专家:早期诊断是胆道癌诊疗领域面临的最大挑战之一|久久久久久AV无码免费网站动漫

  中新网上海9月30日电 (记者 陈静)胆道癌因隐匿性强、易转移、预后差被称为“小癌王”。“由于胆道癌的生长位置隐蔽,早期症状不明显,往往被患者忽略,从而导致错过最佳治疗时期。”上海肿瘤科专家王理伟教授30日接受采访时表示,“早期诊断是胆道癌诊疗领域面临的最大挑战之一。”

  胆道癌是一种消化系统恶性肿瘤,具体包括肝内胆管癌、肝外胆管癌、胆囊癌等。这位专家表示,如果能够在早期及时识别出胆道癌,患者也可以获得更多健康收益。他建议有肝胆疾病史、高龄、超重等高危人群做好定期体检与筛查。

  正值首个“全国科普月”,身为上海交通大学医学院附属仁济医院肿瘤学二级教授的王理伟和该院肿瘤科专家崔玖洁科普了胆道癌早期症状识别、高危人群排查等预防要点,重点解读了规范治疗路径、诊疗方案选择等核心内容,希望帮助公众建立预防意识以降低发病风险。

  据了解,其实,早期胆道癌有一些“蛛丝马迹”,这些症状需要医生和患者细心识别。崔玖洁介绍:“胆道癌早期阶段,梗阻性黄疸是一种比较明显的表现,患者会出现眼白发黄、皮肤变黄、尿液变黄的症状。患者还会出现腰背部酸痛且放射至肩膀等,这是胆囊绞痛或胆囊炎、胆管炎发作的表现,患者需要随时关注病情变化,避免在炎症长期反复地刺激下发生癌变。”她表示,如果体检发现肿瘤指标升高,如:血清CA19-9、CEA、CA125、CA724等;胆管壁增厚,也不可轻视,患者需密切关注、多次随访以明确病因。

  据了解,近年来,胆道癌的全球发病率呈上升趋势。肝胆病史、高龄、肥胖和超重、长期吸烟酗酒等人群,均是胆道癌的高危人群。崔玖洁医生解释:“胆囊结石、胆管结石、肝硬化、乙肝等患者,在炎症长期、反复刺激下,胆道癌出现的风险就会大幅增加。许多人喜欢吃高脂肪的食物,导致肥胖、超重等健康问题增多;还有的人为了减肥采取极端的饮食策略,比如:拒绝碳水化合物等,这些都会给胆道系统的正常运转带来压力。此外,长期高压、熬夜的生活节奏,也会影响人体免疫功能,癌细胞入侵风险也会上升。”

  胆道癌常见治疗方式包括外科手术治疗、放射治疗、系统化疗以及免疫治疗等。王理伟教授介绍:“如果患者处于胆道癌的早期阶段,可以通过手术治疗根治性切除,有一定的治愈可能性。而在胆道癌的晚期阶段,临床主要通过免疫联合化疗、放疗等手段,帮助患者延长生存期,提高生活质量。”

  “对于晚期患者来说,患者应与医生充分沟通,基于规范化指南选择有晚期胆道癌治疗适应证的治疗策略,抓住首次治疗的黄金窗口,提高生存获益。而非盲目尝试无充分证据支持的疗法,以免贻误病情。”这位专家指出,“在胆道癌治疗领域,指南的指导意义尤为重要。临床医生会遵循指南推荐的高级别证据,为患者制定个体化治疗方案,从医学证据来看,规范诊疗的效果更佳。”他希望医患加强配合协作,通过科学、规范的治疗方式,帮助患者获得长生存。(完)

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