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Post date: 2010/3/13 下午 12:20:26
今天 (2010-03-13) 的核醫月會在新光醫院舉行，演講講員包括：葉力豪醫師、陳世緯醫師、葉加祿醫師、以及陳怡芳博士
首先由葉力豪醫師報告Two cases of normal-sized ovarian carcinoma syndrome presenting with peritoneal carcinomatosis and elevated serum CA-125，葉醫師建議對於 CA-125 tumor marker 高的個案應注意有無Omental thickening, 或是tumor seeding to paracolic gutter..
若是發現有pelvic mass並伴隨有
- Ascites, nodularity/fixation, metastases,
- 親屬有ovarian, breast ca
- 或是 CA-125 高 (>35U/ml in the postmenopausal, or > 200U/ml in the premenopausal)
則須強烈懷疑是惡性腫瘤! 會中閻主任也分享長庚婦癌的許多經驗
接著由陳世緯醫師報告Evaluation of PET and PSA in Prostate Cancer，
- FDG uptake in primary prostatic cancer was high with higher Gleason grade, advanced clinical stage, and higher serum PSA value.
- FDG PET should not be used in randomly screen for prostatic cancer.
- FDG PET can be used in prostatic ca who's PSA > 2.4ng/ml; PSA doubling time < 6 mo; and PSA velocity > 1.3ng/ml/yr
第三個講題是葉加祿醫師報告A Case of Metastasis to the Diaphragm from Ascending Colon Cancer，從報告中不難發現這個診斷非常困難!
最後由陳怡芳博士跟大家介紹癌症分子標記之研發及其臨床之應用，但對於該新檢查的特異性，敏感度等重要資訊仍顯不足!
- 可以點選最右邊的按鈕放大閱讀或是列印!
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