Recurrence rate of breast cancer and hormone preparations subcutaneous (goserelin) can be reduced

Breast cancer has become the first women in the top ten cancer, an average of 19 people with breast cancer. Traditional pre-menopausal breast cancer patients will be given after tamoxifen anti-hormone therapy to reduce breast cancer recurrence rate. The latest study found that if the patients without the use of tamoxifen, such as the phenomenon of hot flashes that the poor efficacy of the proposed formulations with subcutaneous hormone (goserelin), in order to increase the rate of breast cancer control, to avoid tumor recurrence. 

 National Cheng Kung University breast surgeon Dr. Tsai-Wang pointed out that in the treatment of breast cancer, the anti-hormone therapy of estrogen receptor-positive is very important in patients with postoperative adjuvant therapy. For pre-menopausal breast cancer patients, the medical community over the years has been the use of tamoxifen as a major anti-hormone therapy drugs, the delay for patients with early breast cancer recurrence and metastasis of breast cancer the opportunity; for advanced disease and metastasis of breast cancer suffering can be achieved to reduce the deterioration of the tumor and alleviate the effects of breast cancer for many years with proven experience in the use of a percent lower mortality rate. 

 Dr. Tsai-Wang pointed out that although the efficacy of tamoxifen has its own, but many patients with a long time because of their hot flashes caused much distress and other side effects, some people even want to stop there. However, according to at American Society of Clinical Oncology December and well-known in the Lancet journal published research has shown that taking tamoxifen have hot flashes phenomenon that drugs be effective, and this has become the treatment of breast cancer important drug reference. 

 Choi Chang-wang said that the medical community understand the indicators, the use of tamoxifen for the poor efficacy of the proposed merger of subcutaneous hormone preparations at the same time (goserelin) use, facilities play a month, allowing dormant ovaries, patients with lower hormone concentration, help control the tumor cells. According to clinical trials confirmed that agents with subcutaneous hormone (goserelin) can reduce the recurrence rate of one percent. The most important thing is, once about two years after the end of treatment, ovarian function can return to normal. 

 Choi Chang-wang said that the breast cancer three years and seven years after the peak period of recurrence of breast cancer, it is proposed to be immediately after the use of anti-hormone therapy to strengthen the control, to avoid the recurrence of breast cancer; At the same time, studies have found that the use of tamoxifen are hot flashes response of the human body is more related enzyme activation, the current medical community has been a key gene can be detected CYD2D6, if the enzyme does not belong to the early activation of those agents with subcutaneous hormone (goserelin), in order to grasp the timing of optimal treatment. 

 In addition, there is thrombosis due to tamoxifen, endometrial thickening, fatty liver, such as side effects, so for endometrial cancer, the risk of thrombosis and abnormal liver function can also use the subcutaneous hormonal agents (goserelin) in lieu of tamoxifen treatment.

The two major breast cancer misconceptions

For the two major misconceptions of breast cancer -- 

 (1) that the young will not get breast cancer; 

 (2) small chest that would not have breast cancer. 

 In addition, according to statistics and research, there are habits countries and regions, the incidence of breast cancer and the recurrence rate is less than or of the countries and regions much higher than that. 

habits it is countries such as Taiwan, Malaysia, Singapore, Hong Kong and other countries the incidence and recurrence of breast cancer (including breast and some of the lesions) than in Europe and the United States much higher, because instant noodles body itself contains a lot of the elements lead to the occurrence of breast cancer. 

 Do not instant noodles body surface and in the production process, in fact, instant noodles have the body surface of the oil contains a lot of material and chemical substances. 

 I have a friend at the instant the company to go to work, his colleagues in the production department had done an experiment on him to let him know of them in fact, instant noodles contain a lot of oily substances, the weight of a full mug so much! (Of course, depending on the brand, the amount of oily material will be different, but the number of poor will not.) And many of these oily substances and chemicals, it is a result of breast lesions and the occurrence of the biggest causes of breast cancer! 

 So, starting today, it is best to quit and some contain preservatives and other chemicals in food.

Young high-grade breast cancer early detection the survival benefit

The "leaves" of a famous singer, "Asan", died yesterday morning due to breast cancer, a 34-year-old year, it is too hush sob, to remind physicians, the study found that young breast cancer some higher grade, easy to relapse, calling young women, do not overlook health check self-censorship and the importance of early diagnosis and treatment of early detection, breast cancer survival rate is quite high. (Xu Yun Xiang reports) 

 According to statistics, the East race, including Taiwan, Singapore, Hong Kong and other countries, the peak age of onset of breast cancer compared with European and American young age, often can be seen clinically young women with breast cancer cases, in addition, some surveys also found that young women think they do not may be young, breast cancer, or more conservative, they neglect to check, resulting in the detection, the breast cancer may have been relatively late. 

 Professor of Surgery at National Taiwan University Hospital, Breast Cancer Prevention Foundation, King-Jen Chang said that the women in addition to self-examination, the importance of regular medical checks, especially in some research found that most of the younger breast cancer patients, if it is negative for hormone receptors, epidermal growth factor is not the performance or over-performance, higher grade, more rapid course of evolution or the metastasis and recurrence, if uncovered as soon as possible, and help enhance the survival rate, "Comparison of a young man, you can check through the breast ultrasound examination, age Great point, after 50 years of age, mammography acceptable, can be found relatively early stage of breast cancer cells can not touch. " 

 King-Jen Chang stressed that if the early treatment of breast cancer, in many cancers is a very good prognosis of cancer, such as clinical, some are teens, more than 20-year-old female breast cancer, because early detection, coupled with treatment, After breast cancer, but also get married and have children, family case successfully called Women Do not overlook the importance of screening by, especially those with a family history of the women, but also to be more vigilant.

Lu liver dawn! New therapies enemy from the inside out

Trojan remember is the history of ancient Greece a famous battle, and now the treatment of liver cancer, there have been similar to the Trojan horse of new technologies. Taipei Veterans General Hospital introduced radiotherapy in vivo, will have millions of radioactive yttrium 90 microspheres directly to the liver itself, from the inside out to release a high radiation dose to kill cancer cells. 

 Taipei Veterans General Hospital last year, the introduction of the "Y-90 microspheres - selective body radiotherapy," admitted a total of 41 liver cancer and other terminal cancer patients with metastasis to the liver, a good therapeutic effect. "This from the inside out of the end of radiotherapy in patients with liver cancer has provided the last chance of survival!" Taipei Veterans General Hospital Department of Radiology, said Dr. Rheun-Chuan Lee, in accordance with the present treatment, in patients with terminal liver cancer is no cure, and the radioactive element yttrium 90 microspheres provide a new hope. 

 However, this new medication therapy alone have to spend more than 40 million, pre-and postoperative examination of the patient have at their own expense, all medical expenses more than 600,000 yuan. 

 Rheun-Chuan Lee pointed out that the radioactive element Yttrium-90 containing microspheres, the diameter is very small, only about one-third of the hair, by the way angiography in the liver, from the groin into the hepatic artery within the liver directly to the microspheres blood vessels inside tumors, and then gradually released within two weeks of high-dose radiation, to kill liver tumors. 

 Rheun-Chuan Lee explained that in addition to Y-90 microspheres, the radiation from all the other outside, the radiation from the in vitro into the human body, therefore, can not be too high dose, not to harm normal tissue, and the microspheres is from the inside out , in addition to high accuracy, the radiation dose is also higher, at around the other two to three times the radiation. 

 Trojan horse as the same way the use of angiography, Y-90 microspheres was sent after the hepatic artery, it will take the initiative to look for cancer cells. Tumor blood vessels as a result of the flow near the larger, 90-yttrium microspheres target, you enter the tumor, emit radiation to kill tumor lines. 

 Rheun-Chuan Lee pointed out that the current accepted treatment of patients with Y-90 are mostly due to the failure of multi-line chemotherapy or other treatment of patients with terminal liver cancer invalid, clinical showed that after two months follow-up found that 41 patients, about tumor shrinkage or five well-controlled. 

 As to whether the Y-90 microspheres in the treatment of other cancers do? The answer is no. Linked to other organs because the blood vessels, so can not use this type of radiation "

Computer knife radiation therapy for cancer

Robot computer can be the treatment of cancer? National Taiwan University Hospital has recently introduced the latest "computer knife" for the treatment of lung, liver and brain and spinal cord tumor and so on, while surgery, radiation therapy side without surgery surgery, no anesthesia, an average of three days can be effectively inhibited tumor cells. 

 "Computer robot arm like a knife!" National Taiwan University Hospital and director of the Center for computer knife ZENG Han-min pointed out that the knife can be computer tracked the location of the tumor patients, 140 tab through to find out to determine the site, and have 12 points each different point of view, resulted in a total of 1680 rays. Therefore, the radiation can focus light, do not harm normal tissues.

Talk of the major nutritional support the importance of cancer treatment Part 3

So doctor degrees at major cancer treatment in Taiwan's environment, major degrees are in fact highly questionable. In addition, although the current model of cancer treatment has become a common treatment towards multi-disciplinary model, which is the direction of the current efforts of the Government, but the current mechanism to integrate a number of joint clinics are not very perfect, there are many places biased, For example: because too much emphasis on first-line treatment in cancer, in particular the integration, so that for some assistance to support the treatment of treatment or even medical divisions, and often not properly incorporated into the treatment team. For example, to a University Hospital of lung cancer treatment team, the University Hospital of lung cancer that they have inside the team, including the PET Center (a high-end diagnostic imaging), chest medicine, thoracic oncology, thoracic surgery, radiotherapy oncology, basic medical research team, but in fact the treatment of lung cancer are diagnosed right in the architecture or not, so the diagnosis of Diagnostic Radiology Division, as well as pathological interpretation are on the treatment decision-making plays an important role, at the University of lung cancer treatment team does not have two divisions; In addition, cancer treatment, the addition to a good medical team, the health education of patient care and the patient's nutritional support team, at which the treatment of lung cancer should also played a logistical supply, long-term care for an important role in the treatment of trust among the team can not add them. 

 Precisely because of this, much of the cancer patients in the treatment of which usually was informed at the next bolt from the blue for cancer, but also at different positions, at a loss, the case of loss in the fight against cancer, so some patients will begin self-help, begin to read or intake of some anti-cancer knowledge, but people are after all not professionals, you want to in this an uphill battle, the self-reliance to survive, having no one to depend on the fight against cancer, in fact, are feeling hard, above all tend to score not ideal. 

 So how do we overcome this situation? In fact, very simple, almost at Living Ways to find, the answer lies in the light of our Taiwan - Wang's body. Cancer treatment and Wang have any relations? And play baseball there is, what relationship? 

 We all know that Wang has not yet at a time when heat and light, in the past people generally think Taiwan wants to play baseball to win, in the past that must have strong hitters, it is best to combat each are strong stick, be able to hit a home run, each like Chen, A-Rod, playing strong Bang Bang is the only way to win. However, since the light-emitting heat Wang, the U.S. should know that a good team if only to combat, if faced with a powerful opponent, strike capability and even better than you, your ability to very poor team defense, or will continue to lose points , the last possible fraction are not enough to win the lost, the final race results are certainly lost. If the team which has good pitcher, has good catcher, there is good infielder, you can lose as much as possible so that you get less and less losers have a chance to reverse some wins, the best is a team of its strike capability Good, good defense situation, that is, superior offensive and defensive team, so is the level of the Ever Victorious Army baseball field. 

 And treatment of cancer is like a baseball game, opponents of cancer disease is a terrible opponent, there must be a good offensive firepower, the garrison support care team is also very important. Therefore the treatment of cancer should really want to implement the multi-disciplinary clinic common mechanism, but also in this model must be under the effective implementation of major division of the medical team to attack cancer and cancer treatment must be to support the team with care, complementary and can be resolved present predicament, but also have a chance in the fight against cancer to win the battle of the fruit. Therefore the treatment of cancer at the same time, must are required to support the major nutritional care team can achieve mission impossible. 

 Nutritional support of cancer care Why do we need professional people? Not in the patients not to eat, malnutrition, the hospital's sale of the Department go to buy some milk to sick to drink enough. In fact, such a concept is a big mistake. 

 Cancer itself affect the body's nutrient absorption and nutritional biochemical metabolic pathways, making patients eat less than usually because of internal friction also increase, and nutrition in poor condition. Study in nutrition, but also showed that about 80% of cancer patients has emerged malnutrition. Therefore, please do not think that cancer patients will occasionally have the problem of malnutrition, in fact, malnutrition usually appear in the cancer patients themselves. 

 Cancer tumor cells inside the body itself will be a number of pre-inflammatory hormone secretion and protein decomposition factor, which will influence the sick appetite and speed up the body protein and fat decomposition, resulting in metabolic abnormalities Patient nutrition, there has been loss of muscle mass , which resulted in poor appetite, weight loss, poor physical strength. In addition, cancer itself will certainly give rise to systemic metabolic abnormalities, acute inflammation of the protein produced; together with a number of factors other than the tumor, such as on the side effects of treatment such as dry mouth, taste changes, eating difficulties, low mood and so on, will result in more sick of weight loss, lack of physical strength.

If so ignores the question of nutrition for cancer patients, it is probably of cancer cachexia can occur, causing sick Baba thin, skin and bones of Ethiopia as refugees, but you should never think that such a very stick thin, nothing, according to Statistics around the risk of cancer, died of cancer rather than the final itself, but died from severe malnutrition, some people even say that they are simply starved to death. 

 All in all, tens of millions of cancer patients not to ignore the problem of malnutrition. Moreover, cancer patients, if there is malnutrition, treatment will bring about many negative effects, including: increasing the number of days hospitalized, reducing the effects of cancer treatment and increase the side effects of cancer treatment, increased medical costs, lower the quality of life and reduce the patient's survival. 

 It is precisely because of malnutrition are so important, but also urgent to resolve the problem, so when the emergence of malnutrition of cancer patients when the situation, do not just go to dietitians or nurse are resolved, or even self-help book to see that they formulations, should actively seek professional care of the nutrition support team to help you. Therefore, active anti-cancer and major nutritional support, both in cancer treatment which should be complementary and both are indispensable. 

 When you are deeply loved friends and relatives suffering from cancer treatment, you can for him to do things, can help him find a major nutritional support care team to help him, let him have physical strength, stamina, confidence and for treatment. 

 What then are the major nutritional support should be essential care conditions? First of all, there must be major nutritional support care team, you want attention, attention is to have the team, and definitely not enough merely to find a dietitian, so that the nutrition support team should be based on patient-centered, according to the prevailing individual , as well as the natural course of individual diseases, and be able to tie in with the current treatment of cancer. This must include the care team has: specialize in the treatment of cancer and nutrition support team, senior specialist with the treatment of cancer, as well as parenteral nutrition clinical pharmacists practical experience, proficient in dietary and nutritional supplements for nutritionists, with intensive care on owners as well as the experience of cancer care nurse, and finally must be proficient in the psychological and mental state of knowledge of cancer of the spirit of support team, each role are indispensable, so it can reach assist sick care system. 

 In addition, the importance of professional care is also very important, it is because major nutritional support must build on the individual situation of cancer patients, according to the individual as well as the different conditions in order to tailor tailoring care professional nutritional support programs, such program will meet the patients need it really necessary to add, rather than the more premium the greater the hole. First of all, the major nutritional support must be targeted care, primary objective is to maintain normal weight patients to reduce the weight loss situation. Many cancer patients have weight loss will cause the condition, and weight loss usually will cause a patient's physical deterioration and poor response to treatment, side effects increased, decreased quality of life. Therefore the maintenance of body weight should be nutritional support for cancer are among the most important objective. 

 Other objectives include the reduction of cancer care treatment side effects, maintenance doses of anti-cancer therapy treatment, as well as to promote the anti-cancer immunity, and improve treatment quality and the overall quality of life. Fully by the major nutritional support to improve the quality of cancer. 

 For example, unfortunately, suffering from advanced breast cancer, usually because the tumor is too large can not be surgery, cause treatment difficulties. But now medical technology has developed effective drug, you can make these excessive treatment makes tumor mass reduced, thus allowing these patients have the opportunity to receive surgical treatment, while there is the chance to get cured. But this effective drug, its strong side effects are also many in the treatment of which usually resulted in a lot of discomfort, so many patients abandoned the treatment, also the development of the good intentions of such drugs has been to combat, even though there is good drugs, if not properly receive a complete course of treatment, this new medical breakthrough is wasted. If if we can in the drug treatment, the co-ordination of major nutritional support, will have the opportunity to reduce the side effects of treatment, making treatment of the treatment can achieve, but also to make advances in technology really brings the benefits of patients to be presented. So if we make cancer treatment more effective and more quality, will certainly benefit a lot of the cancer patients, but also many families can dream. 

 In addition, the major nutritional support of cancer care, cancer treatment has not been among the serious situation of malnutrition, which is burned buttocks when we come to give you play a pirated pins; but you have not started malnutrition cases, early intervention; please a graceful figure, wearing a hot beauties total chef to help you cook, you eat, not only allows you to eat right, but also give you enough to eat again eat, let your body adequate nutrition, physical age profile, there is confidence, there is the challenge of endurance, but also can be in the treatment process, to manage opportunities, will not miss the prime time treatment. Wang said that the U.S. is the Yankees win the trump card, the major nutritional support should be even more anti-cancer are the key to success, the major nutritional support of cancer treatment will give you more quality, the only positive insist there is the quality of cancer disease treatment, despair still showed a dawn. Let major nutritional support for cancer care cancer attributable to better assist you.

Talk of the major nutritional support the importance of cancer treatment Part 2

Some people would be more realistic, since the hospital can provide medical help, then the hospital will be the sale of the Department can help provide some nutritional supplements you sick! Real hospital inside the department has provided some of the sale of a wide range of nutritional supplements, these nutritional supplements to make good use of if, it could certainly help to assist our friends and relatives, but the premise that there is put to good use at the situation, whenever we walked into the sale of hospital department, staff are to echo the U.S. demand, you have not thought about, which makes the identity of staff physicians are? Dietitians are? Pharmacists are? Carefully think about is not, when is likely to be with our general convenience store clerk trafficking in commodities is the same, in accordance with the product descriptions, to trafficking, the U.S. needs friends in fact will be clearly? 

 In short, there will be more than practice, whether it is right or wrong, everyone's starting point, they hope to friends and family can get better, everyone knows, cancer treatment are required during the physical nutrition are required. But about nutrition part of those practices are just right? Have to eat on the premium must have吗? Like to eat right? Fill yes? Will fill the larger holes do more? 

 So why this question over and over again to haunt us in, apart from the general population of medical knowledge, lack of clear concepts of health, the medical profession should be one part of the burden of a duty, it is because the medical profession for the treatment of cancer has some blind spots , there is no access to the substance of the settlement, giving rise to the general public even more confused. Nowadays the main mode of governance has cancer surgery, chemotherapy, radiation therapy, target therapy, each treatment has its own characteristics and advantages and disadvantages. If the cancer cells have likened the sudden appearance in the garden among the weeds, surgical treatment is like a way to put the use of garden weeds, like removal of uprooted weeds with stems; and radiation therapy is a local treatment of tumor methods are to be like the garden of weeds, removal of weeds only stems, but leave the roots of weeds, as long as the course of time, would like a "cut-grass eradicate spring wind again." 

 The chemical treatment is an enemy, regardless of attack cancer cells in a way, so in the treatment of which would inevitably go to destruction of normal cells, just like garden weeds extraction at the same time, even in passing near the flowers , along with uprooting, there is usually a lose-lose kind of regret; and the treatment itself is a characteristic for cancer cells to attack the method of treatment, although a very good idea, it is a pity that the current score is not very ideal, but also have side effects. 

 And cancer patients in the treatment process, in fact, very much looking forward to the hearts of cancer treatment for physicians be able to disarm him pain, really be able to walk in the cancer treatment for patients on the labor share solutions to improve the patients physical, psychological discomfort, successful cancer treatment in the sick actor guardian supporters. However, the current standard treatment of cancer, because of its above-mentioned characteristics, in the course of treatment will usually because the characteristics of the drug or method of disadvantage, more or less will result in cancer patients on the physical and psychological discomfort, as previously referred to the chemical treatment of vomiting caused by radiotherapy damage caused by mouth or difficulty swallowing, repeated again and again so that cancer patients feel that the treatment of cancer but have had a more uncomfortable, new problems, sometimes even feel that "old things are not flat, the new wave began"; the original medical team should be the treatment of cancer patients with the eyes of supporters of the guardian, and sometimes makes patients feel constantly create new troubles, the new trouble, so much Instead, cancer patients will be regarded as a medical professional team troublemaker, loss of the original anti-cancer patients in mind the role of Royal Shou. 

 Some patients, therefore the current standard treatment for deter, or even repel them resist and instead resort to prescriptions, remedies that such a treatment are not those annoying side effects, and some unscrupulous people to send a copy of the prescriptions secret inside steroid added, and even morphine, but also for those who are after the people ate, physical comfortable but was short-lived; so instead of some cancer patients will have questions such as the medical approach him are the eyes of anti - Royal Shou cancer, no doubt, a lot of silver on the way down flower. Want to know fact is it is unrealistic, not only an opportunity to delay treatment, are more likely to accelerate the deterioration of the disease, is not very good.

This time, the original medical team will probably tell patients that "side effects of treatment are inevitable, according to statistics, about 15 percent of the side effects are inevitable." 

 But still there is more than 80 percent of the side effects are avoided which could be addressed are, why the medical team had not been properly dealt with? In fact the original medical team really wanted to properly deal with, but the state's financial difficulties, limited health care resources, a doctor has a total budget, the limited budget, used to treat patients on the cancer usually has been stretched, not to talk to properly to prevent, to deal with those side effects, because it is a limited health care budget. 

 In addition, the general public are mostly superstition medical doctors, doctors, however busy, and usually one out-patient clinic is more than a hundred individuals, a patient until the time more than three hours, with an average of a distribution can only look sick approximately two minutes, have not listened to your complaints, we have to rush to a facie, not to mention the effort is needed to deal with your discomfort, let alone tell you how good the to prevent these problems, because the latter are very time-consuming. 

 In addition, cancer treatment system in Taiwan, there have been some questions, cancer treatment at different stages often have different methods of treatment for different treatment modalities will have different specialized physicians responsible for treatment. However the so-called "Road have been heard, there is surgery industry specializing in", if such a model, specialized physicians to do the specialized treatment, treatment effect not only good, side effects are also more able to properly handle, side effects will be relatively small. However, the situation in Taiwan is not 100% true, some doctors will not only make radiotherapy will make the chemical treatment; some surgeons, it is omnipotent, hemorrhoids will open will open cancer, will make the blood tumor general practitioners more specialized chemotherapy. 

 In addition to physician concerns about a possible shortage of professional degrees outside, they may be required because the implementation of such a heavy medical business, resulting in their physical and mental load is too large, so do not usually very good strength and good thoughts go take care of the sick, and access to cancer treatment and care new knowledge and treatment. Perhaps this is the case, sometimes in order to avoid possible because not familiar with the treatment of derivatives may be too serious complications or side effects, they usually give patients in therapy, the original should be given to patients to reduce the dose no basis, now that dose reduction, patients have had a relatively light course, side effects, the most important side effects are relatively small, so doctors do not worry it necessary to spend more time taking care of these side effects, inter-moment feel as if the treatment of patients easier and more willing to accept treatment , there is probably a doctor would consider a very good deal. But think carefully, the dose is not enough to cool you, or cool to the cancer, the answer seems apparent, of course, the quality of treatment is not very good.

Talk of the major nutritional support the importance of cancer treatment Part 1

Ten thousand years ago humanity from apes gradually evolved into semi-erect human, has been the evolution of the Peking Man Shanding cave people, a way of life from the collection, hunting, animal husbandry, farming, until century industrial revolution and the twenty-first century the age of information revolution, human life has a lot of change, technology advances in full, of course, medical technology has improved. And this time human body also changes gradually from the apes walk upright into the way physical body has been snowballing, body up until now has been completely different from our ancestors, the most obvious is that we do not only go to high development, but also to the horizontal direction, on more and more bloated bodies, our world is suddenly a lot of many between the obese people. 

 With more progress in medical technology, human disease patterns change, from the early days the biggest headache for example infectious disease, liver disease, malnutrition problem, because the development of drugs for these diseases over the last headache of his status to diminish in turn are replaced by some civilization diseases, such as obesity, diabetes, hypertension, heart disease, stroke, and even suicide and depression, are now troubled people, in fact, most people worry about the disease, it is the number one killer - cancer. 

 As of this year the Department of Health published the report of the health of the people, the average life expectancy of people, male or female, is obviously better than last year's extended three to six months, but unfortunately, cancer is still the highest in the top ten causes of death. So although our life, but we always could not shake off the threat of cancer, apart from one part of life because the longer the chance of cell mutations will more be able to more easily lead to cancer; have another U.S. the external environment, dietary habits have immense change, coupled with progress in medicine and technology, but also early cancer was found or the right was diagnosed. 

 Against cancer in general people always think is a horrible disease, why the majority of people will be to think? First of all, it has been the highest in the Taiwan region top ten leading causes of death, but according to statistics an average of 13 minutes two seconds one person in Taiwan area alone will die of cancer, that is to say in a short span of less than 30 minutes , the Taiwan region may have two or more people have died of this terrible disease; Moreover, and probably at more than five years ago will hear a terrible data, that is, each person in four will be one person will die of cancer disease, to hear this message then you may be shocked, but now there is there is a terrible message to tell you, this data further progress, which is almost every three individuals, the future will have a person die of cancer, saying the better the "Three Stooges than a Zhuge Liang", the future three Stooges are probably the future must have a person will die of cancer. Cancer do not you say so terrible? 

 There is also a terrible reason, it is much to be diagnosed for cancer of the people, usually without any symptoms, or just some minor discomfort, even to go to the hospital to be a check, the doctor informed the suffering cancer, unlike us caught a cold are already well in advance, there will be some runny nose, headache, fever, cough, muscle or bone pain of the situation, when we see a doctor for this problem, and when the Doctor told us cold, we rarely go suspected Doctor has not made a mistake, however, has been diagnosed as cancer, when, suddenly feel that they are between the bolt from the blue, incredible, or even most people would have a strong reaction, "Doctor you have not made a mistake in the end? you have not mistaken report? samples are not to send wrong?. " 

 Why would not everyone believe it? The vast majority of cancers are due to happen is always silent, once there is a minor illness, is usually the last stage of cancer, cancer which is the reason people feel that fear. In addition, our doctors to practice medicine when so many years, each time to the sick openings, said: "Unfortunately, the results of inspection are cancer" when the mind still has a lot of give up, she always fear When we speak of that sentence, apart from fear of expression will see, this thing will be the brutal truth of how many people look forward to put an end to the dream of many people and bring home much infinite melancholy. Since cancer has come so suddenly, so that not only are sick, have family members, relatives and friends are at a loss, but also do not know how to face. Moreover, when cancer was diagnosed as beginning the moment, the lives of cancer patients on a sudden as if by a code table, start at the bottom of life, a sudden advance of the end of his life, his life began to turn to black and white From that moment, not are re-color, all the time thinking about how many have me tomorrow, if tomorrow there is more and more, What Can I Do? Fatalistic吗? Their mercy? 

 Cancer have a very terrible reason for this is that it seems that regardless of sex, race, class, or low, everybody gets a chance, and everybody not sure, we all have the opportunity to get a prize; and very terrible is that, whatever you are not rich, are not celebrities, are not the official end almost as if both are also not escape one die.

Have even more terrifying is that when you want the face of cancer treatment, treatment side effects, as an avalanche into the general you, such as chemical treatment of nausea and vomiting than the and vomiting during pregnancy is also more powerful; Radiation Therapy oral mucosa caused by inflammation, so you eat intolerable pain, like knife cuts; have treatment which will produce a number of serious complications, such as general malaise, poor appetite, fever, diarrhea and so on, will let you feel that mental and physical exhaustion; Even after the end of treatment, or has some annoying side effects of deep haunt you, such as neuropathy, so that you can not engage in a very fine job, had originally thought that the end of treatment, these complications should be away from you, but often not the case. 

 Treatment and sometimes not as good as expected, the results so that you are not satisfied, you may have to re-subjected to the ravages of disease, not just the appearance of affecting, for example, hair baldness, but also let you lean such as dry, thin build , when all of a sudden look in the mirror, you will find that you did not recognize you in the mirror and felt the treatment makes you look completely different, to enhance the quality of life, the hearts of Health since sometimes "treatment instead of allowing you the idea of more and more miserable." 

 When you see your relatives and friends suffering from cancer, the general public will be done for them? Most of the people will resort to go on the support of religious souls, pray, pray that God bless their family members or friends and relatives, hoping to force the invisible to help patients to tide over their difficulties, the biggest support for mentally sick, or even think that someone should be have to seek a token of God, say yes Taoist amulet, or the Japanese Royal Shou-hand, or the Christian cross, I hope to Buddha for help anytime, anywhere, so that patients can get in this fight, God bless . 

 Do not think that the amulet is an impossible thing happened at now, as long as the careful observation of the world of cancer patients, you have a shield is not difficult to find traces or Royal Shou, and even some of these sick amulet into his the hope that medicine doctor at the Buddha under the add hold, play a magical effect. Maybe in about twenty-first century we will find that these practices are too unrealistic and too, we should use more contemporary methods to help our relatives and friends, perhaps someone directly in mind that we can go big store to buy boxes of white x's Essence of Chicken, give patients fill up one, maybe white x's Essence of Chicken are the ads doing good, when cancer patients have been informed in need of treatment, when many families will ask: Can we eat Chicken吗? Chicken seems to think people are the number one tonic. You may say that the sale of the chicken market has probably add some artificial preservatives, not suitable for the use of cancer patients, it is better to take the trip the traditional market, to buy only the old hen and spent three days and three nights of good chicken Endure soup, to give the sick to show our sincerity, that is right. 

 It was also possible to do so, take a look at the ads on television, there is lot of milk powder were claimed to be able to help the sick sick sick, is the best nutritional diseases nursed back to health, then to the pharmacy to buy such a formula, to the sick . 

 It was also to do so, now that the treatment of cancer, the necessary resistance, and immune system necessary, then we went to buy a healthy biotech food, for example, is Ganoderma lucidum, Cordyceps sinensis, also give patients fill up the body strength, so as to enhance immunity. 

 More people have reported that warm-heartedness will give you the secret, and this recipe to cure a lot of people, however, there is a lot of people are eating this recipe, the body of tumor has disappeared; or introduce you a well-known doctor, claimed that much once cured Cancer patient's tumor, but in fact he probably is a licensed doctors, let alone such doctors opened up the secret probably asking tens of thousands of dollars to hundreds of thousands dollars, I do not know injuries are wealth, have probably delay in the timing of your treatment, delay your condition; Moreover, if there is true secrets are so effective, perhaps not all over the world so people will continue to be the secret recipe you! Since it was made public as long as they can not only be able to benefit mankind, are more likely to bring him a lot of notes, so this recipe, it probably is an exaggeration, you will believe it? The above approach, perhaps people would feel much scoff at, but tens of millions of you not to feel that you must not do so, and when a body in despair among the people, any iota of opportunity, most people will not give up, and sometimes sudden will be trying everything, so just those practices, perhaps once you have such a thought, or maybe you really done so, your starting point is to simply help your relatives and friends.

(To Be Continue)

Rui-speed knife treatment within 1 mm of error Tatsu

From National Taiwan University Hospital's "spiral knife" Centers in the United States prior to the Chang Gung Memorial Hospital has recently spent nearly billion, the introduction of the "speed sharp knife" radiation therapy instrument. The hospital stressed that the use of the latest radiotherapy equipment, can significantly shorten treatment time, each time for less than two minutes, with the image-guided, so that the treatment of error of up to 1 mm. 

 Taiwan more than 50-year-old Mr. Lin, a few months ago found a right side of his neck grow prominence, biopsy confirmed to be at the end of tongue cancer with right side of his neck lymphoma transfer, required to undergo chemotherapy and radiation therapy, but conventional radiotherapy easily cause severe dry mouth, etc. side effects, so that deter him. Recently, he accepted the "speed sharp knife" radiation therapy, in the precise image-guided, the treatment of error of only 1 mm, doctors operate, they can try to avoid the spinal cord, salivary glands and other vital organs and reduce postoperative side effects such as dry mouth. 

 Linkou Chang Gung Memorial Hospital, director of radiation oncology Ji-Hong Hong pointed out that the hospital has treated eight and a head and neck cancer and prostate cancer patients, the effect has been quite good. In line with image-guided technology, the "sharp knife-speed" can be precisely aimed at cancer, compared with conventional radiotherapy, just one tenth of the dose, we can achieve the same effect, and significantly reduce treatment time, the average treatment time Just two minutes.

Apple really be able to eat anti-cancer?

"News Weekly" earlier introduction of a "cancer apple" study: A professor at Cornell University published animal experiments, saying that "Apple will be a baby to save the lives of people." That study results were published in professional journals on Nothing issue, however, it is not a worthy recommend to the public, "Conclusion." 

 In the food area, to prove a help to the health food ingredients, animal is 

  Inspection is not enough. To put it as a conclusion to recommend the public, at least in clinical trials and statistics, how many come to eat the amount can have much effect, as well as the amount for human health there is no other negative effects and so on. Lot of food ingredients research for several decades, animals at similar effective results abound, the results of clinical trials are also quite a number, but still should not be academic, as well as department director approval. In 2001, a company in Europe producing a beverage, main components are Puerarin and chrysanthemums, are the role of anti-inebriation. Them to apply for listing in the United States printed on product packaging function on anti-inebriation. The "function" of the evidence, first, since ancient times, Chinese people can think Puerarin Jiejiu, two research institutions are part of the relevant experimental results. Can the United States Food and Drug Agency (FDA) rejected the application on the grounds that: "hangover" is a therapeutic effect, if we claim that this feature, then required the adoption of drug application procedures. In this regard, institutions such as Harvard published the results of those studies, but also far from adequate. 

 Table of modern science has confirmed that fruits and vegetables for human health has major benefits. A variety of different fruits and vegetables, they bring the body's composition varies, but the human need all these different benefits. People eat food every day the total amount is limited. In the "anti-cancer apple," this example, if someone 6 apple to eat every day to get "a strong anti-cancer effects", they are bound to reduce other food intake. On the overall health, so too a single food are probably a negative. Therefore, the current food science research in assessing the health effects of a certain food when flagging dependent on this control experiment, and to assess the effectiveness of this food, the impact of the introduction of the recipes. 

 And "anti-cancer apple" is similar to a lot of people have heard of "green tea anti-cancer" argument. In scientific research journals, nor is it really able to find many studies in this regard. In 2004 to the FDA on someone applying for such certification: "every day to drink 40 ounces of green tea can reduce the occurrence of the risk of some cancers. While there is scientific evidence to support, but the evidence is not yet adequate." They presented a variety of academic journals on a large number of research papers to support the "green tea anti-cancer." At lot of people seem to, those papers have been enough "authority", but the applicant is put between quotation marks in the second sentence to show caution. FDA has concluded that only a very limited credible evidence to support the green tea for breast cancer and prostate cancer there is definitely a merit. FDA finally agreed to the manufacturers stated as: "A weak and limited study does not show drinking green tea can reduce the incidence of prostate cancer risk, but another weak and limited studies have shown can reduce this risk. Based on these studies, FDA believes that green tea are unlikely to reduce the risk of prostate cancer. " If manufacturers alter the integrity of the meaning of statements, or selective use of "scientific research" to promote their products, then the FDA will be held accountable. 

 Scientific research results will only be regarded as records. Even if each record is true, it can not rely on them to draw an elephant. Only so many people from different angles to record, then all the records together, can be enough to draw lifelike elephant.

Supporting therapy to reduce cancer treatment side-effects of three

"When the cancer was declared to be the moment, the patient is faced with the fear of death and pain" at National Taiwan University Hospital Blood Cancer Physicians said Huang Yi, early cancer therapy also does not support such progress now, when many patients Afraid can not stand the side effects or because there is no active treatment, resulting in therapeutic effects than expected, thereby affecting the quality of life after and survival, for a long time off, for patients and their families who is a big burden. 

 Huang Yi cited a targeted survey of cancer patients found that out of hair, limbs and organs, such as incomplete, "the face of change," most patients are not acceptable treatment of side effects, not only affect the body function more enormous psychological impact; because treatment of cancer caused by hair not just limited to hair, including eyebrows and other body parts will be out all the hair, and blood cancer, oral cancer, such as cancer, are more likely to face amputation, jaw resection, such as physical changes, even if found from the gate of hell Back to life, life can take care of themselves, whether or not to return to work are most worried about things patients. 

 In addition, such as nausea and vomiting, pain, loss of appetite and so on, but also is a common cancer treatment side effects, and strong chemical drugs, this may result in patients with decreased immunity, poor bone marrow function, pain and so on. However, when more and more progress in supportive therapy, cancer patients can be a little less painful cancer treatment. 

 "Supporting patients to receive formal methods of cancer treatment," explained Huang Yi "support therapy" meaning, foreign study found that the effect of cancer treatment and survival rates significantly in recent years to enhance and support play a key role in therapy, per cent contribution Twenty. Since antibiotics, analgesic drugs, growth hormone has been used in support of proper therapy, significantly reduce the side effects of cancer treatment, thereby significantly improve patient treatment wishes. 

 Huang Yi said that the cancer patient's pain, if not first lifted, then again they are faced with cancer treatment side effects, such as pain then add on the pain; if the use of supportive therapy to alleviate patients the side effects of cancer treatment, the absolute will improve the follow-up treatment will, however, one to extend the life, the patient will have to wait for a better drug or treatment opportunities. 

 In addition to alleviating physical pain, psychological support therapy have meaning, "patients will be, painting, music or terminal cancer are belong to the hospice ward level to support soul therapy," Huang Yi, for example, patients will experience sharing and support of cancer patients are know illness, an important source of support, and painting and music is a kind of spiritual treatment abroad for years. Patient prognosis and quality of life and productivity, are also included in "effect of cancer treatment," one of the assessment, Huang Yi, said that as long as there is help for patients, "Any good, positive support for therapy, can be encouraged."

Recurrence rate of breast cancer and hormone subcutaneous formulations (goserelin) can be reduced

Breast cancer has become the first female top ten cancer, with an average 19 people every day there is breast cancer. Tradition of pre-menopausal breast cancer patients will be given after tamoxifen anti-hormone therapy to reduce breast cancer recurrence rate. The latest study found that if the use of tamoxifen in patients with no hot flashes, etc. that the effect of poor situation, the proposed formulations with subcutaneous hormone (goserelin), in order to increase breast cancer control rate, to avoid tumor recurrence. 

 National Cheng Kung University breast surgeon Dr. Chang Choi Wang pointed out that in the treatment of breast cancer, the anti-hormone therapy of estrogen receptor positive are very important in patients with postoperative adjuvant therapy. For pre-menopausal breast cancer patients, the medical community over the years has continued to use tamoxifen as a major anti-hormone therapy drug, and its delay for early breast cancer recurrence and metastasis of breast cancer opportunities; for advanced disease and metastasis of breast cancer suffering can be achieved to narrow the breast tumor and alleviate the effects of the deterioration of many years experience in the use of confirmed into one can reduce the mortality. 

 Dr. Tsai-wang pointed out that although tamoxifen has its effect, but has long been a lot of patients because of their hot flashes caused by side effects such as disturbed about, or even someone want to stop there. However, according to at American Society of Clinical Oncology and at December journal Lancet published a well-known studies have shown that taking tamoxifen hot flashes have a situation that has to play the efficacy of the drug, which has also become a breast cancer treatment essential drugs at the time of reference. 

 Choi Chang-wang said that the medical community know the target for the bad effect of the use of tamoxifen, and the proposed merger at the same time subcutaneous hormone preparations (goserelin) the use of injections once a month, allowing access to dormant ovarian status, lower in patients with hormone concentration, help to control tumor cells. According to clinical trials confirmed that agents with subcutaneous hormone (goserelin) can reduce the relapse rate into one. Above all, once about two years after the end of treatment, ovarian function can also return to normal. 

 Choi Chang-wang said that breast cancer after three years and seven years are the peak period of recurrence of breast cancer, so I propose that it should be immediately after the use of anti-hormone therapy in order to strengthen controls to prevent recurrence of breast cancer; simultaneously study also found that the use of tamoxifen have hot flushes reaction of the body express the relevant enzyme is more activated, the current medical community has been a key gene can be detected CYD2D6, if the enzyme does not belong to the early activation of those agents with subcutaneous hormone (goserelin), in order to grasp the best treatment time. 

 In addition, tamoxifen because there is thrombosis, endometrial thickening, fatty liver, such as side effects, so for endometrial cancer, thrombosis risk as well as abnormal liver function can also use the subcutaneous hormonal agents (goserelin) in lieu of tamoxifen treatment.

Lung cancer screening will help the families of early detection

Smoke, have a family history of lung cancer were the two major high-risk groups, such as the Chang Gung Memorial Hospital research team for lung cancer families to low-dose 64-section computed tomography (64-cut CT) examination showed 15% abnormal ratio, a high degree of suspicion reached 6.5% in the proportion of lung cancer, one of lung cancer has been confirmed. 

 Lung cancer in 10, not only among the best, the death toll rose year by year, Chang Gung Memorial Hospital, Ying-Huang Tsai, vice president, said the effect of early treatment of lung cancer better, but found that difficult, Chang Gung Memorial Hospital statistics into more than five cases at the time of diagnosis is late. 

 Ying-Huang Tsai said, smoking and lung cancer has a high degree of correlation is an indisputable fact that, while family history of lung cancer is also a risk factor that can not be ignored. Internal research shows that parents or brothers and sisters have one person suffering from lung cancer, lung cancer is its 2-fold higher than the opportunity, if the pro-3, etc. have been more than two or more lung cancer, which is the so-called "multi-family", their lung cancer machine rate was even higher than 14-fold. 

 Past studies have shown the traditional X-ray is very difficult to find early lung cancer, in recent years, many to make computer tomography examination, according to foreign large-scale studies have shown that for most people to carry out a CT scan, a lung cancer screening were a total of about 0.3% to 0.5%, while for smoke screening high-risk group, while there is 2-3% of patients with lung cancer, Ying-Huang Tsai note, this shows that for high-risk groups for screening the effectiveness of good, but also more effective. 

 Since last October, Chang Gung Memorial Hospital and Medical Center 6 studies, the use of CT screening for all 64 family members of patients with lung cancer nearly 300 people and found that 15% of people have lung nodules 0.5 cm or more, one of more than 1 cm, then a high degree of suspicion 6.5% for lung cancer, smokers are twice as many lung cancer groups, but also find many hair from family 3 family members suffering from lung cancer. 

 Ying-Huang Tsai note, preliminary studies have shown that for high-risk groups for CT screening helps early detection of lung cancer, lung cancer patients in Taiwan have 8 into a female, not male smokers into 3 groups, so he suggested that smoking as well as those who can have a family history of early screening, early detection of lesions, treatment, does not encourage everyone to screening, and healthy lifestyles are still far away from cancer prevention.