《醫研薈萃》2021公開講座 — 治療乳癌跟血癌的新進展

HKU Department of Medicine April 17, 2021
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HKU Department of Medicine

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一百多年前的香港正值風雨飄搖,醫療發展尚未發達,普羅大眾飽受各種頑疾困擾。香港華人西醫書院創立於1887年,目的是培育華人西醫,惠澤民生。其後西醫書院發展為香港大學醫學院,是香港歷史最悠久的高等教育機構。香港大學醫學院內科學系成立於1923年,坐落於港島之西,橫亙一個世紀,培育無數醫護專業人員,默默守護香港人民的健康福𧘲。 醫學分為不同專科,其中內科博大精深, 再細分不同科目,包括風濕科、心臟科、胸肺科、腸胃及肝臟科、腦神經科、老人科、皮膚科、腎科、血液科、內分泌科、免疫科、腫瘤科和感染科。人體生理結構錯綜複雜,所以每項分科亦是環環相扣,情況好比山川河嶽,分流相連,滙入大海。每名內科專科醫生除了對某一分科有深入細緻的了解,也對其他分科有着廣博的認識,需把各科知識融會貫通,才能作出臨床判斷。在患者出現症狀時,醫生需在病人提供的病歷、驗血報告、影像掃描等去尋找蛛絲馬跡,鉅細無遺,反覆推敲,以解決疑難雜症。診斷的過程猶如名偵探福爾摩斯探案,需經過多重步驟,抽絲剝繭,病因才能微露端倪。 學生寒窗埋首典籍數載,立志從醫的初衷是仿效華陀,以濟世為懷之心,幫助病人。香港大學醫學院致力提供最優質的教學, 與時並進, 採用最新的教學元素培訓專業人才,包括問題導向學習、臨床真實案例、解讀醫學雜誌文獻等,鼓勵學生進行自主性分析思考,以激發批判性思維。醫學院教職員循循善誘,和醫學生在知識交流中打成一片,和睦歡暢;彼此樂也融融,建立了亦師亦友的良好關係。醫學院春風化雨,提供細雨潤澤的環境,滋養著醫學生的心靈成長。 內科學系醫生除了要兼顧臨床和教學的職務,也非常重視學術研究。內科學術研究者心繫病人,努力不懈地探索,希望研究能改善大眾健康。我們時刻警惕自己,力求突破;秉承著前人的豐功偉績,精益求精。醫學教職員和醫生不屈不撓的精神讓香港大學醫學院蜚聲國際,並於 2023 年泰晤士高等教育世界大學 (Times Higher Education) 排名為全球第 13 位和 QS 世界大學排名為全球第 31 位。正如唐代詩人李商隱在七言律詩《無題》提到的「春蠶到死絲方盡,蠟炬成灰淚始乾」,醫學教職員和醫生們無私奉獻的精神造就了今天碩果纍纍的成就,猶如漫天星斗,耀眼生輝。香港大學醫學院內科人才濟濟, 精神抖擻,將繼往開來,譜出醫學史上輝煌的新樂章!

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#乳癌 在過去20年一直是本港 #女士頭號癌症,亦是香港第三位致命的癌症。#血癌 即 #白血病 同樣是香港十大致命癌症之一。本集內容講解 #治療乳癌 和 #治療血癌 的不同方法,包括乳癌的 #免疫治療 和血癌的 #血幹細胞移植。 第一節: 乳癌 - 你要知多D (1:18) 講者: 香港大學李嘉誠醫學院內科學系臨床助理教授 #趙頴欣醫生 1:40 香港整體癌症發病百分比 3:30 誰患上乳線癌的風險較大 5:30 發現乳線癌的方式、症狀及存活率 8:18 治療乳線癌的兩大診斷 – TNM期數及受體分類 9:05 乳線癌的期數 – TNM系統 12:00 乳線癌的分類 – 荷爾蒙受體、HER2+陽性及三陰性 15:20 治療方法 – 外科手術、電療及藥物治療 28:21 個案分享 31:08 癌症治療發展歷史 32:00 免疫療法 34:41 懷疑有癌症該怎麼辦? 37:39 答問環節 第二節: 香港血幹細胞移植新發展 (1:01:00) 講者: 香港大學李嘉誠醫學院內科學系名譽臨床副教授 #沈佩妍醫生 1:02:26 血癌在香港的情況 1:04:07 血癌的成因 1:07:43 常見的血液科腫瘤病及治療方法 1:08:18 治療方法概覽 - 傳統化療 、標靶治療及造血幹細胞移植 1:11:41 造血幹細胞移植 = 骨髓骨髓? 1:12:44 造血幹細胞移植– 收集方法、捐贈者及適應症 1:16:43 造血幹細胞移植–過程、風險及副作用 1:21:12 造血幹細胞移植–異體移植 1:27:30 香港造血幹細胞移植的發展歷史 1:30:22 香港造血幹細胞移植新發展–單倍鱧(半相合)移植 1:38:04 香港造血幹細胞移植新發展–嵌合抗原受體 T-細胞免疫療法 (CAR-T) 1:45:19 答問環節 #香港大學內科學系 #港大內科 #醫研薈萃 #醫學講座 #公開講座 #網上講座 #乳癌 #治療乳癌 #白血病 #血癌 #治療血癌 #婦女病 #免疫治療 #血幹細胞移植 #趙頴欣醫生 #沈佩妍醫生 #劉智行醫生 更多《醫研薈萃》公開講座影片,歡迎大家收看: 高血壓與痛風►►https://youtu.be/lTTedf1Q-UI 常見腸胃病及肝病►►https://youtu.be/7_73j2ZI1_8 晚期照顧►►https://youtu.be/Ppim_H4v2vY 傳染病攻略 ─ 溫故與知新►►https://youtu.be/4BFaU0g9qEE 慢性腎病知多少 - 常見成因,預防及治療►►https://youtu.be/9LUFqq4njZ4 訂閱《醫研薈萃》Youtube ►►https://www.youtube.com/channel/UCyuVCCJHPBKkUSH26lkgzoA?view_as=subscriber **報紙專欄** 乳癌新藥代化療 副作用少增治愈機會 - #趙頴欣醫生 ►►https://medic.hku.hk/en/Knowledge-Exchange/Newspaper-Columns/3-April-2021 《醫研薈萃》網站 : https://medic.hku.hk/en/Knowledge-Exc...

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