海福刀治攝護腺癌 老翁變活龍

[ehisent]

（中央社記者黃進恭台中8日電）85歲周老先生罹攝護腺癌，台中榮總以「海福刀微創標靶」治療，手術後，沒有留下傷口，更讓老先生重振男性雄風。
台中榮民總醫院泌尿科主任歐宴泉今天表示，周老先生數年前為攝護腺肥大所苦，後來檢查出罹患攝護腺癌。
歐宴泉指出，當時醫師建議周老先生摘除睪丸方便治療，但空軍軍官退休的周老先生說: 「拿掉睪丸，我還是男人嗎？」輾轉到台中榮總尋求協助。
歐宴泉指出，醫院引進「海福刀微創標靶治療（HIFU）」不用開刀，身體沒有傷口，屬於微侵入式的手術方式，一次手術即可完成。
醫師說，「海福刀微創標靶治療」以高聚焦超音波治療癌症，治療探頭從肛門經由直腸進入，利用高能量的超音波將標靶區域溫度瞬間升高至攝氏85度。
醫師說，再以聲波共振破壞腫瘤組織，造成標靶腫瘤組織快速凝固壞死，由於定位精準，可避免破壞周邊組織，避開掌管勃起的神經血管束，大幅降低併發症。
周老先生說起話來中氣十足，笑得燦爛。他說，經治療後，病灶完全清除，排尿也順暢，重要的是，性生活完全沒問題。

[kwojohn]

.

[truelovecoco]

台中榮總也要發這種葉姵文
台灣醫療真可憐

[bruinhilde]

台中榮總也要發這種葉姵文
台灣醫療真可憐

+1

[一葉知秋]

海福刀沒有 FDA approve ......

The Lowdown on HIFU: An Interview with David Y.T. Chen, MD, FACS

http://www.renalandurologynews.com/the- ... le/222764/

.........

Are those complications worse than those associated with existing therapies?


Dr. Chen: My personal opinion is, HIFU is not without a risk of complications that is any different than the risk of complications for other treatments for prostate cancer. I haven't treated enough patients to say that the degree of risk is better or worse.

I do think it is important to emphasize that a treatment like this does not avoid the potential of any of the recognized side effects of prostate cancer treatment, such as incontinence or impotence.

Aside from whether the treatment itself is easier or less dangerous, patients in general can have other medical issues—heart disease or lung issues, for example—where just the process of putting them under general anesthesia is dangerous. They can't avoid general anesthesia with HIFU, but they can be treated for prostate cancer with radiation therapy, which can be done without any anesthesia whatsoever.

[一葉知秋]

海福刀並不在 NCCN 的治療 guideline 之中 .....


http://www.nccn.com/files/cancer-guidel ... .html#/66/

[truelovecoco]

海福刀沒有 FDA approve

可以跟頻果報料嗎?? (打小人)

[一葉知秋]

Can Urol Assoc J. 2011 December; 5(6): 424–426.
doi: 10.5489/cuaj.11232PMCID: PMC3235211

HIFU ablation is not a proven standard treatment for localized prostate cancer
Alan I. So, MD, FRCSC

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3235211/

[一葉知秋]

歐洲可以用 .......(HTA REPORT
HIFU for the treatment of prostate cancer)

..

http://www.salute.gov.it/imgs/C_17_pagi ... 4_file.pdf
...

Conclusions
Evidence from our systematic review did not allow us to make a final statement about the comparative
effectiveness of HIFU ablation versus the other options. No RCTs or other comparative studies had been
published. Only non-comparative retrospective studies have been published reporting on large groups of
patients for long follow-up periods. We believe that the lack of trials is the main problem in the field of
medical devices and surgical interventions assessment.
Although a specific reimbursement fee for the HIFU procedure does not exist, the technology is widely
used in Italy. We suggest considering HIFU as an investigational treatment since the mechanisms of
action and short-term effectiveness are already known but long-term comparative data are expected.

[施肇榮]

台中榮總也要發這種葉姵文
台灣醫療真可憐

不可憐
但很可怕

過度的宣染醫療成效
會造成過度的期待
跟隨而來的是不斷的醫療糾紛

[sjs]

台中榮總也要發這種葉姵文
台灣醫療真可憐

不可憐
但很可怕

過度的宣染醫療成效
會造成過度的期待
跟隨而來的是不斷的醫療糾紛

這說明了什麼？
這表示台中榮總(還有其他的醫學中心可能也一樣)還充斥著
「以為自己是商人，以為多招攬一些生意就能多賺」、
「不知道要依法行醫」
的「蓋頭鰻」。

[yu845]

（這表示台中榮總(還有其他的醫學中心可能也一樣)還充斥著
「以為自己是商人，以為多招攬一些生意就能多賺」、
「不知道要依法行醫」
的「蓋頭鰻」。）
真的是這樣嗎？

[smallant]

台中榮總也要發這種葉姵文
台灣醫療真可憐

真可憐ㄚ