香港耳鼻喉專科

Contact Us

Rm 02, 5/F., Kai Seng Commerical Centre,
4-6 Hankow Road, TST Kln, HK
(near Kowloon Hotel)
Tel: (852) 3100 0555
Fax: (852) 3100 0556

Lawrence Chow / ENT Doctor

頭頸癌治療:標靶治療

羅先生發現頸側出現腫塊,經驗查後確診了咽喉癌。幸好仍屬初期癌症,經過電療治療後,癌細胞已消失。可惜半年後癌症復發,並出現擴散跡象。羅先生唯有接受手術,將癌腫瘤連同鄰近受影響的組織切除。不幸的是,癌細胞不久又再出現,羅先生於是接受了第二次的手術切除,但依然未能遏止癌細胞的生長。後來醫生採用了化療配合標靶治療雙管齊下,病情才受控,癌腫瘤亦縮細了。

 

你可能奇怪:為什麼羅先生的癌腫瘤一再復發?

 

位置隱蔽,難以根治

頭頸癌包括鎖骨以上多個不同部位的癌症:唇、口腔、舌頭丶口咽丶下咽丶喉丶鼻腔丶鼻竇丶耳丶唾液腺及頸部淋巴。在香港,各種頭頸癌每年新病例約千多宗。由於頭頸癌包括多個部位,發病位置隱蔽,初期病徵不明顯,確診已屬後期。此時除了難以根治之餘,治療的難度和複雜性也大增。在治療後3-5年內復發的機會也高。

 

 

標靶治療,成效顯著

目前治療頭頸癌的方法,主要是手術、化療及電療。不過對於大部份晚期或癌症復發的病人來說,手術切除癌瘤配搭化療及電療,但效法看來仍未如理想,依然仍有不少病人復發。就這種情況,醫生發覺為病人應用標靶治療,再輔以化療,治療效果明顯提升,副作用相對減少,存活時間得以延長,生活質素也能改善。不過,標靶治療也有其局限,某些病人在使用標靶治療初期反應理想,但一段時間後,身體對標靶出現耐藥性,標靶藥成效大降,癌腫又再復發。

 

 

免疫治療,帶來曙光

除了外科手術、化學治療、放射治療及標靶治療。醫學界發現,免疫治療對頭頸癌治療有很好的反應,為病人帶來曙光。對於晚期頭頸癌病人,醫學界更建議將免疫治療作為一線治療方案,並合併化療一同治療,延續病人生命。

 

免疫治療備受推崇,下次我們會談談什麼是免疫治療,敬請留意!

 

 

懷疑患上頭頸癌,及早檢查有助釋除疑慮,若不幸患病也可盡早治療,提升治癒機會。需要協助,請即聯絡香港耳鼻喉專科診所,由我們的耳鼻喉專科醫生為你做詳細診治,電話3100 0555。

 

 

資料來源:

香港耳鼻喉專科

提供耳鼻喉科服務、頭及頸外科服務

聽力及言語治療、驗配助聽器服務

人工耳蝸植入、睡眠障礙治療

面部整形治療、醫學美容服務

https://www.hkentspecialist.hk

Oral Cancer: Questions to Ask Your ENT Doctor

Oral cancer is a type of cancer that affects the mouth. It can also develop inside your mouth on your tongue, gums, lips, and other parts of your mouth. Spreading to other parts of the body, oral cancers can be life-threatening.

You should see the ENT doctor for further diagnosis when there are some signs and symptoms of oral cancer. But what should I ask the Doctor about oral cancer?

Here list some common questions to be asked. Not all of these questions may apply to you, but asking the ones that do may be helpful.

 

When informed to have oral cancer:

  • What kind of oral cancer do I have?
  • Where is my cancer located?
  • Has my cancer spread beyond where it started?
  • What is the stage of my cancer and what does that mean?
  • Will I need other tests before we can decide on treatment?

 

When deciding on a treatment plan:

  • How much experience do you have treating this type of cancer?
  • What are my treatment options and why do you recommend to me?
  • What is the goal of the treatment?
  • Will this treatment affect the way I look?
  • Should I get a second opinion and how?
  • What are the chances I can be cured of this cancer with these treatment options?
  • How quickly do I need to decide on treatment?
  • What should I do to be ready for treatment?
  • How long will treatment last?
  • Will treatment affect my work?
  • What risks and side effects can I expect from the treatments?
  • What are my options if the treatment doesn’t work or if the cancer recurs?

 

During treatment

  • Is there anything I can do to help manage side effects?
  • What symptoms or side effects should I tell you about right away?
  • How can I reach you on nights or holidays?
  • Do I need to change what I eat during treatment?
  • Can I exercise during treatment and what kind?

 

After treatment:

  • Will I need a special diet?
  • Are there any limits on what I can do?
  • What symptoms should I watch for?
  • What kind of exercise should I do?
  • What type of follow-up will I need?
  • How often will I need to have follow-up exams and imaging tests?
  • How will I know if the cancer has come back?
  • What will my options be if the cancer recurs?
  • How can I reach you in an emergency?

 

Did you find the information useful? If so, continue reading our posts.

 

For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.

 

 

Source:

HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services

https://www.hkentspecialist.hk

頭頸癌:一種範圍很廣,比較容易忽略的癌症

頭頸癌是一種範圍很廣,也是比較容易忽略的癌症,比如一些症狀就像是「熱氣」造成。頭頸癌範圍很廣,除腦袋和眼睛,鎖骨以上的所有部分,都屬於頭頸。按照癌腫瘤發生的位置,大致分為口腔癌、鼻咽癌、鼻腔癌、口咽癌、下咽癌、喉癌、舌癌、頸淋巴癌、唾液腺癌(口水腺癌)及腮腺癌等等。根據頭頸癌的病情發展及擴散程度,共分4個期數, I和II期屬於早期,III和IV期則指後期。

 

 

頭頸癌成因

頭頸癌是由不同因素造成的過程,成因甚為複雜,常見的風險因素包括:

  • 吸煙、酗酒是眾多癌症誘因之一,它跟喉癌、咽癌、舌癌和口腔癌這些頭頸癌直接相關。
  • HPV及EB病毒感染會增加患鼻竇癌、鼻腔癌及唾液腺癌的風險。
  • 口腔衛生不佳(例如牙周病患者,牙齒及牙齦護理不佳),會增加患口腔癌的風險。
  • 經常接觸有害的化學物質,增加患鼻腔和鼻竇癌的風險。
  • 經常進食醃製或過鹹食品,增加患鼻咽癌的風險。
  • 遺傳因素,例如范康尼氏貧血症會增加患頭頸癌的風險。
  • 年齡因素,罹患頭頸癌的病人主要是65歲以上人士
  • 性別因素,男性患者比女性多,比例約為3:1
  • 牙齒或假牙長期與舌頭過度接觸和摩擦,增加患舌癌風險

 

 

頭頸癌症狀

頭頸癌症的症狀根據發病位置而呈現不同的症狀。

  • 若癌細胞出現在口腔,口腔或有不易癒合的傷口、疼痛、出血、咀嚼及吞嚥疼痛
  • 若癌細胞出現在舌頭,舌頭出現潰瘍、硬結或白斑,長期不癒
  • 若癌細胞出現在口咽,會造成吞嚥困難、口臭、喉嚨有異物感、吞嚥疼痛
  • 若癌細胞出現在下咽或喉部,則會造成聲音嘶啞、吞嚥困難及疼痛、頸部腫塊等。
  • 若癌細胞出現在鼻咽,鼻、耳或頸,就會出現持續鼻塞、耳鳴及聽力下降、鼻及喉分泌帶血、頸部腫塊等

 

 

頭頸癌會遺傳嗎?

頭頸癌中的鼻咽癌有較高遺傳風險。另外,患有范康妮貧血和先天性角化不全症的人士,他們有較高風險患上喉癌和口腔癌。其他的頭頸癌則多與不良生活習慣有關,遺傳的影響則較少。

 

 

頭頸癌治療

頭頸癌治療視乎癌症類型、期數和身體狀況而定。

  • 外科手術是最常見的方法。
  • 放射治療(電療)可以代替手術或作為手術後的輔助治療。
  • 化學治療(化療)可單一使用或與放射治療一併使用,增加治療效力。
  • 標靶治療及免疫治療,利用特定藥物追蹤及破壞癌細胞,或激發自身免疫系統去打擊癌細胞,同時避免損害健康細胞。

 

 

如閣下有頭頸癌的症狀,而又持續超過一個星期,就要馬上求醫,請聯絡香港耳鼻喉專科診所,由我們的耳鼻喉專科醫生為你做詳細診治,電話3100 0555。

 

 

資料來源:

香港耳鼻喉專科

提供耳鼻喉科服務、頭及頸外科服務

聽力及言語治療、驗配助聽器服務

人工耳蝸植入、睡眠障礙治療

面部整形治療、醫學美容服務

https://www.hkentspecialist.hk

Recovering from Oral Cancer – How to Cope?

Cancer is one of the most frightening words in the English language. It often conjures up images of death and pain, and people with cancer often face life-altering changes for many years to come. For many people with oral cancer, there is a long road ahead before recovering from the disease and getting back to their normal everyday lives.

 

The types of treatment available

There are many types of treatment for oral cancer. The goal of most treatments is to destroy or remove the tumor or cancerous tissue. It may take years of treatment before the cancer goes away completely. There are also some treatments that can kill cancer cells without removing them from the body. These treatments are called “chemotherapy” and they include radiation therapy, immunotherapy, and hormone therapy.

 

What should I expect at each stage of treatment?

The first stage of treatment is surgery. If the cancer has not spread beyond the base of tongue, it will be completely removed. If the tumor is in the glands of the neck, they may be removed as well.

The second stage is removing lymph nodes that are suspected to have cancerous cells. This stage will also include chemotherapy which can be given orally or through an intravenous needle. Radiation may also be given which kills any remaining tumor cells.

The third stage of treatment is supportive care. This includes things like medication to help with side effects and vitamins to make sure you are getting your daily nutrients due to loss in appetite or nausea from chemo treatments.

 

When can I start to live a normal life again?

It really depends on what you mean by “normal.” If you’re able to eat normal foods and go about your day without feeling like you’re living in pain, then yes, you can live a normal life. But if you’ve had radiation treatments or need to take medication for an extended period of time, it may be difficult to find normal. Seek help from loved ones and professionals to find out what’s best for your situation.

 

How long will the recovery process take?

It is impossible to predict how long the recovery process will take. It could be anywhere from weeks to months. The length of the process depends on various factors, such as the severity of the cancer, whether or not there were any complications during treatment, and if you had radiation therapy.

 

Tips for managing life during recovery

Although there are some days in the rough periods, it’s important to try to focus on doing things that give you pleasure and will help you heal.

 

Did you find the information useful? If so, continue reading our posts.

 

For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.

 

 

Source:

HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services

https://www.hkentspecialist.hk

Understanding Oral Cancer

Oral cancer is a disease that develops on the lining of the mouth or throat. It starts as small lumps called papillomas. Oral cancer is broadly classified into two types – squamous cell carcinoma and adenocarcinoma. Depending on the type, it can also develop inside your mouth on your tongue, gums, lips, and other parts of your mouth. Early detection is vital because oral cancer can be deadly if it is not treated early on. Here take a look on the causes, risk factors, symptoms, and its treatment.

 

The Causes of Oral Cancer

The causes of oral cancer can be classified as such:

– Asbestos: Exposure to asbestos is the most common cause of mesothelioma, which has been linked to oral cancer.

– HPV: A virus, known as human papillomavirus, can cause oral cancers. It is mostly passed through sexual contact and through oral sex with another person who has the virus.

– Tobacco: Smoking increases your chances of developing oral cancer because tobacco smoke contains carcinogens.

– Alcohol: Drinking alcohol reduces the risk of developing most cancers, but it enhances the risks for people who drink more than 5 drinks every day.

 

Risk Factors for Oral Cancer

There are many risk factors for oral cancer. The most common is smoking, but there are also many others. They include chewing tobacco, alcohol consumption, HPV infection, and family history. Another thing that increases the risk is the duration of exposure to ultraviolet light from natural or artificial sources.

 

Who is Likely to Get Oral Cancer?

According to Oral Cancer Awareness Month, adults who smoke and drink alcohol are more likely to get oral cancer. Those who work in professions with a higher risk of exposure to carcinogens, such as miners and painters, can also be at an increased risk for developing the disease.

 

Symptoms of Oral Cancer

The symptoms of oral cancer are not always clear, which is why it’s important to see a ENT doctor if you have any concerns. The most common symptoms of oral cancer include a lump or sore that does not heal within two weeks, difficulty swallowing, pain when chewing or talking, and a loose tooth.

 

Treatments for Oral Cancer

The most common treatments for oral cancer are surgery, chemotherapy, and radiation therapy. The type of treatment recommended is based on the stage of the cancer. Typically, people are given a combination of these treatments because not one treatment will work by itself to cure or control oral cancer.

 

Did you find the information useful? If so, continue reading our posts.

 

For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.

 

 

Source:

HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services

https://www.hkentspecialist.hk

舌癌初探之三:舌癌成因與預防

獨居的陳女士,近月經常生痱滋,雖然進食時感到痛楚,但就一直沒有理會它。直至上星期因牙痛嚴重了,終於忍不住求醫。牙醫檢查後發覺有異常,著她前往做詳細檢查。經過耳鼻喉專科醫生的診斷,再抽取活組織化驗,結果確診舌癌。陳女士坦言難以接受,慨歎為何舌癌會選中她?」

 

幸好陳女士的病情仍屬可控,她接受醫生建議,隨即進行手術,將發現癌細胞的部份舌頭及頸淋巴切除,手術後再接受了電療和化療。目前陳女士的康復進度良好。起初她擔心切除部分舌頭後,說話功能無法復原,但現在情況已慢慢好起來。

 

事實上,很多舌癌患者都像陳女士一樣,對突然確診舌癌感到震驚,不明白為何會患上舌癌。

舌癌的成因目前仍未能確知,但下列風險因素跟誘發舌癌有密切關係,包括:

  • 吸煙、酗酒
  • 常進食或飲用過熱的食物
  • 嚼檳榔(某些地區人們習慣嚼檳榔,這些地區的舌癌發病率特別高)
  • 口腔衛生不良(口腔持續出現慢性發炎、蛀牙等)
  • 牙齒尖銳或因假牙不合適而持續磨損舌頭
  • 感染HPV病毒(人類乳頭狀病毒)
  • 家族的遺傳因素
  • 年紀因素,患者多是年齡50歲的人士,男女均有

 

所謂預防勝於治療,保持健康生活及留意舌癌表徵,能更好保護自己及家人。

 

舌癌表徵

  • 舌頭出現潰瘍、硬結或白斑,且不會自然痊癒
  • 潰瘍範圍逐漸擴大,進食時刺痛或出血
  • 口齒不清
  • 耳痛
  • 頸部淋巴有腫塊

 

發現口腔或舌頭有上述表徵,就要警愓患舌癌的可能性,不要因怕而拖延,一但錯過黃金期,存活率和復發率都不樂觀,所以要盡快求醫。

 

 

健康生活,預防癌症來襲

預防疾病最好的方法是提升身體抵抗力,預防舌癌同樣道理。

  • 煙草和酒精對口腔黏膜有很大傷害,易誘發癌症或使癌症復發,戒煙酒是必須的
  • 注意口腔潔淨、牙齒健康
  • 多進食新鮮蔬果
  • 勤做運動
  • 足夠休息。
  • 如果是舌癌康復者,必須定期覆診,持續監察舌頭及淋巴狀況,以防舌癌復發。

 

如果懷疑患上舌癌,及早檢查有助釋除疑慮,若不幸患病也可盡早治療,提升治癒機會。需要協助,請即聯絡香港耳鼻喉專科診,由我們的耳鼻喉專科醫生為你做詳細診治,電話3100 0555。

 

 

資料來源:

香港耳鼻喉專科

提供耳鼻喉科服務、頭及頸外科服務

聽力及言語治療、驗配助聽器服務

人工耳蝸植入、睡眠障礙治療

面部整形治療、醫學美容服務

https://www.hkentspecialist.hk

Lip Cancer: Potential Complications And Its Prevention

Lip cancer is a type of oral cancer which develops in thin and flat cells that line the lips, mouth, tongue, cheeks, sinuses, throat, hard and soft palates.

Although lip cancer is highly curable when diagnosed early, people previously with lip cancer have an increased chance of developing a second cancer in the head, neck, or mouth. Moreover, there are many potential complications of lip cancer.

 

What are potential complications?

  • Cancer Spread. A lip tumor can spread to other areas of the mouth and tongue as well as distant parts of the body if left untreated. It becomes much more difficult to cure if the cancer spreads.
  • Functional and cosmetic consequences. People may experience trouble with speech, chewing, and swallowing after the surgery to remove large tumors on their lips.
  • Disfigurement of the lip and face due to surgery. This may be the problem caused after surgery. Reconstructive or cosmetic surgeons can rebuild the bones and tissues of the face.
  • Other side effects of chemotherapy and radiation. They include hair loss, weakness and fatigue, poor appetite, nausea, vomiting, numbness in the hands and feet, severe anemia, weight loss, dry skin, sore throat, change in taste, infection, and oral mucositis, etc.

 

Prevention is better than cure. Hence, it’s important to know what your risk factors are in order to prevent it or detect it early on if you do develop symptoms.

 

What are the symptoms of lip cancer?

Signs and symptoms of lip cancer include:

  • a sore, lesion, blister, ulcer, or lump on the mouth that doesn’t go away
  • a red or white patch on the lip
  • bleeding or pain on the lips
  • swelling of the jaw

However, it doesn’t necessarily mean you have lip cancer if you have a sore or lump on your lips. Discuss any symptoms with your ENT doctor.

 

Who’s more likely to have lip cancer?

Your behaviors and lifestyle heavily influence your risk for lip cancer. There are some risk factors that may increase your risk for lip cancer. They include:

  • tobacco use
  • heavy alcohol use
  • prolonged exposure to direct sunlight
  • having light-colored skin
  • being male
  • having human papillomavirus (HPV)
  • being older than 40 years of age

Prevention of lip cancer

You can reduce your risk of lip cancer by avoiding activities leading to lip cancer, and by taking care of your mouth. They include:

  • avoid using tobacco
  • avoid drinking excessive alcohol
  • limit exposure to both natural and artificial sunlight
  • get a full course of the HPV vaccine
  • see your dentist regularly

 

Did you find the information useful? If so, continue reading our posts.

 

For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.

 

 

Source:

HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services

https://www.hkentspecialist.hk

舌癌初探之二:了解舌癌檢查及手術,克服治療恐懼

在香港新增的口腔癌中,舌癌佔了70%,是最常見的口腔癌症之一。但一提到舌癌,不少人就聯想到切除舌頭手術,擔心日後無法說話及吞嚥,以致抗拒治療。病人有這種恐懼可以理解的,但這種恐懼源於病人對舌頭切除手術沒有全面的了解所致。今天,我們就談談舌癌檢查及治療。

 

 

舌癌檢查

在患處抽取活組織去化驗,或照磁力共振MRI及電腦掃描CT等方法,通過這些檢查,就可以了解舌癌的位置、體積、擴散與否及受影響的範圍。了解病情後,就能制訂治療方案。

 

治療以癌腫瘤的大小,發病的位置及擴散的程度而有所不同。最常用的方法以手術為主,再輔以電療或化療等。治療方法不是單一使用,更多情況是二種或三種混合使用,以加強協同效應,務求徹底消滅癌細胞。

 

 

舌癌手術治療

手術切除對於較初期的舌癌非常有效,原因是這階段的癌腫瘤,其體積仍細小可控,舌頭周邊的組織未被破壞,只要切除患有癌細胞部份便可。但對於處於較後期的舌癌患者,他們需要切除的舌頭範圍就大得多,除了部份舌頭,很多時可能要切除全部舌頭及頸淋巴組織。在手術之後,病人仍要接受電療及化療作為輔助治療,才有機會控制病情。

 

 

掃除對舌頭切除手術的恐懼

醫學進步,治療舌癌的技術和療效也不斷提升,病人的存活機會已大為提升。但仍有不少病人聽到切除舌頭手術就害怕,擔心手術後無法說話及吞嚥,以致抗拒治療。病人有這種恐懼是可以理解的,但這種恐懼其實源於對舌頭切除手術沒有全面的了解。

 

事實上,無論是切除一半舌頭或切除整個舌頭,說話功能仍能保全。至於進食吞嚥方面,由於沒有了部分或整個舌頭,確實會有影響。不過只要接受復康訓練,包括吞嚥、說話、日常護理及重新學習進食等復康訓練,情況就會好轉過來。

 

 

正如上文提過,舌癌的變化速度很快,耳鼻喉專科醫生指出,治療舌癌其實是在跟時間競賽,及早治療才能減少切除舌頭的範圍。一旦癌細胞擴散至其他組織,不但增加治療的複雜性,治療效果也存有很大變數。

 

 

如果懷疑患上舌癌,及早檢查有助釋除疑慮,若不幸患病也可盡早治療,提升治癒機會。需要協助,請即聯絡香港耳鼻喉專科診所,由我們的耳鼻喉專科醫生為你做詳細診治,電話3100 0555。

 

 

資料來源:

香港耳鼻喉專科

提供耳鼻喉科服務、頭及頸外科服務

聽力及言語治療、驗配助聽器服務

人工耳蝸植入、睡眠障礙治療

面部整形治療、醫學美容服務

https://www.hkentspecialist.hk

1 2 3 30

註: 本站提及的疾病和治療方法僅供讀者參考,並不代表本站推薦該種療法,亦不能代替專業醫生診治,讀者如有需要,應該尋求專業醫生意見。