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Love Never Dies  真爱永恒

(2009-10-29 09:32:18)
标签:

健康

分类: Dr.Brooks谈诊疗方法

I learned this morning with regret that Andrew Lloyd Webber was diagnosed with prostate cancer. His plays and music have been a great source of joy to people around the world and I am certain that there are many who have read about this will be thinking of him and hoping for a good outcome.

今天早晨,听到韦伯罹患前列腺癌的消息,感到非常遗憾。他的戏剧和音乐令世界各地的人们领略到艺术之美,比如众所周知的《猫》和《歌剧魅影》。我相信知道这个消息的人们都会衷心地希望他早日康复。

I will take this moment in time to give you some information about prostate cancer.  Prostate cancer is a fairly common cancer in men but when found early is highly curable.  There is a screening test called PSA however there remains considerable debate as to how useful this test is.  Although it can identify many men with early prostate cancer is has not clearly proven to decrease the eventual death rate. It is possible that it identifies too many very early cancers that may not eventually progress to a life threatening problem.  The decision as the whether you should have this test is one that should be discussed carefully with your doctor and if done should be done in conjunction with a prostate exam. 

关于前列腺癌,我也希望能够在这里和大家分享一些我所知道的相关信息。前列腺癌是很常见的男性癌症,但是如果在早期就能够发现,是很可能被治愈的。可以使用PSA筛查来检测前列腺癌,不过对于这种筛查的效用,医学界仍然存在争议。尽管它可以检查出多数早期前列腺癌,可是并无明确的证据证明它能够降低最终的死亡率。有时候它诊断出过多的早期癌症,然而这些病变可能最终不会发展成威胁生命的病症。对于是否做这项检查,病人需要跟他的主治医师详细讨论。如果做的话,也需要与其他前列腺检查相结合。

A yearly physical examination is perhaps the best way to make certain there is not the development of a prostate mass that could be a cancer. Certainly if you have symptoms of decreasing urinary stream, discomfort in this area, blood in the urine then you need to bring this to medical attention.

每年都进行体检,也许是确认前列腺无肿块或癌变的最好方式。当然,如果你出现了小便流量减少,这个部位不舒服,尿血等症状,就一定要尽快看医生了。

The diagnosis of prostate cancer can be made by a fairly simple biopsy that can be performed in a doctor’s office by a urologist or by some ultrasound doctors. It has minimal discomfort and is quite reliable especially when a mass is felt or seen on the ultrasound.  A PSA test can be of help in this situation.

要诊断是否患有前列腺癌,方法其实很简单,只要去医院,找泌尿科医生或者负责超声波的医生做(活组织)切片检查就行了。这项检查带来的不适或不舒服的感觉是最轻微的,而且它的可靠性非常高,因为照超声波的过程中,就能看到或检测到是否有肿块。PSA筛查在此情况下也会有所帮助。

 

If a diagnosis is made there are many options to be considered. I would strongly advise any person with a diagnosis to make certain they understand all their options which may include local implantation of radiation seeds, localized radiation therapy, or surgical removal.  Both radiation and surgery have many different techniques that can be used and should be discussed.  If the tumor is more advanced then there should be some consideration of treatment with hormonal therapy either prior to radiation or to surgery.

如果已经确诊患上前列腺癌,其实也可以考虑采用很多不同的治疗方案。我强烈建议确诊的患者清楚地了解他们可选择的各种方案,包括植入放射籽,局部放射性治疗,或者器官切除手术。而且无论是放射性治疗还是器官切除手术,都有很多不同的手段或者技术可以配合,这可以跟主治医生商量决定。如果肿瘤已经进入晚期,那么在选择诊治手段时,可以考虑在接受放疗或外科手术前使用一些激素疗法。

Prostate cancer can also be treated with hormonal therapy in more advanced stages and this can be very effective and can often control the disease for many years. There are multiple options for this treatment that would need to be carefully discussed with your doctor. When hormonal therapy is not effective we now have chemotherapy regimens that have a good chance of controlling the disease.

对于前列腺癌的晚期,使用激素疗法会很有效,而且通常可以数年时间内有效地控制癌细胞的扩散。这个疗法仍然有多种方案,都必须跟主治医生商量。当激素疗法不太见效的时候,还可以尝试化疗,也能很有效地控制疾病。

I have had many patients in my career who have been cured of their prostate cancer when found at a fairly early stage. I also have many patients that presented at a later time with spread of their cancer who responded very nicely to treatment and have lived long and comfortable lives while on treatment.

在我从医的生涯中也曾有过很多案例,他们都是在较早期发现罹患前列腺癌的患者,并且全部治愈了。我也曾遇到过一些病人,虽然病症发展到了晚期并且有扩散现象,但是治疗方法在他们身上仍然很奏效,使他们的生命延续了很久,而且他们在治疗的过程中仍然生活得很舒心。

If a diagnosis of prostate cancer is made, you need to focus on education about the disease, a multidisciplinary approach, and by all means know that there are good treatments and there is certainly much hope for a good outcome.

We all will be wishing the best for Andrew Lloyd Webber as we remember his wonderful music.

如果被确诊患上前列腺癌,你必须以积极地心态关注这个疾病,从各个医学层面去研究了解,并彻底认识它。要知道现代社会医学发达,总是有很多不同的有效的疗法去医治这种病症。

在此,我们为韦伯送上最真挚的祝福,尤其在我们想起他扣人心弦的音乐时。同时,衷心祝愿他早日康复。

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