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上海质子重离子医院两年收治686人,鼻咽癌和前列腺癌最多

2017-05-16 陈斯斯 澎湃新闻

上海市质子重离子医院已运营2年。记者从该医院获悉,截至2017年5月8日,医院已累计收治686例患者。若加上2014年6月开展35例患者临床试验,医院已累计收治了721例患者。另外,该医院已经通过网络平台,为全国2500多人次提供免费远程指导、就诊咨询服务。院方透露,35例临床试验患者随访近3年来,绝大部分患者已无任何不良反应,近3年生存率达97.1%,肿瘤局部控制率达94.3%,除一例肠癌双侧肺

上海市质子重离子医院已运营2年。

记者从该医院获悉,截至2017年5月8日,医院已累计收治686例患者。若加上2014年6月开展35例患者临床试验,医院已累计收治了721例患者。另外,该医院已经通过网络平台,为全国2500多人次提供免费远程指导、就诊咨询服务。

院方透露,35例临床试验患者随访近3年来,绝大部分患者已无任何不良反应,近3年生存率达97.1%,肿瘤局部控制率达94.3%,除一例肠癌双侧肺转移患者,2年后全身转移感染死亡。医院开业后收治的患者,无论是在治疗还是出院随访阶段,肿瘤病情控制情况也均较好,疾病指征平稳,不良反应情况轻微。

针对近来传言的“医院治疗等待时间长”的情况,医院表示,每名通过多学科综合诊疗的患者,在确认适用质子或重离子治疗后,原则上2周内即可收治入院。

5月16日当天,上海市质子重离子医院组织了一场“临床试验患者座谈会”,这天也是这些患者“三周年”复查随访的日子,院方为他们送上祝福——一份永久免费随访的“健康卡”加上一个暖意融融的小礼物。

医院方面表示,开业以来共收治686例患者,其中中位年龄患者56岁,收治患者中包括头颈部肿瘤339例、胸部肿瘤109例、腹盆腔和其他部位肿瘤共238例。具体来看,收治数最多的是鼻咽癌和前列腺癌。

其中,117例鼻咽癌患者在当前中位随访已达1年的情况下,患者生存率达100%。自临床试验以来累计收治的102例前列腺癌患者,患者的PSA指标(PSA是前列腺癌的一项重要的检测指标)水平总体无生化复发生存率为99.02%,其中原发及复发性94例前列腺癌患者的无生化复发生存率达100%。

院方强调,医院临床专家在总结已有病例的基础上,结合国内恶性肿瘤发病率情况,做精、做细、做强五个重点病种,分别为颅内颅底肿瘤、鼻咽癌、早期肺癌、肝癌、前列腺癌。而对患者的收治方面,医院仍会坚持严格的适应证筛选,并非每个癌症患者都可以尝试这该技术。

在早期肺癌诊治上,医院已于2016年底开始用质子重离子治疗实性肺小结节型早期肺癌患者;前列腺癌的重离子治疗放射治疗次数,也已从起初的23次缩短为至16次,有关医院临床团队现正开展研究,希望在综合评估不良反应、疗效等因素的基础上,争取2017年下半年将每疗程照射次数由16次再降至12次。

对国内高发的肝癌患者的治疗,专家考虑从“质子+重离子”治疗逐步过渡至纯重离子治疗,这样一来,在缩短患者治疗周期的同时,可提升对肿瘤细胞的更强杀灭效应,目前部分早中期肝癌患者,最少只需4次照射完成治疗。

针对当前女性发病首位的乳腺癌,医院临床团队最初考虑到女性乳房尤其是左乳邻近心脏,可能会带来心脏部位冠状动脉硬化,因此并未将其纳入适应证范围,但从2016年底开始,医院已正式开展乳腺癌放疗,如今共接收患者7例,相关病例治疗情况证实,尤其针对左侧乳腺癌患者,患者乳腺邻近的心脏、肺等重要器官受到的射线剂量降低50%,可明显降低患者心血管、肺部损伤等。

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    2017-05-19 1e10c84am36(暂无匿称)

    文章很好,拜读了

    0

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likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 17 07:42:07 CST 2017, time=2017-05-17, status=1, ipAttribution=)]
    2017-05-18 doctorJiangchao

    继续学习。

    0

  6. 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likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 17 07:42:07 CST 2017, time=2017-05-17, status=1, ipAttribution=)]
    2017-05-17 1e0f8808m18(暂无匿称)

    学习了,感谢分享。

    0

  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Wed May 17 10:59:18 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199155, encodeId=1a5919915576, content=学习过了,学习过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Wed May 17 09:40:59 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199145, encodeId=af5019914538, content=好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Wed May 17 09:25:59 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199117, encodeId=ca3c19911e67, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed May 17 08:32:56 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199094, encodeId=57a119909464, content=谢谢,感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 17 07:42:07 CST 2017, time=2017-05-17, status=1, ipAttribution=)]
    2017-05-17 明天会更好!

    学习过了,学习过了

    0

  8. 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likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 17 07:42:07 CST 2017, time=2017-05-17, status=1, ipAttribution=)]
    2017-05-17 139****5926

    好文章学习了

    0

  9. 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likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 17 07:42:07 CST 2017, time=2017-05-17, status=1, ipAttribution=)]
    2017-05-17 明月清辉

    谢谢分享,学习了

    0

  10. 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createdName=1e10c84am36(暂无匿称), createdTime=Fri May 19 08:56:42 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1573326, encodeId=5af815e3326f7, content=<a href='/topic/show?id=2751923626c' target=_blank style='color:#2F92EE;'>#质子重离子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=92362, encryptionId=2751923626c, topicName=质子重离子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2cfc15842108, createdName=yangpeizhi, createdTime=Thu May 18 12:56:00 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589411, encodeId=6128158941123, content=<a href='/topic/show?id=658b92363e0' target=_blank style='color:#2F92EE;'>#质子重离子医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=92363, encryptionId=658b92363e0, topicName=质子重离子医院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b7317711128, createdName=chenhongpeng, createdTime=Thu May 18 12:56:00 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199492, encodeId=f0431994928c, content=继续学习。 , beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu May 18 07:27:04 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199174, encodeId=50731991e4c8, content=学习了,感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Wed May 17 10:59:18 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199155, encodeId=1a5919915576, content=学习过了,学习过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Wed May 17 09:40:59 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199145, encodeId=af5019914538, content=好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Wed May 17 09:25:59 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199117, encodeId=ca3c19911e67, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed May 17 08:32:56 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199094, encodeId=57a119909464, content=谢谢,感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 17 07:42:07 CST 2017, time=2017-05-17, status=1, ipAttribution=)]
    2017-05-17 执着追梦

    谢谢,感谢分享

    0

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