乳癌治療及中西食療

 越早發現,治愈的機會越大

 

 

 

乳癌是女性癌症病發的首位,越早發現,治愈的機會越大,故此由40歲開始應定期進行X光造影檢查。有關治療方法,以手術、放射治療、化學治療、賀爾蒙及標靶治療為主。而本港罹患入侵性乳癌的女性當中,大約有20% 屬於HER2陽性乳癌,其特徵是腫瘤生長及擴散速度較非HER2型乳癌快,屬於侵略性極高的癌症。而Trastuzumab (曲妥珠單抗)正是針對HER2乳癌的標靶治療藥物。

 

癌症與食物營養

癌症與食物營養有其莫大的關係。某些惡性腫瘤如乳腺癌、大腸癌等,與熱能的過度攝入有關。已有資料提示膳食蛋白質量過高或過低均可促進癌症發生,但對不同組織腫瘤的發生有不同影響。

 

天然抗癌食物

中醫腫瘤食療學的特色是重視各種疾病的飲食宜忌。癌症病人應該吃什麼食物,與各種癌瘤的特性、癌瘤所犯的臟腑、患者的體質、以及所採用的治療措施有關。因此,中醫強調辨証調養常見天然抗癌食物包括有海参、魚鰾、海帶、牛奶、雞蛋、猴頭菇、木耳、蘆筍、番茄等。


臨床腫瘤科專科醫生
香港大學內外全科醫學士
英國皇家放射科醫學院院士
香港放射科醫學院院士
香港醫學專科學院士(放射科)
册中醫師

【癌症飲食】尋找憂遁草的學術研究報告

憂遁草是甚麼?

憂遁草,又叫休頓草、鱷嘴花、沙巴蛇草 (Sabah snake grass)、青箭、柔刺草、千里追、小接骨⋯⋯等。是東南亞一帶盛產的一種植物。據稱憂遁草一名是在約20年前由怡保中醫師劉紹麟所起的。據了解,在馬來西亞和泰國一帶,憂遁草可用作解蛇毒和治療昆蟲咬傷引起的發炎,它的葉和嫩枝也可用作食用。

憂遁草生物學名叫 Clinacanthus nutans。它是一種屬爵床科多年生常綠植物 (Family: Acanthaceae),沙巴蛇草屬 (Genus: Clinacanthus) 的灌木,它的繁殖力強在香港的家居環境,如露台或天台也可用花盆種植。種植不難,只需要約3個月的時間便可由插枝開始至有所收成。

憂遁草的功效孰真孰假

國內很多的中藥書籍原本沒有憂遁草這草藥的記錄,但江蘇新醫學院編成的《中藥大辭典》(上冊)第2493條有記載 「青箭」這草藥 (有一說法青箭即等同憂遁草)

參考﹕http://www.zysj.com.cn/zhongyaocai/yaocai_q/qingjian.html#28223

以往中藥學的資料對青箭功用的描述主要是用來治理黄疸、月經不調,跌打腫痛和骨折等症,沒有提及它治癌的用途

根據網上的一些資料指廣東省農業科學院蔬菜研究所和華南農業大學園藝學院曾經研究過憂遁草,有以下結論 (但我未能查證是否屬實)

  1. 憂遁草是一種野菜,含很高的類黃酮物質,類黃酮物質對抗癌有某程度上的功效。
  2. 根莖含白樺脂醇 (Betulin) 三萜化合物 (Triterpenes,所有三萜化合物都是五環的,不要受一些胡亂抄回來的,看來好像很專業的網頁資料所吸引)白樺脂醇對某些癌病治療可能有某程度上的作用 (參考: http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/herbsvitaminsandminerals/white-birch)
  3. 含有多種人體必需的礦物質和維他命。

 

在台灣有人引入了憂遁草並推廣當食用蔬菜或癌症患者的治病草藥,當地一般認為它的功能是:清熱利濕、袪瘀消腫、活血疏經。

台灣葫蘆中醫藥專業資訊網對憂遁草有較詳細介紹,指它有抗炎、抗病毒、治腰骨痛、治初期糖尿病⋯⋯等作用:

http://www.hulu.com.tw/?p=1208

 

據台灣中央通訊社報導,屏東縣政府農業處表示,沙巴蛇草具藥用及食材功能。故此一般食用應該是安全的。

http://www.cna.com.tw/postwrite/Detail/119686.aspx#.UsJCQPQW2So

憂遁草治癌?

 

要說到憂遁草為何近年來在東南亞一帶受到廣泛討論就先要說一個故事了﹕

2008 年住在馬來西亞霹靂州太平市的劉聯輝先生,一名被醫生放棄治療的末期淋巴癌病人,在無助下,得到一些特別啟示後服用家門前的憂遁草,結果康復過來還把自己的經歷上載。劉聯輝在家門前空地,栽種了很多憂遁草,供應自己及送給友人。劉聯輝指稱不少人服用後也有見效。而他聲稱治癒癌症種類相當廣泛,包括淋巴癌、肝癌、肺癌、腎癌、乳癌、鼻咽癌、子宮癌、卵巢癌、血癌、腦癌、前列腺癌等等。消息再經報章傳開後,在星馬一帶,不少人對憂遁草都視之為抗癌奇草。

2011年光明日報的報導﹕

http://www.guangming.com.my/node/100090

 

劉聯輝先生並連同一些據稱吃了憂遁草而得到康復的病人向州政府爭取土地充作栽種憂遁草用途,而這塊憂遁草園將公開給所有有需要者免費採摘﹕

http://www.guangming.com.my/node/107385

 

再經多個媒體的先後報導,憂遁草便成為了癌症病人間的一個話題。這些媒體的報導和憂遁草如何食用,我不在此附上連結了。

但學術上,憂遁草又有否科學研究去支持它的抗癌功效呢找了很久,也找不到太多的資料,可能憂遁草只是近年才成熱門話題吧!

 

泰國人會用這草藥作抗病毒之用。泰國Suranaree University of Technology 曾於2008 做過一個研究,找到憂遁草有些成份能抗炎和抗病毒,但並沒有研究過它的抗癌能力。

Chemical composition investigation of the Clinacanthus nutans Lindau leaves

http://www.medplant.mahidol.ac.th/publish/journal/ebooks/j13(2)-15(1)13-24.pdf

 

台灣的銘傳大學於2012年也發表過一份文章指憂遁草比綠茶有更高的抗氧化能力。

http://www1.mcu.edu.tw/Apps/SB/data/1712/%E5%84%AA%E9%81%81%E8%8D%89.pdf

 

2013四月泰國的Chulalongkorn University 也發表了一篇文章指憂遁草有抗單純疱疹病毒 (herpes simplex virus) 的能力。

The identities and anti-herpes simplex virus activity of Clinacanthus nutans and Clinacanthus siamensis

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3634925/

 

但真正有關癌病的研究我指找到兩篇﹕

2013年馬來西亞Universiti Putra Malaysia 發表了一個的研究報告,指憂遁草的提取物具有抗氧化和抗癌細胞增殖作用。但要注意,上述結論只是基於試管實驗結果,並非用在人體的臨床醫學研究。

Clinacanthus nutans Extracts Are Antioxidant with Antiproliferative Effect on Cultured Human Cancer Cell Lines http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600186/

 

2014年,台灣屏東科大學研究生:徐千惠在謝寶全教授的指導下發表了一個研究報告﹕憂遁草萃取物對肝癌細胞 HepG2 之抑制及其抗氧化能力之探討

http://ndltd.ncl.edu.tw/cgi-bin/gs32/gsweb.cgi/ccd=8oqI3y/record?r1=1&h1=0

 

 

http://handle.ncl.edu.tw/11296/ndltd/00528968747011568270

報告指憂遁草萃取物對於人類肝癌細胞株 HepG2 具有抑制和毒殺效果。安全性試驗方面憂遁草萃取物不具有致突變性,對老鼠正常肝細胞生長沒有影響。憂遁草並具有良好抗氧化能力。

上述結論也並非用在人體的臨床醫學研究。

 

由於憂遁草在馬來西亞大受吹捧,指能幫助不少人成功抗癌,所以有也影響了星加坡不少的癌病者採用。星洲新聞網/星洲日報在2011年訪問了星加坡李進榮中醫師,他指憂遁草屬於偏涼的草藥,所以它只適合熱性引起疾病的人士服食,有些癌症病人身子虛弱和熱能不夠,如大量吃下偏寒的草藥,將使身子更衰弱和抵抗力激降。

Reference: 憂遁草非萬靈丹 青草藥不可亂吃﹕

http://mykampung.sinchew.com.my/node/148191

癌症患者服用憂遁草必須承受一切可能性風險

在一次和劉聯輝先生的電話會議中,他詳細說出了如何用憂遁草來治癌。他並指出服用憂遁草期間,切記要禁食多種食物,包括雞、鴨、牛油、芋頭、糯米、榴槤、保健品、補品、中藥、刺殼魚 (產於馬來西亞的一種河魚)、甘望魚 (盛產於馬來西亞的一種海魚) 及魔鬼魚。雖然我沒有懷疑劉聯輝先生的動機,但要注意其實劉聯輝先生並不是醫護界人士,也非受訓中醫師。

沙巴蛇草是一種天自然的植物,我們要理解到天然並不等同安全。至今暫時沒有關於長期進食憂遁草對人的安全性和效用性研究報告。如果憂遁草真的能幫助癌症病患者,我們當然希望很快有多些醫學臨床報告找出它的最佳用法。但現階段如果癌症患者服用它,他們必須承受一切可能性風險,而有些風險可能是極嚴重和不可逆轉的。這個療法要求病人要停用所有中西藥治療,如果病人因此錯過治療的黃金機會就後悔莫及了。

 

 師兄( 2014-08-19 )

( 相片由好友蘇先提供 )

Male Cancer Awareness Campaign

Male Cancer Awareness Campaign

About Male Cancer Awareness Campaign

What We Believe
We believe that too many men die of prostate,
bowel and testicular cancer because they do not know how to
detect the symptoms in the early stages,
when treatment would be more effective.

This ignorance is made worse by the prevailing
‘culture of embarrassment’, that discourages men from discussing
and resolving problems related to intimate parts of their body.


What We Do
Host awareness raising sessions at male oriented events,
places of work and leisure, schools/colleges/universities and
other public places.

Raise the profile of our Charity in general via PR and
marketing activities, using our characters.
In addition, we may choose to support other Charities related to
male cancers for specific campaigns..


How We Are Different
We don’t do research as we believe that education is the key
in the fight against male cancer.

We come to you. We are out travelling the country
raising awareness, because we believe that people
are more likely to remember a message that they hear ‘live’,
than one they read in a leaflet.

We are about Cancer, but also about culture.
In addition to providing specific information we also aim to
reduce the general culture of embarrassment that
surrounds men’s attitude towards their own health

We are truly nationwide, we are active across the whole country
not just in major cities.

We raise awareness all year round as we believe this needs to be
ongoing rather than confined to short campaigns.




Our Aims
To increase awareness of how to detect the symptoms of cancer
in the early stages

To help build a culture where embarrassment does not prevent men
from addressing problems with intimate parts of their bodies.

No young men between the ages of 16-35 die of testicular cancer
in the UK.

Education on the early warning signs of male cancer becomes part of
the national school curriculum.

This is who we are and look forward to your support to ensure
our core values are realised.

http://malecancer.org/abouts

 

American Cancer Society (美國癌症協會)

American Cancer Society

(美國癌症協會)

 

 

For more than 100 years, the American Cancer Society (ACS) has worked relentlessly to save lives and create a world with less cancer and more birthdays. Together with millions of our supporters worldwide, we help people stay well, help people get well, find cures, and fight back against cancer.  

提供全面最新的醫學消息和癌症資訊給患者和家屬。網站更有搜尋功能,方便網民找到需要的資訊。

 

http://www.cancer.org/index

 

American Medical Association (美國醫學會)

American Medical Association

(美國醫學會)

 

 

History :

Nathan Smith Davis, MD, founded the American Medical Association (AMA) in 1847 when he was just 30 years old. As a young doctor in western New York in 1844, Davis was elected to serve in the New York Medical Society, where he worked to improve medical education and licensure. A year after his election, Davis introduced a resolution endorsing the establishment of a national medical association to "elevate the standard of medical education in the United States." Davis and others led the establishment of the AMA in the following year.

Dr. Davis and his colleagues set very high goals for this new association to advance the science of medicine, to improve the standards for medical education, to develop a program of medical ethics, and to improve the health of the public. The founders reached those goals and set standards that have been upheld by the AMA ever since.

Two hundred and fifty delegates from 28 states attended the founding meeting and were seated amidst exhibit cases and ancient bones of a mastodon, "Mammut Amercanum," in the hall of The Academy of Natural Sciences of Philadelphia, Pa. At the meeting, the delegates adopted the first code of medical ethics, and the first national standards for preliminary medical education and for the degree of MD.

Those delegates in attendance launched what has become the largest medical association in America. For more than 160 years the AMA's work has remained focused on its founding principles. Today, the AMA represents the best of American medicine and continues to serve as an advocate for the physician, the patient and the profession.

 

 

http://www.ama-assn.org/ama

USA Emory University 腫瘤分類網站( 北京大學翻譯 )

USA Emory University 

腫瘤分類網站( 北京大學翻譯 )

 

 

Our mission: 
Save lives by empowering and educating the world's population with reliable, current and comprehensible information about the biology and treatment of cancer.

 

開辦該網站是想讓大眾了解“腫瘤生物學”方面的知識。無論你過去對該領域知識掌握程度如何,你都會從網上閱讀中有所收益。

 

 

http://www.cancerquest.org/index.cfm?page=362&lang=tchinese

 

Children's Oncology Group (兒童腫瘤學組織)

 

Children's Oncology Group

(兒童腫瘤學組織)

 

 

 

The Children’s Oncology Group provides important information for children and their families from the time of diagnosis, through treatment and following cure. Our experts in childhood cancer are available throughout the United States, Canada and a number of international sites. Find a Children’s Oncology Group location near you and download our Family Handbook for more information.

Children’s Oncology Group’s Project:EveryChild is our ambitious initiative to find better cures for every type of childhood cancer, no matter how rare. All children with cancer cared for at COG’s more than 200 pediatric cancer programs will be able to participate in Project:EveryChild. Learn more about Project:EveryChild, and how you can help lead the way.

致力為兒童和年青人常患的癌症提供關於嶄新療法的資訊,並研究這些癌症產生的原因,及跟進治癒病人在成年後的健康狀況。

 

TXCCC-Slide.jpg

 

http://www.childrensoncologygroup.org/

American Institute for Cancer Research (美國癌症研究學院)

American Institute for Cancer Research

(美國癌症研究學院)

 

 

Our History

In 1982, American Institute for Cancer Research (AICR) was founded to advance the simple but then-radical idea that cancer could be prevented.

AICR focused on the link between diet and cancer, and immediately began supporting cutting-edge research in this area and educating the public about the results.

Today, we continue to fund research in the field of nutrition, physical activity and cancer prevention, treatment and survival.

 

We interpret the results of that research, along with findings from the global scientific community, to craft reliable, evidence-based recommendations for lower cancer risk.

美國的癌症慈善機構,著重癌症飲食研究、防治癌症及教育公眾等任務。

 

 

http://www.aicr.org/

 

American Brain Tumour Association (美國腦腫瘤組織)

American Brain Tumour Association

(美國腦腫瘤組織)

 

 

Dear Friends,

 

Every day, 500 people are diagnosed with a brain tumor. They join more than 700,000 who are currently living with the fear, frustration and uncertainty a brain tumor diagnosis brings.  There are more than 120 different types of brain tumors which means there is no one answer to the brain tumor challenge.

 


For 40 years, the American Brain Tumor Association (ABTA) has been a leader in advancing the understanding and treatment of brain tumors. We do this through our engagement with patients and their families, our collaborations with allied groups and organizations, and through the funding of brain tumor research.

 

 

The ABTA was founded in 1973 – a period referred to by today’s brain tumor researchers as “the dark ages.”  Back then, there was no coordinated funding of brain tumor research, no medical specialty dedicated to brain tumor treatment and care, no national tracking of brain tumor diagnoses, and no reliable resource for patients and families seeking to better understand and cope with a brain tumor diagnosis.

 

The ABTA has been a leader in moving the field forward in all of these areas. We were the first and are now the only national organization committed to both raising funds for brain tumor research and providing information, resources and support to brain tumor patients and their families. Our goal is to improve, extend and, ultimately, save the lives of those impacted by a brain tumor diagnosis.

 

Unlike other diseases, where there is often a family history that serves as a warning and in some cases measures that one can take to mitigate risk, that is not the case with brain tumors.  For all the advances made over the past 40 years, we still don’t know who, we don’t know when, and, perhaps most frustrating of all, we don’t know why.

 

What we do know is that, for the past 40 years, the ABTA has been a leader in the pursuit of answers to these questions.  As the ABTA marks the 40th anniversary of its founding, we need your help to ensure that for as long as these questions remain, the 700,000 brain tumor patients and their families will know the American Brain Tumor Association is here for them, providing and pursing answers.  


 

 

Sincerely,
                                                    
Elizabeth M. Wilson
President & CEO

提供最新治療方法的資料,並與其他臨床實驗、醫學訊息、和支援組織聯繫,為腦腫瘤患者及其家人提供最新資訊。他們亦資助科學家進行研究,隨後直接將研究結果傳送給患者及其家人。

 

http://www.abta.org/

中國天津 北方網

中國天津 北方網

 

 

祖國的網站好多都唔錯,資料多到睇唔哂,這個北方網的醫療頻道也有很多訊息架~~
其中一篇講卵巢癌既….

 

卵巢癌術前化療要做好  2010-07-01

一直以來,手術切除都是治療卵巢癌最主要的手段,它能決定病人生存時間的長短和化療效果的好壞。但事實上,手術雖然能切除大部分腫瘤,但是一些較小的腫瘤或殘存的癌細胞則必須依靠化療纔能被徹底消除乾淨,否則很可能讓手術『功虧一簣』。

  早期卵巢癌可以通過全面准確的分期手術來確定哪些患者需要化療。研究結果表明,低危的早期卵巢癌(Ⅰa、Ⅰb期,高、中度分化)不需化療;高危的早期卵巢癌(Ⅰc和Ⅱ期,低度分化,透明細胞癌)、晚期卵巢癌患者則規范化療。

  卵巢癌的卵巢多采用早期、足劑量、間歇的方法,即在機體能夠耐受的情況下,使用足夠量的化療藥物,在癌細胞產生耐藥之前,盡可能地將其殺滅。目前,國內常用的一線化療方案為:鉑類藥物+環磷?胺或泰素。雖然『多療程化療』曾一度被認為是卵巢癌化療的特點,但現在看來,過度化療(比如做十八九個療程)也是不可取的,因為這樣反倒可能增加腫瘤細胞的耐藥性,而且副作用也很大。不過,卵巢癌病人化療6—8個療程還是必要的。

  過去學術界曾一度認為,卵巢癌患者化療應該在手術後進行,但最新的研究結果證實,在卵巢癌明確診斷後,中晚期患者可以先接受有限療程的化療,然後再進行手術。因為卵巢癌發現時,一般已經較晚,腫瘤分布廣、體積大,想要通過手術將其完全切除,可能會累及小腸、膀胱等其他鄰近髒器,這樣損傷會很大。如果能在手術前化療,則能大幅度提高手術切除率,盡可能減少對其他器官的損傷,提高治療效果,讓病人盡快恢復。

  不過,術前化療,也必須滿足3個條件:首先,病人的腹水細胞要呈陽性,即確定有腫瘤細胞存在;其次,CA125水平要高,對化療比較敏感;最後,手術完全切除腫瘤的可能性不大。這種化療通常每3周進行1次,做1—2個療程就可以了。

 

 

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