一位45歲女性因職業關係，20年來又菸又烈酒，因吞嚥困難甚至連水都無法下胃，發現是食道癌已完全阻塞食道，沒有空隙連水都無法通過食道，無法開刀治療。澄清醫院中港院區放射腫瘤科主治醫師梁家郡表示，這麼晚期發現的食道癌的確少見，經光子刀放射治療，該患者食道癌已縮小二分之一，宛若清出食道通路，讓患者嚥食喝水，維持生命養分。
這位女性患者起先發現自己吞嚥食物食有一點卡卡的，總以為是因喝了烈酒可能是喉嚨被「燒傷」而不以為意，後來竟嚴重到連喝水都有困難，還忍了3個月未就醫，因一次胃痛而掛急診，竟被檢查出她的食道已完全阻塞，是罹患第四期食道癌。
梁家郡醫師表示，該患者的食道腫瘤約2公分×10公分，塞滿食道的中上段，經病理切片化驗確診為鱗狀上皮細胞癌，而且癌腫瘤已局部侵犯到氣管，雖然癌細胞尚無遠端轉移情形，仍然無法開刀治療，選擇以光子刀放射治療讓癌腫瘤萎縮，再配合化療全面追殺癌細胞，這是目前對無法開刀的食道癌患者，比較理想的治療方法。
該患者目前已接受22次的光子刀放射治療，發現原來2公分×10公分的食道癌腫瘤已萎縮為1公分×5公分，梁家郡醫師指出，光子刀放射治療完成療程後，該腫瘤仍然會持續萎縮，對病患的生活品質有一定程度的助益，因食道不再完全阻塞，病患可以進食以提升抗癌體力。
梁家郡醫師強調，食道癌的形成大多是食道黏膜的鱗狀上皮細胞，被癌化病變而罹癌，依衛福部最近發佈的資料顯示，去年國人死於食道癌的人數為1797人，是國內十大癌症死亡率排名第九。食道癌在初期是無症狀的，只有在腫瘤大小已經佔據了整個食道管腔的一半左右才會有吞嚥困難的症狀。食道癌發生率男性遠高於女性(15:1)，好發年齡為60歲左右，此個案為四十多歲女性，非常少見。
台灣大多數的食道癌是屬於鱗狀細胞癌，梁醫師說明，食道癌致病的原因可能與抽菸、喝酒、含亞硝胺之食物、吃過熱飲食有關，因為酒精會對食道粘膜產生刺激甚至會造成粘膜的損傷，而菸品含有很多的致癌成份，當食道粘膜反覆受到刺激或損傷，很容易導致食道癌，同時呼籲民眾不要吃過燙的食物，以免燙傷食道粘膜上皮，使粘膜上皮發生破損、潰爛、出血等病變，甚至演變成可怕的食道癌。
梁家郡醫師指出，民眾如自覺有吞咽梗噎感、胸骨後疼痛、食道內異物感、食物通過緩慢並有滯留感、咽喉部乾燥與緊縮感等情形，儘早就醫，早期發現、早期診斷、早期治療以提升食道癌的控制率與存活率。
A 45-year-old woman has a career relationship. She has smoked and spirited alcohol for 20 years. She could not stomach because of difficulty in swallowing. It was found that esophageal cancer had completely blocked the esophagus, and no space or water could pass through the esophagus. Clarification of the hospital's radiation hospital oncology doctor Liang Jiajun said that such late detection of esophageal cancer is indeed rare, the patient's esophageal cancer has been reduced by one-half by photon knife radiation therapy, just like clearing the esophageal pathway, let patients swallow Water, sustaining life nutrients.
The female patient first discovered that she had swallowed food and food and had a little Kaka. She always thought that it was because the drinking of the spirits might not be a "burn" of the throat. Later, it was so serious that it was difficult to drink water. I had not been treated for medical treatment for 3 months. I was diagnosed with a stomachache and was diagnosed with her esophagus completely obstructed. She was suffering from the fourth stage of esophageal cancer.
Liang Jiajun doctor said that the patient's esophageal tumor is about 2 cm × 10 cm, filled with the upper middle segment of the esophagus, confirmed by pathological biopsy as squamous cell carcinoma, and the cancer has been partially invaded into the trachea, although the cancer is not far away. In the case of end-transfer, it is still impossible to cure the disease. Radiation therapy with photon knife is used to atrophize the cancerous tumor, and then comprehensively pursue the cancer cells with chemotherapy. This is an ideal treatment for patients with esophageal cancer who cannot be operated.
The patient has received 22 photon knife radiation treatments and found that the original esophageal cancer tumor of 2 cm × 10 cm has shrunk to 1 cm × 5 cm. Dr. Liang Jiajun pointed out that the tumor will continue after the phototherapy knife radiotherapy is completed. Atrophy has a certain degree of benefit to the quality of life of patients, because the esophagus is no longer completely blocked, patients can eat to enhance anti-cancer physical strength.
Liang Jiajun doctors stressed that the formation of esophageal cancer is mostly squamous epithelial cells of the esophageal mucosa, which is cancerous and cancerous. According to recent data released by the Department of Health and Welfare, the number of people who died of esophageal cancer last year was 1,797. The cancer mortality rate is ranked ninth. Esophageal cancer is asymptomatic at an early stage, and symptoms of dysphagia are only present if the tumor size already accounts for about half of the entire esophageal lumen. The incidence of esophageal cancer is much higher in men than in women (15:1). The age of predilection is about 60 years old. This case is a woman in her forties, which is very rare.
Most of the esophageal cancers in Taiwan belong to squamous cell carcinoma. Dr. Liang explained that the cause of esophageal cancer may be related to smoking, drinking, food containing nitrosamines, eating overheated diet, because alcohol can cause irritation to the esophageal mucosa. It may even cause damage to the mucous membranes. The smoking products contain many carcinogenic components. When the esophageal mucosa is repeatedly stimulated or damaged, it can easily lead to esophageal cancer. At the same time, people are urged not to eat hot foods to avoid burning the epithelium of the esophagus and mucous epithelium. Damage, ulceration, bleeding and other diseases occur, and even evolve into terrible esophageal cancer.
Liang Jiajun doctor pointed out that if people feel consciously swallowing sputum, post-sternal pain, foreign body sensation in the esophagus, slow food and retention, throat dryness and tightness, seek medical treatment early, early detection, early diagnosis, early treatment To improve the control rate and survival rate of esophageal cancer.
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