香港耳鼻喉專科

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ENT Doctor

確診「淋巴癌」,需要做什麼檢查?有什麼治療方法?

導致淋巴癌的確實成因醫學界至今仍未確知,所以平日要多注意身體的變化,一旦有異常腫塊或症狀出現就應立即求醫。

 

如果活組織切片檢查顯示有淋巴癌細胞,就需要做一項或多項的深入檢驗,以求了解癌細胞發展的狀況及受影響的範圍。淋巴癌檢查包括:

 

抽取骨髓樣本檢查

1、局部麻醉後,在臀骨抽取少量的骨骼和骨髓樣本,檢查有沒有淋巴癌細胞。過程只需幾分鐘,會有少許不適,檢驗後或感疼痛,可服止痛藥。

 

2、從脊椎抽取液體的樣品,送往實驗室化驗。過程中,有些病人後腿會有短暫的刺痛感。檢查完成後,平躺一小時減少頭痛出現。

 

超聲波掃描

利用超聲波描繪腹部,檢查腹內有否異常狀況,檢查過程只需幾分鐘,不會有任何疼痛。

 

CT掃描

做CT掃描前禁飲食,到掃描之前幾小時,要喝顯影劑,確保CT掃描圖像清晰。掃描過程約半小時,不會有任何痛楚。

 

在項些特殊的情況下,或需進行更進一步的檢查,包括:淋巴管顯影檢查、靜脈尿道顯影檢查、MRI磁性共振檢查、正子放射型電腦斷層攝影(PET scan)等。

 

 

淋巴癌分期

癌症的發展階段一般分為4期,淋巴癌同樣分為4期:

第一期,表示癌細胞只影響一個淋巴組織結

第二期,表示兩個或以上的淋巴組織受影響,受影響部位局限於橫隔膜左邊或右邊。

第三期,表示橫隔膜左右兩邊都出現淋巴癌細胞。

第四期,癌腫瘤已擴散至身體其他部位,例如肝、肺或骨等位置。

 

了解病人淋巴癌所處的階段,有助於制訂最有效的治療方案。如果你是病人,想了解治療有關的情況,不用擔心,可以詢問你的主診醫生了解更多。

 

 

淋巴癌的治療方案

根據淋巴癌的種類來決定治療方法:

1、治療「何傑金氏癌」主要電療加化療合併使用。周邊幹細胞移植也是治療的一種方式,所請的幹細胞移植,簡單來說就是將幹細胞輸入病人身上的周邊血液之後,用新的幹細胞取代不正常的細胞。何傑金氏癌的治癒率非常高,病人不用過度擔心。

 

2、至於「非何傑金氏癌」,情況較為複雜,但近年的治療成效已有相當進展,就算淋巴癌已從原發位置擴散開去,仍有病人能治癒或有效控制病徵。非何傑金氏癌主要採用電療和化療,但電療只適用於初期病症,多數以化療為主。

 

3、有的病人癌症屬於「低等淋巴癌」,意思是淋巴癌細胞生長得異常緩慢,治療對淋巴癌細胞基乎沒有多少影響。基於治療副作用大於成效,所以這類病人只需定期的檢查和驗血,觀察變化而不用治療。當需要治療時,可在家口服治療淋巴癌藥物,不會對病人日常生活造成不便。

 

 

即使不幸患上淋巴癌,只要接受治療,定期檢查,許多人仍然過正常生活。如果你需要協助,請立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及早診治,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

8 Other Ways to Manage Hay Fever

Sometimes, even if you regularly clean the house and remove all the possible triggers for your hay fever or allergic rhinitis, it will be more effective if you will also equip yourself with complete knowledge on what else might work and do wonders in making you say goodbye for now to your allergies.

 

Here are just some of the many ways you can manage hay fever:

 

Avoid Stressful Situations

Stress can weaken the immune system and it makes allergic rhinitis worse. When it is impossible to pluck yourself out from stressful situations, at least learn a few tricks how to manage it. Giving yourself a much needed alone time for self-care and meditation, and toning down your schedule by not overcommitting are basic stress management skills nowadays.

 

Consider Acupuncture

Acupuncture will not only relieve the acute symptoms of allergies. It will also address the underlying imbalances within the body, getting directly on the root problems that are contributing to the body’s reaction to allergens.

 

 

Get to Know Herbal Remedies

Quercetin, a nutrient found in onions, as well as apples and black tea have been known to block the release of histamines.

Butterbur, a European shrub has an herb that has shown potential for relieving seasonal allergy symptoms, acting similar to antihistamines.

These are just a few of the many herbs that can help relieve hay fever symptoms.

 

 

Know the Benefits of Apple Cider Vinegar

Apple cider vinegar can boost the immune system, help break up mucus, and support lymphatic drainage.

Mixing one to two tablespoon of apple cider vinegar with a glass of water and lemon juice three times a day can relieve allergy symptoms.

 

 

Visit a Chiropractor

Chiropractic care helps the immune system to function more effectively by releasing stress on the nervous system. It has been known that without stress, the nervous system can function more efficiently and help in fixing then wrong immune signals that cause allergic reactions.

 

 

Detox Regularly

When the liver works overtime metabolizing alcohol, medications and processed foods, allergies can flare up. Foods and herbs such as milk thistle, turmeric, artichoke, citrus fruits and nuts can help support the liver.

Also, eliminating fried foods, sugar, alcohol and other toxins from your diet can help lessen allergic symptoms because allergies are worsened by toxins within the body.

 

 

Take Probiotics

The presence of beneficial bacteria in the gut will reduce incidence of allergies because probiotics stimulate the production of immune enhancing substances, hinder growth of pathogenic elements further making the immune system stronger and this can help lessen allergies.

 

 

Relax with Essential Oils

Essential oils like peppermint, basil,  eucalyptus, and tea tree oils help detoxify the body and fight infections, bacteria, parasites, microorganisms and harmful toxins. They have been effective in fighting inflammation and boosting the immune system. Adding essential oils to a bath, cup of tea, massage oil, or an oil diffuser can do wonders in reducing allergy symptoms.

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

 

 

For details of the 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

http://www.hkentspecialist.hk

5 Common Respiratory Ailments Associated With The Bronchus

A number of medical conditions can affect the bronchus. A bronchospasm for example occurs when the airways constrict, or narrow, causing wheezing and difficulty in breathing. It can be a symptom of many conditions that affect the airways, including asthma, seasonal allergies, and COPD.

 

The following are some of the medical conditions involving the bronchus:

 

Asthma

Asthma has a lot of triggers from smoke, dust, pet fur and other allergies and irritants, to intense emotions resulting in hyperventilation.

During an asthma attack, a bronchospasm occurs, the bronchi or airways constrict or narrows itself and it becomes extremely difficult to breath.

 

Bronchitis

When a viral infection that started in the nose or throat starts to affect the cells of the bronchi, it becomes swollen and causes a cough that sometimes coughs up phlegm, and it causes wheezing. This is called acute bronchitis.

Usually it is caused by the same virus that causes colds and the flu. You can also get acute bronchitis from bacteria in rare cases and from inhaling certain substances, such as smoke, dust, or other irritants.

As for chronic bronchitis, smoking is the number one culprit because cigarette smoke irritates the airways and causes mucus. This causes inflammation in the bronchioles, causing a heavy buildup of mucus in the lungs and unlike acute bronchitis which goes away easily on its own, this one will not stop. It will give a chronic cough and the sick person will be more susceptible to bacterial infections. Breathing becomes extremely difficult.

Apart from smoking and being exposed to irritants such as dust or chemical fumes, over a long period of time, having COPD or Chronic Obstructive Pulmonary Disease, the same condition some people with emphysema also have, increases the probability that more likely, they have chronic bronchitis too.

 

Chronic Obstructive Pulmonary Disease (COPD)

People who have COPD usually also have asthma or emphysema accompanied by chronic bronchitis. If left untreated, this can lead to lung cancer.

 

Bronchiectasis

Bronchiectasis which is also associated with other illnesses, such as COPD, cystic fibrosis, and recurrent cases of pneumonia, happens when the walls of the bronchi become irreversibly scarred.

They become thick and this causes mucus to build up and become a breeding ground for bacteria. The lung will not be able to function well when this condition is prolonged.

 

Aspiration

Patients are instructed to fast prior to surgery because there is a risk they could vomit and aspirate some of the food or drink while they are unconscious under general anesthesia.

When these foreign objects are accidentally or involuntarily inhaled, they often become lodged in one of the bronchi.

These Inhaled substances can then attract bacteria, leading to aspiration and pneumonia.

These can also happen to people who have trouble chewing and swallowing. Patients are also prone to aspiration after a stroke

 

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

 

For details of the 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

http://www.hkentspecialist.hk

究竟淋巴是什麼?它如何形成淋巴腫瘤或淋巴癌?

"近日有位病人前來求診,他幾年前看過普通科醫生,發現左頸有個淋巴核,之後做了抽針檢測,認為沒事就再沒跟進。很不幸現在已變成淋巴癌,而且癌細胞已擴散至左肺。所以呼籲大家要提高警覺,有這情況不要掉以輕心,應及早找耳鼻喉專科醫生跟進。"

 

究竟淋巴是什麼?它如何形成淋巴腫瘤或淋巴癌?

 

淋巴的作用

淋巴是人體免疫系統中的一部份,淋巴系統包括淋巴球、淋巴結、淋巴液、淋巴管及不同的淋巴腺組成,具有抵抗疾病,預防感染的功能。淋巴遍佈身體各處,其中的淋巴液會通過血液循環流通身體各個部份,淋巴液內的淋巴球,能夠幫助身體抵抗病毒感染,當它在體內流動時,更會將遇到的細菌、病原體、癌細胞等消滅並過濾排出身體。

 

淋巴結遍佈身體各處,當淋巴液發現身體出現細菌或癌腫,就把這些壞細胞鎖入淋巴結內,淋巴結因而脹大,好似喉嚨痛時,頸的淋巴結脹大一樣。不過只有比較表層的淋巴用手可觸及,例如頸、頜下、胸、鎖骨上窩、腋窩、腹股溝等部份。當淋巴結腫大時,就可以摸到皮膚下有一粒粒的圓形、橢圓形或條狀的結節。如果按壓感到痛,多由病毒感染引起的淋巴結脹大,要是完全不痛,就要留神,因為由癌細胞引起的淋巴結腫脹,大多不會痛。

 

 

淋巴癌如何形成?

癌細胞的出現是因為某些細胞不受控地增生而來的,原來正常的淋巴球會不斷分裂和生長,新的細胞會替換死去的淋巴細胞,現在由於某些原因,細胞變得不正常和不受控,當不正常的淋巴球取代了正常的淋巴球,免疫系統變弱,淋巴結變大並且形成無痛的淋巴腫瘤。

 

淋巴癌細胞可以出現在一個淋巴結,或任何一組的淋巴結組織內。也可以擴散到身體不同的器官上。例如肝臟、脾臟(肋骨下,小腹的左側)、胸腺(肋骨內,胸骨後)、扁桃腺(喉嚨後一系列的淋巴組織)、骨髓等。

 

 

淋巴癌類別

淋巴癌分為「何傑金氏癌」和「非何傑金氏癌」兩大類。兩類唯一分別是何傑金氏癌含有一種稱為Reed Sternberg的細胞,而非何傑金氏癌就沒有這種細胞。要判斷淋巴癌的類別,需要做活組織切片檢查及化驗,才能分辨出來。有85%患者屬於非何傑金氏癌。

 

何傑金氏癌主要影響原發位置附近的範圍,即使癌細胞已擴散,治癒率仍高,可達80-90%,許多病人更能夠完全治癒。而非何傑金氏淋巴癌,惡性度較高,腫瘤細胞容易擴散至骨髓、中樞神經或血液系統等部位,不過現時治癒率也越來越高。

 

什麼因素會導致淋巴癌?淋巴癌有什麼症狀?下篇文章會講。

 

淋巴腫瘤可大可小,若有問題不要拖延,立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及早診治,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

5 Things You Should Do if Someone in Your Home Has Asthma

Asthma cannot be completely eradicated but there are simple ways to manage and avoid this illness especially if people are aware of things that should be done when they live with someone who has asthma.

 

 

Quit Smoking

When you live in the same roof with a loved one who has asthma, it is impossible for the patient to not inhale second hand smoke. Second hand smoke or smoke produced by a smoker and breathed in by another person can trigger an asthma attack. Make sure your home is a cigarette and tobacco smoke free zone. Instead of just designating a smoking area or trying one’s best to not smoke near the person with asthma, inside the home or inside the car, it would be in the best interest of every member of the family to just quit smoking.

 

Leave No Room for Dust Mites

Dust mites can trigger an asthma attack if the person who has asthma is allergic to dust and most likely, they are. Make sure these microscopic bugs are eradicated from your home.

Here’s a list of things you can do to prevent dust mites:

  • Use a humidifier to keep relative humidity levels at around 30- 50% which is not suitable for dust mites.
  • Regularly vacuum carpets, rugs, and floors
  • Make sure you wash your bedding and dry it completely once a week
  • Allergen-proof mattress and pillowcase covers make a good barrier from dust mites so make sure you use them
  • Never use down-filled pillows, quilts, or comforters.

 

 

Make Sure The Person with Asthma Stays Away from Air Pollution

Smoke from burning wood and dried leaves can trigger an asthma attack because they are producing harmful gases and particles that can be inhaled in large amounts and cause an asthma flare up.

Air pollution from factories and cars are even more harmful. Make sure you live in a place away from all of these if you have a loved one with asthma and make sure you check air quality forecasts on the internet before you  plan your activities to make sure there is no air pollution when you go out.

 

 

Keep the Person Away from Pets that Is Causing Asthma Attacks

If the furbaby can’t be rehomed, just make sure the person’s exposure is lessened by keeping the pet away from the bedroom and always keeping the pet clean. Using air cleaners with HEPA filters and allergen-proof mattress and pillow covers may help prevent asthma attacks.

 

 

Keep the Person Away from All Possible Triggers

Molds, harmful disinfectants, poor ventilation, flu, colds, respiratory syncytial virus, sinus infections and pollen must be kept away from the person with asthma.

Acid reflux, excessive physical activity, bad weather such as thunderstorms and high humidity can also trigger asthma attacks.

It is also important to take note of food, medicine, food additives and fragrances which may be the person with asthma is allergic to so it can be avoided.

Most importantly, try your best not to upset the person with asthma because intense emotions can lead to very fast breathing or hyperventilation which is also a trigger of asthma attack.

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

 

For details of the 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

http://www.hkentspecialist.hk

「舌癌」手術後,有什麼事項是病人需要知道和注意的呢?

上文提及舌癌後期病人,手術切除的範圍和涉及的組織多,需要整形和移植手術來改善面部外觀和功能。醫生會因應個別病人的情況,度身設計不同的整形方案,務求病人在治療後能回復往日的生活模式。

 

舌癌治療後的整形及移植手術

舌癌病人手術切除後最常需要重整的部位,包括皮膚、軟組織、口腔黏膜和頜骨。一般多利用病人手臂或大腿內側的皮膚作游離皮瓣,移植到手術位置,以及移植軟組織來填補割除癌組織後出現的空間。如果需要大範圍的移植,就會選用的面積較大和較厚的胸側皮瓣。至於頜骨,需從病人小腿外側取一小片腓骨作移植頜骨之用。

 

 

舌癌治療後的電療及化療

對於中後期的舌癌病人,手術切除後仍需做電療,集中照射高危部位如口腔和頸上部位等,這有助減低局部復發的機會。晚期舌癌病人則需電療和化療雙管齊下,才能控制好病情。

 

 

定期覆診防頸部淋巴轉移

病例顯示,若有三成的舌癌病人會出現頸部淋巴轉移的情況,由於轉移不會產生任何症狀,所以要定期覆診,接受頸部超聲波檢查,及早偵測是否有擴散的迹象。一旦及早發現擴散,立即進行頸淋巴清除手術,根治率可百分百。由於大部分舌癌患者都有長期吸煙習慣,他們患癌的風險較一般人高,所以即使手術已成功將癌腫瘤完全切除,仍有一至兩成病人會出現第二個腫瘤,因此定期覆診非常重要。

 

 

舌癌治療對說話及進食的影響

我們使用舌尖發音,而進食得靠舌根,處於早期階段的舌癌患者,手術切除應不會影響說話和進食能力。中後期的舌癌患者,因癌腫瘤已長大,以至切除的部位牽涉較廣較深的範圍,手術後發音功能會受影響,說話不太清晰。至於味覺方面,病人大多能品嘗食物,當然亦有部分病人味覺會出現變化。

 

 

及早發現及預防舌癌的方法

  • 舌頭上出現白色或紅的斑點,斑點不斷擴大及潰爛,經過2-3星期仍未癒合,必須立即求醫。
  • 尖銳的牙齒或不合適的假牙,不斷磨擦舌頭,造成舌頭組織反覆破損及發炎,可誘發舌癌。若出現這種情況,要盡快找牙醫治理。
  • 吸煙和啫酒是導致舌癌的主因,戒煙酒是有效的預防舌癌的方法。
  • 多進食新鮮蔬果,提升身體免疫力,有助預防癌症的出現。

 

 

若不幸患上舌癌,要面對一連串的治療、手術和後遺症,此時感到恐懼和憂慮是正常的。跟你的主診醫生詳細了解手術的程序和手術後的護理等,對手術有了解和心理準備,壓力和恐懼感覺就能得到舒緩,你對手術有信心也有助康復。如需要協助或進一步診治舌癌,請立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及早診治,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

7 Things You Should Do When You Have Tonsillitis

Our tonsils, the two masses of tissue at the back of our throat act as filters and they trap germs that could enter our airways and cause infection. They also make antibodies to fight infection.

 

When there’s too much risk factors, they get overwhelmed by bacteria or viruses. When they get swollen and inflamed, this condition is called tonsillitis.

 

Tonsillitis usually goes away on its own, lasting only two to four days and the worse, two weeks or more and recurrent especially if we will not follow the following list of advice on how to treat tonsillitis:

 

 

Take a Pain Reliever

Tonsillitis is usually accompanied by fever and pain. Acetaminophen and ibuprofen are over the counter pain relievers which you can take to help manage these while you are at it.

 

 

Rest

If you can’t afford a total bed rest, at least refrain from doing anything strenuous and avoid aggravating your condition by staying up late. You should do the opposite – oversleep if you can. You won’t be able to work effectively when you are in pain. One of the possible reasons why you got sick in the first place is because you overworked and did not rest. Your immune system was affected and this is why you caught tonsillitis. The best thing to do is to correct this by getting enough rest and keep that habit even when you no longer have tonsillitis.

 

 

Hydrotherapy

Hydrotherapy has been known to cure mild to moderate sore throat accompanied by headache and fever in less than twenty four hours. The same is true with tonsillitis. Drinking warm or very cold drinks will not only help with throat pain but flush off toxins that weakens your immunity. Once your body’s ability to fight off disease is restored, your tonsillitis will be gone in no time.

 

 

Eat Comfort Food and Beverage

Flavored gelatins, ice cream and applesauce are known as “smooth foods” that can give comfort to your tonsillitis

 

Broth soup, caffeine-free tea and warm water with honey can soothe the pain as well as cold treats like ice pops which can also soothe sore throat.

 

 

Humidify the Air

A cool-mist vaporizer or a cool-air humidifier in your room can eliminate dry air that may further irritate a sore throat. Sitting inside a steamy bathroom for several minutes is also effective.

 

 

Gargle with Warm Saltwater

Children are the ones most prone to tonsillitis. It had been proven that saltwater gargle of 1/2 teaspoon (2.5 milliliters) of table salt to 8 ounces (237 milliliters) of warm water can help soothe a child’s sore throat.

 

Anyone who has tonsillitis should gargle the solution and then spit it.

 

Have your child gargle the solution and then spit it out.

 

 

Take Lozenges

Lozenges with benzocaine and other medications that can numb the throat can be effective in managing tonsillitis while waiting for recovery.

 

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

 

For details of the 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

http://www.hkentspecialist.hk

舌癌需要做什麼檢查?治療方法有那些?

上文提及舌癌的成因和初期症狀,今天我們會談談在出現舌癌症狀時,舌癌需要做些什麼檢查呢?一旦確診舌癌,治療方法有哪些?

 

舌癌的檢查方法

1、抽取活組織化驗

活組織化驗可以準確分辨舌頭上的潰傷,究竟是良性的痱滋,還是惡性的腫瘤潰傷。如果舌頭上出現潰傷超過兩星期還未癒合,觸檢患處時感覺是又硬又厚,若然頸側淋巴核腫脹大,情況就非常可疑,就必須存抽取活組織去化驗。

 

2、抽取淋巴細胞化驗

如果確診是舌癌,患者需要接受頸部超聲波檢查,還有幼針抽取淋巴細胞,以確定癌細胞是否擴散至淋巴組織。因為在舌癌的個案中,頸部淋巴轉移是非常普遍的情況,有些病人可以完全沒有徵狀,所以淋巴檢查是相當重要的。

 

3、內窺鏡、X光、磁力共振檢查

內窺鏡可清楚檢查患者舌底、口腔、食道或喉等部位有沒有癌腫瘤。病例顯示,有長期吸煙習慣的舌癌患者中,其上消化道其他地方有機會會出現第二或第三個腫瘤。

 

照胸肺X光,排除肺轉移的可能性。

 

磁力共振掃描,手術前的磁力共振掃描,可確定癌細胞的侵蝕範圍及深度,例如有否轉移到顎骨或有否擴散至遠程器官等。

 

 

舌癌的分期及治療方案

  • 第一期:腫瘤少於2厘米,未有侵蝕周邊軟組織或淋巴核,治療方案是以手術切除。
  • 第二期:腫瘤大於2厘米,但不超過4厘米,未有侵蝕周邊軟組織或淋巴核,治療方法是以手術切除。
  • 第三期:腫瘤大於4厘米,但還未侵蝕周邊軟組織或淋巴核,又或腫瘤少於4厘米,但已侵蝕附近的淋巴組織,治療方法是以手術切除,並輔以放射治療。
  • 第四期:腫瘤已擴散蔓延到周邊組織和淋巴核,甚至擴散至遠程的器官。治療方法是手術切除,輔以化療藥物及外放射治療。

 

 

舌癌的手術治療

手術治療舌癌包括局部或全舌切除,若要根治,必須將腫瘤和周邊1.5厘米的組織徹底切除,以消除極微殘留的微細癌細胞,減低復發。對於早期的舌癌,切除1.5厘米應不會對患者的日常生活構成大太的不便。

 

現時的切除手術是微創手術,利用超聲刀以高頻率振動將病變組織分離同時止血,微創手術能降低傷口創傷和感染的機會,也能加快傷口癒合,病人失血及疼痛也大大減低,手術後說話及吞嚥的功能亦得以保存。

 

如果舌癌已屬後期階段,癌細胞已蔓延到口腔其他組織如頜骨、扁桃腺等,此時切除的範圍除全舌外,還需包括黏膜和頜骨等,由於切割範圍和涉及的組織多,病人臉部外觀和功能均受影響,需要通過整形和移植手術來改善。

 

手術後有什麼後繼跟進,還有整形及移植等問題,我們下篇文章會談談。如果你懷疑患上舌癌,不要拖延,立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及早診治,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

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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。