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¯fµo©ó¨­Åé¨ä¥L³¡¦ì¦ÓÂX´²¦Ü°©ªºÀù¯f³QºÙ¬°¡uÂಾ©Ê°©Àù¡v(metastatic bone cancer¡A¥çºÙbone metastasis)¡A¤SºÙ¡uÄ~µo©Ê°©Àù¡v(secondary bone cancer)¡A¦Ó¯fµo©ó°©ªºÀù¯f«h³QºÙ¬°¡u­ìµo©Ê°©Àù¡v(primary bone cancer)¡AÂಾ©Ê°©Àù¸û­ìµo©Ê°©Àù¦h¨£¡C

¦³¨ÇÀù¯f¤ñ¨ä¥LÀù¯f§ó¦hÂX´²¦Ü°©¡A¥]¬A¡G¨ÅÀù¡B«e¦C¸¢Àù¡BªÍÀù¡BµÇÀù¡B¥Òª¬¸¢Àù¡B¤l®cÀùµ¥¡CÀù²Ó­M¥iÂX´²¦Ü¨­Åé¥ô¦ó¤@®Ú°©¡A³Ì±`¨£¨ü¼vÅTªº¥]¬A¯á´Õ(vertebra)¡B¦Ø°©(rib)¡B½L°©(pelvic bone)¡B¯Ý°©(sternum)¡BÆ`°©(skull)µ¥¡A¦³®É¥u¬O°©ªº¤@³¡¤À¨ü¼vÅT¡A¦ý¦³®É«o¬O¦h®Ú°©¦P®É¨ü¼vÅT¡C

Âಾ©Ê°©Àùªº¼xª¬¨ú¨M©ó¨ü¼vÅTªº°©ªº¦ì¸m¤Î¼Æ¶q¡A¨ä¥L°·±d°ÝÃD¤]·|¾É­P»PÂಾ©Ê°©Àù¬Û¦Pªº¼xª¬¡A³Ì±`¨£¡B¤]¬O³q±`³Ì¦­¥X²{ªº¼xª¬¬O°©µh¡A°©µh¥i¥H¬O®É¦³®ÉµL¡B¤]¥i¥H¬O«ùÄòªº¡A³q±`¦b±ß¶¡¸ûÄY­«¡Aµh·¡¥i¯à¥u§½­­¦b¤@­Ó¦ì¸m¡B¦ý¤]¥i¥HÂX´²¦Ü¥þ¨­¡Aµh·¡¥i¥H¬OÁôÁô§@µh¡B¦ý¤]¥i¥H¬O¼@¯P¨ëµh¡A°©µh¥i¯à¦ñ¦³¸~µÈ¡C

¨ä¥L¼xª¬¥]¬A°©§é¡A³q±`¥X²{©ó¦Ø°©¡B¯á´Õ©M¤j»L°©¡CÂಾ©Ê°©Àù¤]¥i¤Þ°_»PÀù¯f¬ÛÃöªººò«æ±¡ªp¡A¥]¬A¡G

1. °ª¦å¶t(Hypercalcemia)¡G¼xª¬¥]¬A«K¯¦¡B­¹±ý¤£®¶¡Bäú¤ß¡B¦h§¿¡B«D±`¤f´÷¡B°g¶Ãµ¥¡C

2. ¯áÅè¨üÀ£(Spinal cord compression)¡G¦]Âಾ©Ê°©Àù¥O¯á´Õ¨ü·l¡BÀ£¹G¯áÅ誺¯«¸g½u¡A¼xª¬¥]¬A¥¢¥h¥­¿Å¡B »L³¡¥F¤O©M¥¢¥h·Pı¡B¤j¤p«K¥¢¸Tµ¥¡C

Âå¥Í¬°±wªÌ¶EÂ_®É·|¬d¸ß¸Ô²Óªº¯f¾ú¡B°µ¥J²ÓªºÁ{þHÀˬd¤Î§@¤@¨ÇÀËÅç¡A¥]¬A¡G

¤@¡BÅç¦å¡G³q±`¥]¬A¡R

1. ¥þ¦å²Ó­M­p¼Æ(complete blood count¡B²ºÙCBC)¡F

2. ¨x¥\¯à´úÅç(Liver function tests)¡F

3. ¹q¸Ñ½è©MµÇ¥\¯à´úÅç(Electrolytes and renal function tests)¡F

4. ¦å¶t©MÆP©ÊÁCà­žJ(alkaline phosphatase)¤ô¥­¡F

5. ¸~½F¼Ð»xª«(Cancer Marker)¡G­Y¥H«e´¿±w¬YºØÀù¯f¡B¨Ò¦p«e¦C¸¢Àù¡AÂå¥Í·|ÀË´ú«e¦C¸¢¯S²§§Ü­ì(prostate-specific antigen¡B²ºÙPSA)¡A¤£Â_¤É°ªªº«ü¼ÆÅã¥Ü«e¦CÀù´_µo¡B¨Ã¥i¯àÂಾ¦Ü°©¡C

¤G¡B¼v¹³Àˬd(Imaging tests)¡A¥]¬A¡G

1. X¥ú¡F

2. °©±½´y(bone scan)¡F

3. ¹q¸£¯À´y(CT scan)¡F

4. ºÏ¤O¦@®¶±½´y(MRI)¡F

5. ¥¿¤lÂ_¼h·Ó¼v(Positron emission tomography¡B²ºÙPET)µ¥¡C

¤T¡B¬¡²Õ´Àˬd(Biopsy)¥]¬A¡G

1. ¬ï¨ë¬¡ÀË(needle biopsy)¡F

2. ¤â³N¬¡ÀË(surgical biopsy)¡C

¥|¡B¨ä¥LÀˬd¡GÂå¥Í¥i¬°±wªÌ§@¨ä¥LÀˬd¡A¬d¬ÝÀù²Ó­Mªº¨Ó·½¡A¤]¬d¬Ý¦³¨S¦³Âಾ¨ì¨­Åé¨ä¥L³¡¦ì¡AÀˬdªº¶µ¥Ø¥]¬A¡G

1.¨Å©ÐX¥ú³y¼vÀˬd(mammography)¡A¬d¬Ý¨ÅÀù¡F

2. ªÍX¥ú©Î¹q¸£¯À´y¡A¬d¬ÝªÍÀù¡F

3.¸gª½¸z¶WÁnªiÀˬd(transrectal ultrasound)¡A¬d¬Ý«e¦C¸¢Àùµ¥¡C

½T¶E±w¤WÂಾ©Ê°©Àù«á¡AÂåÀø¹Î¶¤·|¬°±wªÌ­q©w¤@­Ó±M¬°¥L¦Ó³]ªºªvÀø¤è®×¡A³o¬O°ò©ó¥L­Ó¤Hªº±¡ªp©M»Ý­n¡A³q±`¥]¬A¦h­Ó¤£¦PªºªvÀø¤èªk¡A¥Ø¼Ð¬O±±¨î©M´îºCÂಾÀùªº¥Íªø¡A¤j³¡¤ÀÂಾÀù¬O¤£¯à§¹¥þ®ø·Àªº¡C

ªvÀø¤]¥iªv²z©M¹w¨¾ÂಾÀù©Ò±a¨Óªº¨ä¥L°ÝÃD¡A³o¨ÇªvÀøºÙ¬°¡u¤ä«ùÀøªk¡v(supportive therapies)¡C¦b¨M©w¨Ï¥Î¨ººØªvÀø©M¤ä«ùÀøªk®É¡AÂåÀø¹Î¶¤·|¦Ò¼{¦h­Ó¦]¯À¡A¥]¬A¡R

1. Àù¯gµo¯fªº¾¹©x©Î²Õ´¡F

2. ÂಾÀù¦b°©ªº¦ì¸m¡F

3.ÂಾÀùªº¼Æ¥Ø¡F

4. ÂಾÀùªº¤j¤p¡F

5. ¦b¨­Åé¨ä¥L³¡¦ì¬O§_¦³ÂಾÀù¡F

6. ²{¦³ªº¼xª¬¡F

7. ´¿±µ¨üªºªvÀø¤èªk¡F

8. ±wªÌªº¿ï¾Üµ¥¡C

ªvÀøªº¤èªk¥]¬A¡G

1. ¹qÀø(radiotherapy)¡A¥]¬A¥~©ñ®gªvÀø(External radiation therapy)©M¤º·Ó®gªvÀø(Internal radiation therapy)¡F

2. ¤ÆÀø¡F

3. ¶Pº¸»XªvÀø¡F

4. ¹v¦VªvÀø¡F

5. §K¬ÌªvÀø¡F

6. ¤â³NªvÀøµ¥¡C

¤å¡R³¢µúÆ[Âå¥Í(Dr. Jason Kwok)

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