</span><span style="color: black;">无</span>基因突变的靶点，服靶向<span style="color: black;">药品</span>的有效<span style="color: black;">掌控</span><span style="color: black;">存活</span>期仅1.6个月，这种“有效率”与不吃任何<span style="color: black;">药物</span><span style="color: black;">无</span>差别，耽误病情、<span style="color: black;">增多</span><span style="color: black;">花费</span>，还给<span style="color: black;">病人</span>带来严重的副<span style="color: black;">功效</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span>此次魏则西事件中的“细胞免疫治疗”，吴一龙指出，近年来在全国各地肺癌<span style="color: black;">病人</span>中“很红”，<span style="color: black;">非常多</span>未检测到基因突变的<span style="color: black;">病人</span>，接受免疫细胞抽取，医学培育增殖后，再回注到身<span style="color: black;">身体</span>，做一次抽一次血，<span style="color: black;">花费</span>高达2万元/次。<span style="color: black;">不外</span>，<strong style="color: blue;">最新的全国肺癌高峰论坛上，全国95%与会肺癌专家均表态：“不主张现<span style="color: black;">周期</span>做细胞疗法，它应当在实验室做<span style="color: black;">科研</span>。”尽管国家卫生<span style="color: black;">分部</span>曾出台过一份细胞治疗的技术标准，但规定标准仅用于实验室<span style="color: black;">科研</span>，而非临床；尽管不少<span style="color: black;">地区</span><span style="color: black;">医疗保险</span>将该治疗的<span style="color: black;">花费</span><span style="color: black;">加入</span><span style="color: black;">医疗保险</span>报销，但实质上这是违反医学伦理学<span style="color: black;">需求</span>的，<span style="color: black;">由于</span><span style="color: black;">处在</span><span style="color: black;">科研</span><span style="color: black;">周期</span>的治疗，本<span style="color: black;">不应</span>收取<span style="color: black;">花费</span>。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">鼻咽癌：</span></strong><span style="color: black;"><span style="color: black;">初期</span><span style="color: black;">病人</span>只<span style="color: black;">必须</span>进行单纯放疗&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">初期</span>的病人<span style="color: black;">不消</span>化疗，放疗就<span style="color: black;">能够</span>了。中晚期的病人要先做化疗，把肿瘤打小，然后再做放疗，<span style="color: black;">亦</span><span style="color: black;">能够</span>在放疗的<span style="color: black;">同期</span>加化疗。化疗<span style="color: black;">状况</span>非常<span style="color: black;">繁杂</span>，要由<span style="color: black;">大夫</span><span style="color: black;">按照</span>病人的<span style="color: black;">状况</span>进行<span style="color: black;">调节</span>。”</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/qPfq9fiakZy5YXkXNTddl82KmRmbxjbkIg3NCMVY2Mma02o1W9sqiaGBkrvBFLzUMpibMT9a0UQZoQYBbTu9S0taA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">马骏</strong></p><strong style="color: blue;">中山大学肿瘤防治中心常务副<span style="color: black;">专家</span>、<span style="color: black;">附庸</span>肿瘤医院常务副院长
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">70%~80%</span><span style="color: black;">的病人在确诊鼻咽癌时就<span style="color: black;">已然</span>到局部中晚期。<span style="color: black;">因此呢</span>，一旦确诊，<span style="color: black;">病人</span><span style="color: black;">一般</span>很着急，<span style="color: black;">需求</span>立刻治疗。<strong style="color: blue;">“<span style="color: black;">非常多</span>病人不<span style="color: black;">晓得</span>，病理诊断仅仅是诊断的<span style="color: black;">第1</span>步，还<span style="color: black;">不可</span>马上<span style="color: black;">起始</span>治疗。”</strong>马骏解释，<span style="color: black;">日前</span>鼻咽癌的诊疗模式是基于肿瘤的TNM分期的，T<span style="color: black;">表率</span>局部肿瘤侵犯<span style="color: black;">状况</span>，N<span style="color: black;">表率</span>局部淋巴结转移程度，M<span style="color: black;">表率</span>有<span style="color: black;">没</span>远处脏器转移。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">不同分期<span style="color: black;">病人</span>的治疗方式大不相同，<span style="color: black;">例如</span><span style="color: black;">初期</span><span style="color: black;">病人</span>只<span style="color: black;">必须</span>进行单纯放疗，而中晚期<span style="color: black;">病人</span>则要进行放疗和化疗相结合的综合治疗。</span></strong><span style="color: black;"><span style="color: black;">那样</span>，为准确判定<span style="color: black;">病人</span>的TNM分期，这个时候还<span style="color: black;">必须</span>做鼻咽+颈部MR以及全身<span style="color: black;">检测</span>来判定<span style="color: black;">疾患</span>的分期，<span style="color: black;">才可</span>为<span style="color: black;">病人</span>下一个准确的临床诊断，制定更个体化的治疗策略。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">放疗是鼻咽癌的<span style="color: black;">要紧</span>治疗手段，化疗则视病情分期而定。</span></strong><span style="color: black;">“<span style="color: black;">初期</span>的病人<span style="color: black;">不消</span>化疗，放疗就<span style="color: black;">能够</span>了。中晚期的病人要先做化疗，把肿瘤打小，<span style="color: black;">而后</span>再做放疗，<span style="color: black;">亦</span><span style="color: black;">能够</span>在放疗的<span style="color: black;">同期</span>加化疗。化疗<span style="color: black;">状况</span>非常<span style="color: black;">繁杂</span>，要由<span style="color: black;">大夫</span><span style="color: black;">按照</span>病人的<span style="color: black;">状况</span>进行<span style="color: black;">调节</span>。”马骏指出，放疗对口腔黏膜和皮肤会有<span style="color: black;">必定</span><span style="color: black;">损害</span>，治疗<span style="color: black;">起始</span>前要先处理好口腔隐患，放疗<span style="color: black;">时期</span>要<span style="color: black;">重视</span>口腔保洁，多喝水、漱口，<span style="color: black;">守护</span>颈部皮肤，应该穿着宽松低领、棉质吸汗衣服。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">非常多</span>人担心放疗有辐射性，<span style="color: black;">或</span>会带来声音嘶哑等<span style="color: black;">副作用</span>。其实完全<span style="color: black;">无</span>必要害怕放疗。<strong style="color: blue;">随着性能更为优越的调强放疗设备的引进、“精准放疗”策略的实施，放疗带来的<span style="color: black;">副作用</span><span style="color: black;">已然</span>大大减少。做完放疗，基本是3-6个月复查一次，3年后每年复查一次，<span style="color: black;">检测</span>项目为做鼻咽镜、鼻咽磁共振、X光和<span style="color: black;">彩超</span>，排除转移病灶。放疗后常有病人耳内流脓，平时<span style="color: black;">重视</span>不要感冒，洗澡时不要让耳朵进水。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">结直肠癌：</span></strong><span style="color: black;">术前放化疗有助“保肛保功能”&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">直肠癌<span style="color: black;">病人</span>“保住肛门”的愿望<span style="color: black;">常常</span>非常<span style="color: black;">剧烈</span>。过去，<span style="color: black;">针对</span><span style="color: black;">非常多</span>位置靠近肛门的直肠癌，受适应指征的限制，很难让<span style="color: black;">病人</span>如愿。如今，随着术前新辅助放化疗的实施，肿瘤有望在手术前缩小，这就具备保肛的<span style="color: black;">前提</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/qPfq9fiakZy5YXkXNTddl82KmRmbxjbkIFx960cIPTiaTLT3kibSfRXrkUaetUQhBfMnHopmCPTkMREEviagGx1hvA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">汪建平</strong></p><strong style="color: blue;">中华医学会外科学分会结直肠肛门外科学组组长、中山大学<span style="color: black;">附庸</span>第六医院胃肠肛门外科首席专家
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">十年间，结直肠癌在广州的发病率<span style="color: black;">提升</span>了50%，<span style="color: black;">日前</span>已位居全市恶性肿瘤发病率的第二位</span></strong><span style="color: black;">，在我国，60%<span style="color: black;">上下</span>发病在直肠部位，而其中60%<span style="color: black;">上下</span>发病在中低位直肠。汪建平指出，接近80%的<span style="color: black;">病人</span>在<span style="color: black;">发掘</span>时<span style="color: black;">已经是</span>中晚期，治疗效果差。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">汪建平<span style="color: black;">暗示</span>，确诊为结直肠癌后，<span style="color: black;">病人</span>仍需<span style="color: black;">检测</span>CT（计算机断层扫描）和MRI（核磁共振），以便进行术前分期，判断肿瘤<span style="color: black;">针对</span>肠系膜、<span style="color: black;">周边</span>淋巴结、远处器官有<span style="color: black;">没</span>转移等<span style="color: black;">状况</span>，<span style="color: black;">从而</span>确定治疗<span style="color: black;">方法</span>。其中，CT看肿瘤有<span style="color: black;">没</span>远处转移会更清楚，而<span style="color: black;">针对</span>结直肠癌尤其是直肠癌，MRI在肿瘤局部浸润、<span style="color: black;">周边</span>淋巴结转移等<span style="color: black;">状况</span>鉴别和术前分期上更有<span style="color: black;">优良</span>，二者结合来看会更为准确。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">近年来，医学界推行“<span style="color: black;">精细</span>医疗”，MDT（多学科诊疗）<span style="color: black;">作为</span>其中的主流模式。</span></strong><span style="color: black;">汪建平指出，每位<span style="color: black;">病人</span>的肿瘤<span style="color: black;">状况</span>和身体状态都不同，<span style="color: black;">必须</span>MDT小组充分讨论，<span style="color: black;">关联</span>学科专家<span style="color: black;">一起</span><span style="color: black;">评定</span>，从而制定个性化的诊疗<span style="color: black;">方法</span>，最大限度地<span style="color: black;">保证</span><span style="color: black;">病人</span>的安全及获益。“新辅助放化疗是中低位直肠癌的标准治疗手段。<span style="color: black;">咱们</span>在MDT讨论时，<span style="color: black;">倘若</span>直肠癌的位置太低，<span style="color: black;">或</span><span style="color: black;">病人</span>保肛愿望很强时，术前加入放化疗的手段<span style="color: black;">亦</span>许会有可能让肿瘤缩小、降期，<span style="color: black;">那样</span>在这种<span style="color: black;">状况</span>下可能就会考虑新辅助放化疗。”汪建平指出。而由他所牵头的一项关于局部晚期直肠癌的最新<span style="color: black;">科研</span>中<span style="color: black;">发掘</span>，<span style="color: black;">倘若</span>肿瘤位置相对高<span style="color: black;">有些</span>，<span style="color: black;">或</span><span style="color: black;">处在</span>直肠后壁的肿瘤，<span style="color: black;">乃至</span>有可能<span style="color: black;">经过</span>单纯化疗达到肿瘤降期的目的，从而避免放疗的副<span style="color: black;">功效</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">对付结直肠癌，汪建平坦言，最有效的治疗手段依然是外科手术，而在治疗肿瘤的<span style="color: black;">基本</span>上，保住性功能，排便、排尿等是他<span style="color: black;">导致</span>力的方向。</span></strong><span style="color: black;">其中直肠癌<span style="color: black;">病人</span>“保住肛门”的愿望<span style="color: black;">常常</span>非常<span style="color: black;">剧烈</span>。过去，<span style="color: black;">针对</span><span style="color: black;">非常多</span>位置靠近肛门的直肠癌，受手术适应指征的限制，很难让<span style="color: black;">病人</span>如愿。如今，随着术前新辅助放化疗的实施，肿瘤有望在手术前缩小，这就具备保肛的<span style="color: black;">前提</span>。事实上，汪建平<span style="color: black;">亦</span>成功地为<span style="color: black;">有些</span>肿瘤已接近肛门括约肌1厘米的病人保住了肛门。而术后三至五天，<span style="color: black;">大夫</span>在查房的时候，<span style="color: black;">一般</span>会问病人一个很隐私的问题：夜间<span style="color: black;">可否</span>有勃起？这是<span style="color: black;">由于</span>直肠癌根治性切除术中，<span style="color: black;">因为</span>易伤及病人盆腔的自主神经，<span style="color: black;">引起</span>病人术后性功能<span style="color: black;">阻碍</span>。<span style="color: black;">不外</span>他<span style="color: black;">亦</span><span style="color: black;">暗示</span>，有些病人直到术后十几天才<span style="color: black;">显现</span>夜间勃起。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">术前的新辅助放化疗不仅<span style="color: black;">能够</span>有助于“保肛保功能”，<span style="color: black;">亦</span>有助于降低复发率，有数据指出<span style="color: black;">能够</span>使直肠癌病人的5年<span style="color: black;">存活</span>率<span style="color: black;">加强</span>10%<span style="color: black;">上下</span>。<span style="color: black;">不外</span>，汪建平强调，<span style="color: black;">思虑</span>到个体的差异和肿瘤的特性，<span style="color: black;">日前</span>仍有30%<span style="color: black;">上下</span>的结直肠癌病人对术前放化疗不<span style="color: black;">敏锐</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">甲状腺癌：</span></strong><span style="color: black;">脾气相对温和 不需切全甲状腺&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺癌是一种脾气相对“温和”的恶性肿瘤。尽管新的诊疗手段层出不穷，但在甲状腺癌治疗方面，手术仍然是最<span style="color: black;">重点</span>、<span style="color: black;">亦</span>是效果最好的根治<span style="color: black;">方法</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/qPfq9fiakZy5YXkXNTddl82KmRmbxjbkI7J9zNG7j2r3ReTTvPGPSchfrriaD3GqYicqBpicnhrqzlAz7mKib8Lw6Wg/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">王深明</strong></p><strong style="color: blue;">中山大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院血管甲状腺乳腺外科学科带头人和首席专家、中华医学会外科学会血管外科学组组长
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">十年前，广州市每10万人中有4.5人<span style="color: black;">病患</span>甲状腺癌；到了2011年，其发病率已达到10.53/10万人，8年间<span style="color: black;">提升</span>了134%。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一听说“得了甲状腺癌”，许多人马上背上沉重的思想<span style="color: black;">包袱</span>。其实，和其他癌种相比，甲状腺癌是一种脾气相对“温和”的恶性肿瘤。<strong style="color: blue;">“部分甲状腺癌<span style="color: black;">能够</span>不需手术，终身吃药<span style="color: black;">掌控</span>。<span style="color: black;">因此呢</span>有专家<span style="color: black;">意见</span>，甲状腺微小癌，本身<span style="color: black;">无</span>生物活性的，<span style="color: black;">能够</span><span style="color: black;">不消</span>去管它。<span style="color: black;">此刻</span>的问题是<span style="color: black;">大夫</span>未能准确判断<span style="color: black;">那些</span>甲状腺癌属于这些范围。”</strong>王深明教授说，鉴于恶性肿瘤对病人的打击<span style="color: black;">很强</span>，<strong style="color: blue;">当<span style="color: black;">可疑</span>甲状腺结节是恶性时，还是<span style="color: black;">意见</span>治疗。“手术是首选的治疗<span style="color: black;">办法</span>。”</strong>王深明说，即使是微小癌，<span style="color: black;">亦</span>有40%会<span style="color: black;">显现</span>淋巴转移的<span style="color: black;">状况</span>，骨转移和肺转移的概率是10%~20%。微小癌的手术<span style="color: black;">一般</span>不<span style="color: black;">必须</span>全甲状腺清扫切除，术后<span style="color: black;">亦</span>不需放、化疗，术后五年<span style="color: black;">存活</span>率<span style="color: black;">达到</span>到95%。手术治疗甲状腺癌仍然是<span style="color: black;">日前</span>最理想的<span style="color: black;">选取</span>，<span style="color: black;">日前</span>的手术<span style="color: black;">办法</span><span style="color: black;">能够</span>使刀疤很不显眼，满足美容<span style="color: black;">必须</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">即使是<span style="color: black;">不可</span>切除的甲状腺癌，<span style="color: black;">亦</span>能采取别的治疗手段，<span style="color: black;">例如</span><span style="color: black;">药品</span>治疗，但复发率较高，为50%。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因为</span><span style="color: black;">拥有</span>放射性，同位素治疗不适合20岁以下<span style="color: black;">病人</span>，未生育的<span style="color: black;">女性</span>须格外<span style="color: black;">小心</span>。<span style="color: black;">同期</span>，同位素治疗要<span style="color: black;">把握</span>剂量，剂量过小<span style="color: black;">掌控</span>不住，剂量过大又会<span style="color: black;">导致</span><span style="color: black;">病人</span>“甲低”，需终身吃药<span style="color: black;">弥补</span>甲状腺素。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">此刻</span>还<span style="color: black;">能够</span>采取介入治疗。它<span style="color: black;">重点</span><span style="color: black;">做为</span>辅助手段，例如可在手术前先介入治疗，为手术创造有利<span style="color: black;">前提</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">手术是<span style="color: black;">第1</span>步，<span style="color: black;">都数</span>病人还要在一<span style="color: black;">按时</span>期内<span style="color: black;">吃下</span>甲状腺制剂，例如优甲乐，进行替代治疗，<span style="color: black;">或</span>促甲状腺激素<span style="color: black;">控制</span>治疗。有小部分病人可能还要接受放射性同位素治疗。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">乳腺癌：</span></strong><span style="color: black;">最优治疗在于个性化&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">乳腺癌的近年综合治疗<span style="color: black;">状况</span>越来越好，死亡率远<span style="color: black;">小于</span>肺癌、肝癌等，乳腺<span style="color: black;">初期</span>癌治愈率（以5年为标准）都在95%以上，中期<span style="color: black;">通常</span>都在70%到80%。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/qPfq9fiakZy5YXkXNTddl82KmRmbxjbkIUoiaTDYuGia4I2B2F0sbuCQOfcolxKLAVYkFo4GADbSr5eR3a0A0QZJw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">廖宁</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">广东省人民医院肿瘤中心乳腺科<span style="color: black;">专家</span></span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">廖宁教授介绍，乳腺癌<span style="color: black;">始终</span>高居我国女性癌首位，<span style="color: black;">发布</span>于<span style="color: black;">全世界</span>顶级医学期刊《柳叶刀》肿瘤特刊的《中国乳腺癌<span style="color: black;">状况</span>报告》指出，<span style="color: black;">全世界</span>每100个新确诊的乳癌病例中，有12个来自中国。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">在<span style="color: black;">病人</span>眼中，<span style="color: black;">选取</span>肿瘤科还是乳腺科，内科还是外科，就<span style="color: black;">寓意</span>着<span style="color: black;">选取</span>保乳还是手术切除。在专家眼中就不是这么简单：切不可向病友“拿经验”，<span style="color: black;">例如</span>别人保乳成功，我<span style="color: black;">亦</span>想保乳；别人吃靶向药好，那我<span style="color: black;">亦</span>吃。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">廖宁指出，乳腺癌实为一组<span style="color: black;">疾患</span>统<span style="color: black;">叫作</span>，它<span style="color: black;">最少</span>可分为4个亚型：Luminal&nbsp;A型、B型，HER2阳性型以及基底细胞样癌(三阴)型。LuminalA型最<span style="color: black;">平常</span>，约占乳腺癌总数的60%。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">乳腺癌治疗已由过去单一的手术切除，转向以手术治疗为主，<span style="color: black;">协同</span>放疗、化疗、内分泌治疗、生物靶向治疗等综合治疗。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">最优治疗是个性化<span style="color: black;">精细</span>治疗，而其<span style="color: black;">基本</span>是基因分型。</span></strong><span style="color: black;">以HER2阳性乳腺癌为例，它<span style="color: black;">针对</span>常规化疗、放疗不<span style="color: black;">敏锐</span>，而今国内外权威指南均<span style="color: black;">需求</span>，<span style="color: black;">必要</span>进行规范化的抗HER2靶向治疗，并能<span style="color: black;">显著</span>获益。对<span style="color: black;">病人</span><span style="color: black;">来讲</span>，确诊后，检测HER2直接决定了治疗<span style="color: black;">方法</span>的起点。检测手段<span style="color: black;">重点</span>有免疫组织化学法（IHC）、显色原位杂交法（CISH）和荧光原位杂交法（FISH），后两种<span style="color: black;">办法</span>准确性更高。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">廖宁<span style="color: black;">举荐</span>美国临床肿瘤学会(ASCO)最新<span style="color: black;">颁布</span>的晚期HER2阴性乳腺癌最佳治疗<span style="color: black;">方法</span>：接受以内分泌治疗和序贯化疗为<span style="color: black;">基本</span>的系统治疗。</span></strong><span style="color: black;">其中，内分泌治疗应<span style="color: black;">做为</span>晚期激素受体阳性乳腺癌<span style="color: black;">病人</span>的一线治疗。以下小部分<span style="color: black;">状况</span>除外：ER+<span style="color: black;">病人</span>可<span style="color: black;">选取</span>内分泌治疗，<span style="color: black;">针对</span>有危及生命的可能、可疑内分泌治疗耐药可直接<span style="color: black;">选取</span>化疗。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">妇科肿瘤：手术化疗放疗是“三板斧”&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">手术、化疗和放疗仍然是妇科肿瘤的<span style="color: black;">重点</span>治疗<span style="color: black;">办法</span>，其他治疗<span style="color: black;">办法</span>都只是<span style="color: black;">做为</span>辅助性的<span style="color: black;">弥补</span>治疗手段，<span style="color: black;">协同</span>手术、放疗和化疗，<span style="color: black;">加强</span>疗效。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/qPfq9fiakZy5YXkXNTddl82KmRmbxjbkIx3Ygud0o6jvm7q9TYxozLhS6NgJ8X6IywolFdkRNWRLJxaUZxdEqUw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">生秀杰</strong></p><strong style="color: blue;">广州医科大学<span style="color: black;">附庸</span>第三医院妇科<span style="color: black;">专家</span>医师
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">妇科肿瘤<span style="color: black;">重点</span><span style="color: black;">包含</span>外阴肿瘤、阴道肿瘤、子宫肿瘤、卵巢肿瘤、输卵管肿瘤，其中，子宫及卵巢肿瘤较为<span style="color: black;">平常</span>。广州医学院<span style="color: black;">附庸</span>第三医院妇科<span style="color: black;">专家</span>生秀杰教授介绍，人类乳头状瘤病毒（HPV）的感染与宫颈癌有<span style="color: black;">必定</span>的关系，但其他妇科肿瘤的发病<span style="color: black;">原由</span>不很清楚，可能与遗传、环境、感染及免疫等<span style="color: black;">原因</span>有<span style="color: black;">必定</span>的关系。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">日前</span>肿瘤的治疗<span style="color: black;">办法</span><span style="color: black;">非常多</span>。有手术、化疗、放疗、生物治疗及免疫治疗等。<span style="color: black;">然则</span>，<strong style="color: blue;"><span style="color: black;">日前</span>手术、化疗和放疗仍然是妇科肿瘤的<span style="color: black;">重点</span>治疗<span style="color: black;">办法</span>，其他治疗<span style="color: black;">办法</span>都只是<span style="color: black;">做为</span>辅助性的<span style="color: black;">弥补</span>治疗手段，<span style="color: black;">协同</span>手术、放疗和化疗，<span style="color: black;">加强</span>疗效。</strong>&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">生秀杰提醒，对付妇科肿瘤的最好办法是<span style="color: black;">初期</span>防治，<span style="color: black;">经过</span>盆腔<span style="color: black;">检测</span>和<span style="color: black;">各样</span>不同的辅助检查基本<span style="color: black;">能够</span>判断<span style="color: black;">可否</span><span style="color: black;">身患</span>妇科肿瘤。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">生秀杰还指出，宫颈癌是<span style="color: black;">日前</span>所知<span style="color: black;">独一</span>可<span style="color: black;">知道</span>病因、<span style="color: black;">能够</span>预防的癌症。预防宫颈癌，做好宫颈上皮内病变的筛查很<span style="color: black;">重要</span>，而这种筛查，<span style="color: black;">必须</span>遵循三个阶梯的筛查过程：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">阶梯一：细胞学+HPV检测</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">宫颈细胞学<span style="color: black;">检测</span>是宫颈病变筛查的最基本<span style="color: black;">办法</span>，俗<span style="color: black;">叫作</span>“宫颈刮片”，<span style="color: black;">一般</span><span style="color: black;">叫作</span>之为TCT、CCT<span style="color: black;">或</span>LCT等，采用一个刷子在宫颈上刷取细胞，<span style="color: black;">经过</span>薄层涂片和计算机辅助等<span style="color: black;">办法</span>进行检测，以<span style="color: black;">初期</span><span style="color: black;">发掘</span>“坏”细胞。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">HPV</span><span style="color: black;">检测，与细胞学<span style="color: black;">检测</span>的过程<span style="color: black;">类似</span>，<span style="color: black;">亦</span>是利用一个刷子获取宫颈的组织和分泌物等样品来检测<span style="color: black;">可否</span>携带有HPV。可单独应用或与细胞学<span style="color: black;">检测</span>联合<span style="color: black;">做为</span>宫颈病变的初筛<span style="color: black;">办法</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">阶梯二：阴道镜<span style="color: black;">检测</span></span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">阴道镜<span style="color: black;">检测</span>适用于当细胞学<span style="color: black;">检测</span><span style="color: black;">发掘</span><span style="color: black;">反常</span>细胞时，应当进一步做阴道镜<span style="color: black;">检测</span>以<span style="color: black;">知道</span>诊断。这一<span style="color: black;">检测</span>利用特制的摄像镜头观察和<span style="color: black;">评估</span>宫颈的病变<span style="color: black;">状况</span>，可在镜头的指示下做出宫颈可疑组织的<span style="color: black;">选定</span>活检术，<span style="color: black;">加强</span><span style="color: black;">发掘</span>病变的准确性。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">阶梯三：组织病理学<span style="color: black;">检测</span></span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">包含</span>宫颈活检术和宫颈锥切术，是确诊宫颈病变的<span style="color: black;">靠谱</span><span style="color: black;">办法</span>。<span style="color: black;">通常</span>的病灶<span style="color: black;">能够</span>在肉眼或阴道镜的指引下做单点或多点的活检。但是<span style="color: black;">针对</span>阴道镜<span style="color: black;">检测</span><span style="color: black;">没</span>法看到边界的病变、病变深于宫颈管内、活检为高级别病变（HSIL）的，则<span style="color: black;">必须</span>采用诊断性的宫颈锥切术来确诊。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">肝癌：</span></strong><span style="color: black;"><span style="color: black;">初期</span>诊断困难 中晚期疗效<span style="color: black;">不良</span>&nbsp;</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肝癌<span style="color: black;">病人</span>最好<span style="color: black;">选取</span>大型医院专科咨询、就诊；不要<span style="color: black;">茫然</span>相信非正规医疗<span style="color: black;">公司</span>的<span style="color: black;">宣传</span>、宣传，<span style="color: black;">以避免</span>耽误病情、延误治疗；上网搜索医院<span style="color: black;">亦</span>要小心，<span style="color: black;">以避免</span>上当。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/qPfq9fiakZy5YXkXNTddl82KmRmbxjbkIRB5OTCvYtkKqND3I0bVte0X0jmsvibsaZicByD00gkkxIsAoYuA1VUKw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">王百林</strong></p><strong style="color: blue;">广州市红十字会医院普外科<span style="color: black;">专家</span>、肝胆外科<span style="color: black;">专家</span></strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肝癌是我国最<span style="color: black;">平常</span>的恶性肿瘤之一，<span style="color: black;">初期</span>诊断困难，中晚期治疗效果<span style="color: black;">不睬</span>想，容易复发和转移，死亡率比较高。广州市红十字会医院普外科<span style="color: black;">专家</span>、肝胆外科<span style="color: black;">专家</span>王百林<span style="color: black;">暗示</span>，国内乙肝、丙肝等病毒性肝炎的<span style="color: black;">病人</span>基数非常大，光是乙肝病毒携带者就接近一个亿，而“肝炎—肝硬化—肝癌”会按<span style="color: black;">必定</span>的比例转化，是肝癌发病的“三部曲”，因而我国的肝癌<span style="color: black;">病人</span><span style="color: black;">尤其</span>多。<span style="color: black;">非常多</span>肝癌<span style="color: black;">病人</span>的<span style="color: black;">初期</span>症状和体征不<span style="color: black;">显著</span>，到了<span style="color: black;">显现</span>典型的症状、体征时才就诊，其肝癌<span style="color: black;">已然</span>发展到中晚期，失去了手术根治的机会，<span style="color: black;">结果</span>比较差。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">肝癌的治疗是以手术为主的综合治疗。王百林<span style="color: black;">叫作</span>，手术是最好的治疗<span style="color: black;">办法</span>，还可联合介入治疗、射频消融治疗、冷冻治疗、微波治疗等。<span style="color: black;">近期</span>几年，晚期肝癌<span style="color: black;">病人</span><span style="color: black;">倘若</span>经济<span style="color: black;">前提</span><span style="color: black;">准许</span>，还可<span style="color: black;">选取</span>靶向<span style="color: black;">药品</span>治疗，但总体有效率<span style="color: black;">小于</span>20%；<span style="color: black;">倘若</span>能找到肝脏供体的话，还<span style="color: black;">能够</span>进行肝移植。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">王百林<span style="color: black;">意见</span>肝癌<span style="color: black;">病人</span>最好<span style="color: black;">选取</span>大型医院专科咨询、就诊；不要<span style="color: black;">茫然</span>相信非正规医疗<span style="color: black;">公司</span>的<span style="color: black;">宣传</span>、宣传，<span style="color: black;">以避免</span>耽误病情、延误治疗；上网搜索医院<span style="color: black;">亦</span>要小心，<span style="color: black;">以避免</span>上当。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">淋巴瘤：</span></strong><span style="color: black;">首选</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">生物化疗</p>新药毒副<span style="color: black;">功效</span>下降&nbsp;

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">相<span style="color: black;">针对</span>大部分的实体肿瘤，淋巴瘤的治疗效果还是比较好的，尤其是免疫化疗的临床应用，弥漫大B型淋巴瘤总体5年<span style="color: black;">存活</span>率就达到60%以上。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">罗荣城</strong></p><strong style="color: blue;">南方医科大学中西医结合医院院长
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">据说</span>，淋巴瘤是<span style="color: black;">全世界</span>增长最为<span style="color: black;">快速</span>的恶性肿瘤之一，其中，我国淋巴瘤发病率以每年5%的速度<span style="color: black;">提升</span>，且每年新发淋巴瘤<span style="color: black;">病人</span>约为8.4万人，死亡人数超过4.7万，面对<span style="color: black;">这般</span>严峻的<span style="color: black;">状况</span>，推动淋巴瘤规范化与个体化治疗刻不容缓。淋巴瘤是起源于淋巴系统的恶性肿瘤，<span style="color: black;">重点</span>分为霍奇金淋巴瘤(HL)和非霍奇金淋巴瘤(NHL)&nbsp;两大类，中国<span style="color: black;">病人</span>以非霍奇金淋巴瘤较为多发，占淋巴瘤的80%以上。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">实质</span>上，相<span style="color: black;">针对</span>大部分的实体肿瘤，淋巴瘤的治疗效果还是比较好的，尤其是免疫化疗的临床应用，弥漫大B型淋巴瘤总体5年<span style="color: black;">存活</span>率就达到60%以上。”南方医科大学中西医结合医院院长、南医大肿瘤中心<span style="color: black;">专家</span>罗荣城教授<span style="color: black;">暗示</span>，这得益于生物治疗技术的发展，使得淋巴瘤在病情缓解后的5年内，能继续<span style="color: black;">保持</span>细胞免疫治疗，<span style="color: black;">病人</span>可<span style="color: black;">得到</span>更好的疗效。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">罗荣城举例说，他曾治疗过一名16岁的青春少年小民。小民高中毕业时突发肚子痛，送院时才<span style="color: black;">发掘</span>盆腔内一个20厘米大的肿物<span style="color: black;">诱发</span>了肠梗阻，活检后确诊弥漫大B细胞淋巴瘤晚期。幸运的是，在8次生物化疗之后，他的症状完全缓解，逃过了一劫。此后的4年，他连续进行细胞免疫治疗，随访7年，他已完成大学学业，<span style="color: black;">此刻</span><span style="color: black;">已然</span>参加工作。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">据介绍，淋巴瘤的治疗<span style="color: black;">办法</span><span style="color: black;">重点</span>有免疫治疗、化疗、放疗、造血干细胞移植等。</span></strong><span style="color: black;">世界卫生组织对淋巴瘤<span style="color: black;">归类</span><span style="color: black;">知道</span>指出，每一种病理类型的淋巴瘤都是一种独立的<span style="color: black;">疾患</span>，采取的治疗<span style="color: black;">亦</span>不相同。<span style="color: black;">病人</span><span style="color: black;">必要</span>在全面的<span style="color: black;">检测</span>后，<span style="color: black;">按照</span>病情决定治疗策略。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">日前</span>，大部分淋巴瘤<span style="color: black;">病人</span>仍然首选化疗。部分<span style="color: black;">病人</span>联合免疫靶向治疗能<span style="color: black;">明显</span><span style="color: black;">加强</span>有效率、改善<span style="color: black;">存活</span>期。手术不是<span style="color: black;">重点</span>治疗手段，但在<span style="color: black;">少许</span><span style="color: black;">状况</span>下可<span style="color: black;">思虑</span><span style="color: black;">选取</span>。<span style="color: black;">海量</span>的临床<span style="color: black;">科研</span>数据<span style="color: black;">显示</span>，<span style="color: black;">初期</span>淋巴瘤<span style="color: black;">病人</span>在初始治疗时，<span style="color: black;">运用</span>以单克隆抗体利妥昔单抗类<span style="color: black;">药品</span>为<span style="color: black;">表率</span>的免疫化疗<span style="color: black;">方法</span>，50%~60%有望<span style="color: black;">得到</span>治愈。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">传统化疗带来的毒副<span style="color: black;">功效</span>，常让不少<span style="color: black;">病人</span>忧心忡忡，罗荣城说，新的化疗<span style="color: black;">药品</span><span style="color: black;">显现</span>让毒副<span style="color: black;">功效</span><span style="color: black;">已然</span><span style="color: black;">显著</span>下降，<span style="color: black;">另外</span><span style="color: black;">平常</span>的毒副反应都有可缓解的针对策略，<span style="color: black;">病人</span>不需太担心，但需提醒的是，<span style="color: black;">倘若</span><span style="color: black;">病人</span>在化疗<span style="color: black;">时期</span><span style="color: black;">显现</span>发烧，则<span style="color: black;">必要</span>去医院进行复诊，切勿掉以轻心。</span></strong><span style="color: black;"><span style="color: black;">日前</span><span style="color: black;">按照</span>最新的分子分型，淋巴瘤可分为100多种，不同类型的淋巴瘤治疗效果不同，总的<span style="color: black;">来讲</span>，霍奇金淋巴瘤占淋巴瘤的9%~10%，是一组疗效相对较好的恶性淋巴瘤；非霍奇金淋巴瘤占<span style="color: black;">所有</span>淋巴瘤病例的90%<span style="color: black;">上下</span>，<span style="color: black;">归类</span><span style="color: black;">繁杂</span>，预后视<span style="color: black;">状况</span>而定。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">血液肿瘤：</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">总体存活率95%</p>正规<span style="color: black;">大夫</span>不会打包票&nbsp;

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“今时今日，血液肿瘤的治愈率和存活率都有了很大的<span style="color: black;">加强</span>，有<span style="color: black;">有些</span>类型的白血病是完全<span style="color: black;">能够</span>治愈的。”</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">王顺清</strong></p><strong style="color: blue;">广州市<span style="color: black;">第1</span>人民医院血液内科<span style="color: black;">专家</span>
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">提起血液肿瘤，不少人的认识还停留在日剧《血疑》的印象，把白血病与绝症画上等号。“二十年前，确实<span style="color: black;">非常多</span>白血病人从诊断到去世之间<span style="color: black;">仅有</span>两到三年的时间。但今时今日，血液肿瘤的治愈率和存活率都有了很大的<span style="color: black;">加强</span>，有<span style="color: black;">有些</span>类型的白血病是完全<span style="color: black;">能够</span>治愈的。”广州市<span style="color: black;">第1</span>人民医院血液内科<span style="color: black;">专家</span>王顺清教授在接受记者采访时介绍说。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">王顺清告诉记者，白血病分成<span style="color: black;">非常多</span>类型，有相当部分治疗效果很好，<span style="color: black;">亦</span>有<span style="color: black;">有些</span>比较棘手，容易复发。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">“以近年来最<span style="color: black;">平常</span>的儿童急性淋巴细胞白血病为例，这种白血病分成‘标危型’和‘高危型’，其中以‘标危’的<span style="color: black;">病人</span>占了大<span style="color: black;">都数</span>。‘标危’<span style="color: black;">病人</span><span style="color: black;">倘若</span>采取规范的化疗<span style="color: black;">方法</span>，85%以上是<span style="color: black;">能够</span>治愈。”</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">另外</span>，成人急性早幼粒细胞白血病，<span style="color: black;">经过</span>化疗和<span style="color: black;">药品</span>治疗，治愈率<span style="color: black;">亦</span>能达到80%~90%。</span></strong><span style="color: black;">还有慢性髓细胞白血病，“这类白血病<span style="color: black;">由于</span>有了<span style="color: black;">功效</span>非常<span style="color: black;">明显</span>的靶向<span style="color: black;">药品</span>，治疗起来就像高血压、糖尿病等慢性病<span style="color: black;">同样</span>，<span style="color: black;">病人</span>只要终身服药，病情就能受控。而这种靶向<span style="color: black;">药品</span><span style="color: black;">日前</span><span style="color: black;">已然</span>有国产<span style="color: black;">药品</span><span style="color: black;">面世</span>，<span style="color: black;">花费</span>不算太高，<span style="color: black;">况且</span><span style="color: black;">医疗保险</span>还能报销。”王顺清说。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">至于<span style="color: black;">哪些</span>比较难治的白血病，王顺清认为，和以往相比治疗效果<span style="color: black;">亦</span>有了<span style="color: black;">显著</span><span style="color: black;">加强</span>。“这些白血病<span style="color: black;">一般</span><span style="color: black;">能够</span>采取骨髓移植或造血干细胞移植来进行治疗，这两种技术<span style="color: black;">日前</span><span style="color: black;">已然</span>很成熟。</span></strong><span style="color: black;"><span style="color: black;">况且</span>随着技术的发展，以前总是难倒<span style="color: black;">大夫</span>和家属的配型问题如今<span style="color: black;">亦</span>得到了很好的<span style="color: black;">处理</span>。”例如<span style="color: black;">此刻</span>有一种单倍体移植技术，即使供体骨髓<span style="color: black;">或</span>干细胞的配型与<span style="color: black;">病人</span>不是完全相合，都<span style="color: black;">能够</span>进行移植手术。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">因此</span>，<span style="color: black;">日前</span>白血病<span style="color: black;">病人</span>的总体存活率<span style="color: black;">能够</span>达到95%以上。”王顺清说。<span style="color: black;">不外</span>，治疗效果的好坏，<span style="color: black;">病人</span>存活率的高低，绝对是<span style="color: black;">创立</span>在规范的治疗方案之上的。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">另外</span>，白血病越来越讲究<span style="color: black;">精细</span>治疗，有些分型<span style="color: black;">已然</span>到了基因的层面。“<span style="color: black;">因此</span><span style="color: black;">有些</span>白血病在<span style="color: black;">起始</span>治疗之前<span style="color: black;">必须</span>做比较多检测，目的是为了对治疗<span style="color: black;">方法</span>有精确的<span style="color: black;">指点</span>，<span style="color: black;">同期</span>对预后有一个预判。”王顺清说，但有时病人会<span style="color: black;">不睬</span>解，一来觉得<span style="color: black;">检测</span>这么多，经济上吃不消，二来<span style="color: black;">亦</span>有些<span style="color: black;">病人</span>对<span style="color: black;">大夫</span>有误解<span style="color: black;">或</span>不信任。“<span style="color: black;">由于</span>在<strong style="color: blue;">正规的医院里，<span style="color: black;">大夫</span>和病人谈治疗<span style="color: black;">必定</span>是非常客观的，<span style="color: black;">大夫</span>绝对不会向病人打包票说‘你这个病花多少钱<span style="color: black;">咱们</span>就<span style="color: black;">必定</span>会给你治好’。</strong>相反，正是<span style="color: black;">由于</span>医学的不确定性，治疗过程中还会受<span style="color: black;">非常多</span><span style="color: black;">原因</span>的影响，<span style="color: black;">因此</span><span style="color: black;">大夫</span>会把治疗过程中的<span style="color: black;">危害</span>和获益都完整地告诉病人，<span style="color: black;">而后</span>和病人<span style="color: black;">一块</span>分析，哪一种<span style="color: black;">方法</span>才是最有利的。”</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">结合自己<span style="color: black;">数年</span>的行医经验，王顺清<span style="color: black;">意见</span>广大<span style="color: black;">病人</span>，不幸诊断出肿瘤之后，<span style="color: black;">第1</span>先不要绝望，<span style="color: black;">由于</span>医学发展到今天，<span style="color: black;">非常多</span>肿瘤的治疗效果都比以前好了<span style="color: black;">非常多</span>。其次，<span style="color: black;">必定</span>要找正规医院里的专科<span style="color: black;">大夫</span>进行咨询，不要<span style="color: black;">茫然</span>相信<span style="color: black;">宣传</span>、偏方等等，尤其是<span style="color: black;">哪些</span>拍着胸口说<span style="color: black;">必定</span>能把肿瘤治好的“神医”。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">胃肠肿瘤：</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">未获公认的新疗法</p>要多问几个<span style="color: black;">大夫</span>&nbsp;

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">胃肠肿瘤<span style="color: black;">首要</span><span style="color: black;">思虑</span>做根治性的切除手术。细胞生物治疗等<span style="color: black;">有些</span>新治疗手段尚<span style="color: black;">处在</span>临床实验<span style="color: black;">周期</span>，疗效未获公认，<span style="color: black;">意见</span>在<span style="color: black;">选取</span>前要多<span style="color: black;">认识</span>，多问几个<span style="color: black;">大夫</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">王存川</strong></p><strong style="color: blue;">暨南大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院副院长、胃肠外科<span style="color: black;">专家</span>
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">胃肠肿瘤很<span style="color: black;">平常</span>，如结直肠的肿瘤，部分是<span style="color: black;">能够</span>预防的。暨南大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院副院长、胃肠外科<span style="color: black;">专家</span>王存川教授介绍说，75%的结直肠肿瘤是从息肉<span style="color: black;">逐步</span>发展而成，<span style="color: black;">能够</span><span style="color: black;">经过</span>做肠镜<span style="color: black;">发掘</span>并切除，<span style="color: black;">便是</span>最好的预防。<span style="color: black;">倘若</span>得了胃肠肿瘤，<span style="color: black;">首要</span><span style="color: black;">思虑</span>做根治性的切除手术，<span style="color: black;">此刻</span>多做微创手术，之后再结合化疗、放疗治疗等。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">细胞生物治疗等<span style="color: black;">有些</span>新的治疗手段尚<span style="color: black;">处在</span>临床实验<span style="color: black;">周期</span>，疗效未获公认，但<span style="color: black;">有些</span>私人承包、以盈利为目的医疗<span style="color: black;">公司</span>有时夸大其疗效，可能耽误<span style="color: black;">病人</span>的病情，并可能<span style="color: black;">导致</span>经济损失，<span style="color: black;">意见</span>在<span style="color: black;">选取</span>之前要多<span style="color: black;">认识</span>，例如多问几个<span style="color: black;">大夫</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">王存川<span style="color: black;">暗示</span>，<span style="color: black;">日前</span>公立三甲医院，<span style="color: black;">尤其</span>是大学的<span style="color: black;">附庸</span>医院，<span style="color: black;">通常</span>有较好的诊疗体系、完善的多学科会诊制度、齐全的设备，其医护人员经常接触前沿的医疗专业知识，<span style="color: black;">针对</span>肿瘤<span style="color: black;">疾患</span>的治疗比较有经验，<span style="color: black;">倘若</span>做胃肠肿瘤根治性切除等四级手术的话，到这些医院比较有<span style="color: black;">保证</span>。有些民营专科医院、社区医院的软硬件配套水平参次不齐，处理普通的<span style="color: black;">疾患</span>问题不大，但<span style="color: black;">针对</span>肿瘤的根治性手术治疗则不<span style="color: black;">必定</span>，<span style="color: black;">意见</span><span style="color: black;">病人</span><span style="color: black;">谨慎</span><span style="color: black;">选取</span>，多<span style="color: black;">认识</span>医疗<span style="color: black;">公司</span>及<span style="color: black;">大夫</span>的资质。在网络上搜索寻医问药的信息，他<span style="color: black;">意见</span>登录公立医院的官方<span style="color: black;">网</span>，最好能直接到医院找<span style="color: black;">大夫</span>现场面诊，而竞价排名、<span style="color: black;">商场</span>推广<span style="color: black;">或</span>缺乏认证的<span style="color: black;">网</span>容易<span style="color: black;">导致</span>信息不对<span style="color: black;">叫作</span>，<span style="color: black;">或</span>混淆、误导。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">中西医结合治肿瘤：</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">看完西医再点吃中药？</p><span style="color: black;">无</span><span style="color: black;">那样</span>简单&nbsp;

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">癌症<span style="color: black;">病人</span>接受完现代医学的治疗后，切莫随便找不知来路的“中医”<span style="color: black;">茫然</span>开中药吃，<span style="color: black;">必定</span>要在有肿瘤专科经验的中医师<span style="color: black;">指点</span>下，结合病程<span style="color: black;">必须</span>辨证用药。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">林丽珠</strong></p><strong style="color: blue;">广州中医药大学<span style="color: black;">第1</span><span style="color: black;">附庸</span>医院肿瘤中心<span style="color: black;">专家</span>
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">亲友查出癌病，到底该怎么办？<span style="color: black;">选取</span>治疗<span style="color: black;">方法</span>时应该<span style="color: black;">思虑</span><span style="color: black;">那些</span><span style="color: black;">原因</span>？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">广州中医药大学<span style="color: black;">第1</span><span style="color: black;">附庸</span>医院肿瘤中心<span style="color: black;">专家</span>林丽珠教授介绍说，癌症的治疗手段<span style="color: black;">非常多</span>，以发病率较高的原发性肝癌为例，<span style="color: black;">初期</span>手术切除是最好的治疗手段，中晚期的<span style="color: black;">病人</span>若确诊后不宜手术，则<span style="color: black;">按照</span><span style="color: black;">详细</span><span style="color: black;">状况</span><span style="color: black;">思虑</span>介入、放化疗乃至靶向<span style="color: black;">药品</span>治疗。但大部分肝癌<span style="color: black;">病人</span>发病过程中患过乙肝、伴肝硬化，<span style="color: black;">没</span>论是手术、放化疗还是靶向治疗，疗法各有局限，防复发仍是个不得不<span style="color: black;">思虑</span>的<span style="color: black;">困难</span>。<span style="color: black;">因此</span>，多学科、规范化的综合治疗<span style="color: black;">已然</span><span style="color: black;">作为</span>医学界的共识。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">咱们</span><span style="color: black;">科研</span><span style="color: black;">发掘</span>，中医药<span style="color: black;">协同</span>现代医学，对处在不同<span style="color: black;">周期</span>的各癌种<span style="color: black;">病人</span>都能发挥不同的<span style="color: black;">功效</span>。”林丽珠透露，一项历时7年、由广州中医药大学<span style="color: black;">第1</span><span style="color: black;">附庸</span>医院牵头开展的国家中医药管理局“十一五”重点专科肝癌协作组验证，联合国内15家医院的多中心回顾性队列<span style="color: black;">科研</span>结果<span style="color: black;">表示</span>，中医药在<span style="color: black;">协同</span>肝癌的微创治疗、系统治疗中起到增效减毒的<span style="color: black;">功效</span>。部分中药能影响肝癌细胞DNA的合成，对其增殖<span style="color: black;">拥有</span><span style="color: black;">控制</span><span style="color: black;">功效</span>；<span style="color: black;">另外</span>，中医药<span style="color: black;">协同</span>介入术可减轻肝功能损害，<span style="color: black;">守护</span>残余肝功能，<span style="color: black;">乃至</span>使<span style="color: black;">有些</span><span style="color: black;">不可</span>介入的大肝癌变为可介入，从而<span style="color: black;">加强</span>了肝癌疗效和<span style="color: black;">病人</span>的生活质量、延长了<span style="color: black;">存活</span>期。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“但遗憾的是，<span style="color: black;">非常多</span>人对中西医结合并不了解，以为看完西医再吃点中药就行。”林丽珠感慨道。<strong style="color: blue;">还有<span style="color: black;">非常多</span>癌<span style="color: black;">病人</span>将中医药当成癌症最后治疗手段，在手术、放化疗等<span style="color: black;">各样</span>手段用尽了才来找中医，这都是误区。她解释说，中医强调辨证施治及“整体”治疗观，运用得当可与现代医学（西医）<span style="color: black;">功效</span>于“局部”病灶的手术、放化疗等治疗手段互为<span style="color: black;">弥补</span>、相得益彰。仍以肝癌治疗为例，早期<span style="color: black;">病人</span>手术切除病灶后，5年复发率仍高达50%。术后马上<span style="color: black;">协同</span>中医药治疗健脾保肝，可<span style="color: black;">加强</span><span style="color: black;">病人</span>的机体免疫力、促进脏腑功能恢复，降低复发率；而对<span style="color: black;">处在</span>放化疗<span style="color: black;">周期</span>的肝癌<span style="color: black;">病人</span>，<span style="color: black;">协同</span>中医药治疗能够减少<span style="color: black;">药品</span>的副<span style="color: black;">功效</span>，减轻其对<span style="color: black;">病人</span>肝功能的损害，以助<span style="color: black;">加强</span>其生活质量和<span style="color: black;">存活</span>期。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“但中西医结合治肿瘤<span style="color: black;">亦</span>是个专业性很强的学科，<span style="color: black;">需求</span><span style="color: black;">大夫</span>懂得现代医学关于肿瘤规范化治疗的知识，还<span style="color: black;">必要</span>有中医治肿瘤的经验。”林丽珠提醒说，癌症<span style="color: black;">病人</span>接受完现代医学的治疗后，切莫随便找不知来路的“中医”<span style="color: black;">茫然</span>开中药吃，<span style="color: black;">必定</span>要在有肿瘤专科经验的中医师<span style="color: black;">指点</span>下，结合病程<span style="color: black;">必须</span>辨证用药才行。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">——<span style="color: black;">文案</span><span style="color: black;">源自</span>《广州日报》</span></p>
    <h2 style="color: black; text-align: left; margin-bottom: 10px;">关注“四叶草抗癌之家”</h2>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">&nbsp;<span style="color: black;">咱们</span>是一个抗癌分享互助社区！</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">分享互助是<span style="color: black;">咱们</span>的宗旨。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在<span style="color: black;">这儿</span>不仅有专业的<span style="color: black;">大夫</span>护士</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">还有来自各行各业的爱心人士</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">更有许许多多癌患家庭。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">所有癌患家庭<span style="color: black;">一块</span>携</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">以<span style="color: black;">加强</span>癌患家庭生活质量为理念</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一同与癌共舞！</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">生命仍然<span style="color: black;">能够</span>很精彩！</span></p>

4zhvml8 发表于 2024-10-14 06:42:40

说得好啊！我在外链论坛打滚这么多年，所谓阅人无数，就算没有见过猪走路，也总明白猪肉是啥味道的。

j8typz 发表于 2024-11-3 03:39:03

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