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Nanoknife Focal Therapy for Prostate Cancer

納米刀局部治療前列腺癌

我們的納米刀療法

納米刀(NanoKnife©),也稱為 IRE(不可逆電穿孔),是一種針對局部前列腺癌的微創治療。透過放置在腫瘤周圍的細電極施加短電脈衝來殺死癌細胞。電場可以精確定位以產生微孔,從而導致腫瘤細胞死亡,無需依賴會破壞周圍健康組織的熱能。神經、尿道和括約肌得以倖免,從而提高了維持節制和勃起能力的可能性。因此,納米刀具有保留關鍵組織的獨特優勢,這些組織可能會被傳統的「全腺體治療」,例如:手術或放射治療,損壞或移除。

我們如何為您提供納米刀療法

跨專業醫療團隊

跨專業醫療團隊,為局部前列腺癌提供局部治療、手術和放射治療。除了 前列腺癌精確診斷測試 ,我們還提供 經會陰前列腺活檢 (可點擊MRI 融合),用於局部治療的診斷和治療計劃

為您度身訂做的護理計劃

由我們專門的協調人員、泌尿外科醫生、磁力共振成像放射科醫生、內科專家和麻醉師團隊提供個人化的持續護理,以確保制定全面的患者治療計劃

全新和現代化的設施

致力提供最安全及最高品質的照護。我們也為省外和國際患者提供貴賓服務

什麼是納米刀療法?

  • 為局限性前列腺癌提供精確、個人化且可靠的治療替代方案
  • 即時可視化和影像指導
  • 保護負責泌尿和性功能的組織
  • 微創短期門診手術,沒有手術傷口及無需住院
  • 幾天後即可恢復正常活動
  • 該程序可以重複,並且不排除未來其他治療選擇(如果需要)

納米刀的名字來自它的作用機制,即電脈衝有效地「切割」開放的細胞膜,導致細胞凋亡或腫瘤細胞死亡。這些短電脈衝可以超精確地瞄準,並且不會產生熱量,因此對周圍器官和健康組織器官造成的風險很小。在磁力共振掃描和即時超音波引導下,納米刀治療可以精確地針對相應區域。

納米刀是由維吉尼亞理工大學和加州大學柏克萊分校的生物醫學工程師團隊於 2007 年開發的。它於 2008 年獲得 FDA 批准,並已在世界各地用於治療肝癌、腎癌、胰腺癌以及最近的前列腺癌。

在此了解更多有關前列腺癌的資訊。 点击这里.

  • 術後幾天需使用導尿管
  • 部份男病人可能會出現射精液減少或消失的情況
  • 治療效果可能導致血尿或精液帶血

納米刀療法流程

手術前

  • 詳細的專家諮詢,以判斷各種的前列腺癌治療方案和局部治療。

  • 如有需要,評估可能包括多參數前列腺磁力共振和經會陰攝護腺切片檢查。

手術期間

  • 手術在全身麻醉下進行,持續約 60 分鐘。在超音波引導下,將四到六個電極穿過陰囊後面的皮膚(會陰)放置到前列腺。

  • 短脈衝電流依次在每個電極之間通過,從而能夠破壞相關的前列腺區域。

手術後

  • 治療後,患者將在日間手術室接受觀察,然後帶著導尿管出院回家。

  • 術後疼痛很少,出院時患者會根據需要使用抗生素、用於控制疼痛和膀胱痙攣的藥物。

  • 根據治療的程度,留置導管兩到五天。

  • 納米刀術後的長期追蹤監測將包括 PSA 測試、重複前列腺磁力共振和前列腺活檢。

常見問題

The prostate is a small walnut-shaped gland found in men that produces the seminal fluid that nourishes and transports sperm. Prostate cancer is unique in that many prostate tumors do not spread quickly to other parts of the body. Even in cases where prostate cancer spreads, it can often be managed for a long time, allowing those even with advanced prostate cancer, to live with good health and quality of life for many years. An important part of managing prostate cancer is monitoring it for growth over time. Based on the pattern of growth, your doctor can decide the best available treatment options and when to give them.

Prostate cancer is given a grade called a Gleason score, which is the most common prostate cancer grading system used. The score is calculated based on how close the cancer tissue looks like healthy tissue when viewed under a microscope. Cancerous tumors that are less aggressive look more like healthy tissue. Whereas cancerous tumors that are more aggressive are likely to look very different from healthy tissue.

A pathologist, someone who looks at the cancerous cells under a microscope and does comparisons, will observe the cancer cells in the prostate and assign a score on a scale of 3 to 5. They do this for two sections of the prostate that have cancer growth. The cancer cells that look similar to healthy cells are given a low score. The cancer cells that look less like healthy cells are given a higher score. The two scores are added together to come up with the overall Gleason score, which falls between 6 and 10.

Currently, there are six main types of treatment options available for those with prostate cancer. They include:

Active Surveillance

When prostate cancer is not in the advanced stages or immediate treatment options are not yet necessary, active surveillance is suggested. This involves monitoring the cancer for signs that it is worsening. If the cancer is found to be worsening, then a more active treatment will begin, such as those listed below.

Surgery

Prostate cancer surgery involves the removal of the prostate gland and some of the surrounding lymph nodes. The type of surgery depends on the stage of the disease, the man’s overall health, and other factors.

Radiation therapy

Radiation therapy for prostate cancer is used to destroy the cancer cells with the use of high-energy rays. A radiation therapy regimen, or schedule, consists of a specific number of treatments given over a set period of time.

Focal Therapy

Focal therapies are considered less-invasive treatments. They can destroy small prostate tumors without treating the rest of the prostate. These treatments can use different forms of energy to destroy the cancer including heat, cold, or irreversible electroporation. This form of treatment is mostly for intermediate-risk prostate cancer patients.

Systemic Treatments

Systemic therapy is the use of medication to destroy cancer cells. This type of medication is given through the bloodstream to reach cancer cells throughout the body. Systemic therapies are generally prescribed by a medical oncologist, a doctor who specializes in treating cancer with medication.

Testosterone Suppression Therapy

This form of treatment is based on lowering testosterone levels in the patient. Because prostate cancer growth is driven by male sex hormones called androgens, lowering levels of these hormones can help slow the growth of the cancer. The most common androgen is testosterone. Testosterone levels in the body can be lowered in a number of ways including surgical removal of the testicles or by taking drugs that turn off the function of the testicles.

  1. Cancer Facts & Statistics. American Cancer Society. https://cancerstatisticscenter.cancer.org/#!/cancer-site/Prostate. Published 2022. Accessed February 7, 2022
  2. Cancer Facts & Figures 2021. American Cancer Society. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and figures/2021/cancer-facts-and-figures-2021.pdf. Accessed July 2021.
  3. Prostate Cancer. American Society of Clinical Oncology. Accessed November 2020 from https://www.cancer.net/cancer-types/prostate-cancer

關於我們的位置

我們位於多倫多北部的中心位置,靠近安大略省列治文山的 7 號高速公路和 404 號高速公路,交通便利。

治療和諮詢以門診形式在全新的私人現代化診所環境中進行,診所設有易於使用的免費地下/地面停車場,可透過 VIVA 公共交通或汽車直接進入。我們毗鄰酒店設施(多倫多公園大道喜來登酒店、萬豪萬怡酒店和 Residence Inn 酒店以及希爾頓花園酒店),為外地患者及其家人提供服務。

我們的中心也完全適合殘疾人士使用。

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