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食道癌無感 6症狀要小心
8 months ago
1
2024年9月15日
港星徐少強9月1日因食道癌病逝於北京,享壽73歲。由於食道癌早期沒有明顯症狀,台灣高達9成患者直到感到吞嚥困難、體重減輕才會就醫,由於不容易察覺,食道癌平均五年存活率低於15%,民眾生活上須留意高危險因子,以降低罹患食道癌風險。
台灣癌症基金會指出,食道癌發生初期通常沒有明顯的症狀,因此容易被忽略,至晚期食道腫瘤持續變大造成管腔狹小阻塞,就會出現吞嚥困難症狀,臨床上超過90%食道癌的病人最早發現的症狀為吞嚥困難以及體重減輕,吞嚥時後感到食物卡在喉部至上腹部之間。
除了吞嚥困難、體重減輕,食道癌患者還會出現食物逆流、心窩灼熱感(胃酸逆流)、胸骨後面疼痛或上腹部疼痛等症狀。
目前已知食道癌的高危險因子有抽菸、喝酒、檳榔、含亞硝胺之食物(醃漬、煙燻食物)、過熱的飲食、食道曾受腐蝕傷害、食道弛緩不能(吞嚥功能疾病)、肥胖、胃食道逆流等等。其中抽菸、喝酒同時也是頭頸癌、口腔癌的高危險因子。
另外食道癌預後不佳,最主要原因是不容易早期發現,多數病患就醫確診時往往已是局部晚期,台灣食道癌的平均五年存活率僅12-15%,僅稍高於十大癌症中預後最差的肺癌(平均五年存活率10-13%),民眾若有疑似食道癌的症狀需儘早就醫,以提高存活率。
更多其他精彩話題內容:
https://www.notion.so/7023b7b2cd5d4f5082c4aa7fb0fdcd1a?v=d4926f105c56473cbc55a3abe991aeac&pvs=4
https://scalloped-capybara-acc.notion.site/Health-Today-718e21949e6245e9b2e4d0acc93ed0e4
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