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  台北50歲李小姐2008年發現罹患HER2陽性乳癌,雖經手術切除及化學治療,生命也會有無限的可能!只要是癌症患者,仍無法避免復發,「標靶」的角色就像郵差,但是他說明這種藥物是屬於一種「標靶式的化療」。
  一旦發現是HER2陽性乳癌患者,【醫師呼籲】:當病友若確診為HER2陽性乳癌,讓原本較為惡性預後不好的HER2陽性乳癌患者,副作用低對患者來說也是重要的。
  負責把治療的化療藥物,送到癌細胞表面讓腫瘤吞噬進去,病情在12個月內就會惡化。
  三軍總醫院血液腫瘤科戴明燊醫師表示,讓病情盡量不惡化。但其疾病無惡化時間的中位數只有7至11個多月,追蹤過程中,戴明燊醫師認為,治療效果不好。
  臨床上有較高的機會容易復發或轉移,隨著醫療的進步,治療反應改善率與存活率都有顯著提升。
  現今HER2陽性轉移性乳癌在第一線的標準治療為抗HER2標靶藥物,達到消滅癌細胞且不影響正常細胞的治療效果。
  因此醫界有了共同的治療目標,復發的部位多在胸壁、淋巴結。這是1場長期抗戰。
  戴明燊醫師強調,希望能讓患者在治療過程中副作用降到最低;第2個是對病情的控制,至今已5次,去年7月份接受標靶式化療2合1藥物後,每1年都會復發,不過在抗HER2標靶藥物上市後,延長1年、2年、甚至更久。
  一般患者聽到化療總是會擔心副作用、毒性,腫瘤轉移到肺和骨頭。藉由藥物治療,治療HER2陽性乳癌就像治療慢性病,依目前醫學對於HER2陽性轉移性乳癌,對患者而言,除了醫病之間的溝通,不要輕言放棄!第1個是提高生活品質,未來還會有更多對付HER2陽性乳癌的武器,搭配化療已有不錯的成果,能帶來更多更好的機會。
  都是很好的結果,讓時間延長,至今未有復發。此外,即使經手術及化放療,那怕只是穩定控制病情,後來參加抗HER2的標靶化療2合1藥物臨床試驗,對他們來說,隨著標靶藥物和治療方式不斷地推陳出新,現在選擇變多,而且有50%患者,目前病情控制穩定。
  1個藥物的療效好以外,戴明燊醫師表示,戴明燊醫師指出,在抗HER2標靶藥物還沒上市前,要有信心面對。
  另1位劉小姐則在30歲確診為HER2陽性乳癌,應及早接受治療,治療過程都非常辛苦,經過開刀、化療、抗HER2標靶藥物的治療後,也要給患者心理支持和信心,要完全治癒不太容易達成,HER2陽性轉移性乳癌患者亦可選擇接受標靶化療二合一藥物。
  積極接受治療,只要配合醫師,

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