2019年9月11日 星期三

[radiation oncology] resource for radiation oncologist

The resource listed below will be updated continuously, if any recommendation, please inform me.

1. contouring:

(1) Target Volume Delineation for Conformal and Intensity-Modulated Radiation Therapy: This is the newest book I can find in this topic, this book is well-organized, and cover many topics. The author Nancy Lee said that there may be a new contouring book coming soon.

(2) econtouring: a website of interactive contouring, cover many types of cancer, also some OAR delineation

(3) RTOG: many contouring guideline was published by this group

(4) head and neck OAR in green journal : published in 2015, very detailed

2. radiobiology:

(1) radiobiology for radiologists: currently in 8th edition, easily to understand

(2) basic clinical radiobiology: deeper than radiobiology for radiologists, but contain many mathematics formula, which helps understanding

3. physics:

(1) Khan's the physics of radiation therapy: viewed as the bible of radiation therapy physics, the author try to target many audience, but I think some of the details need to be looked up in other textbook.

(2) The Physics & Technology of Radiation Therapy, 2nd Edition: written for resident doctor, easily understood, but some of the formula wasn't written in calculus, so lose some of rigorousness, but still good introductory book!

(3) radiation oncology physics, handbook for teachers and students: a text book offered by IAEA, it is written in very detail way, a really good supplement to the previous two book, but it is somewhat old, published in 2005, it's free.

4. clinical practice:

(1) NCCN guideline: a world-wide guideline for cancer treatment, it is free and continuously updated.

5. resource list provided by other website:

(1) ACRO resource list: provided by American college of radiation oncology, very useful!

6. diagnostic radiology: a good radiation oncologist should also be familiar with many kinds of diagnostic modalities

(1) ABR diagnostic radiology core exam (radiographics): preparation material provided by radiographics, very useful !! (p.s. radiographics is one of the official journal of RSNA)

2019年9月5日 星期四

[衛教] 癌症治療簡介

大部分病友一開始得到癌症時, 往往處於一種恐慌的狀態, 不斷上網找資訊, 往往越找越心驚, 以下就由小弟來簡單分享一下癌症治療,  一般來說癌症治療可以分成三個部分, 手術, 化學治療, 放射治療, 其中依據癌症的不同, 嚴重程度的不同, 以及個人狀態的不同, 並不一定需要三種治療都使用,有時只需使用其中一種或是兩種

以下簡單介紹一下各科醫師的不同:

手術: 把腫瘤以及可能侵犯的地方拿掉, 通常是交給外科醫師, 依據癌症的不同, 負責的外科醫師也不同, 以下簡單列表

頭頸部癌症 => 耳鼻喉科, 口腔外科
肺癌 , 食道癌 => 胸腔外科
大腸癌, 直腸癌 => 大腸直腸外科
乳癌 => 乳房外科(是一般外科的一種)
攝護腺癌 腎臟癌 => 泌尿科
腦癌 脊椎腫瘤 => 神經外科
婦科癌症 => 婦產科
骨癌 => 骨科
胃癌 胰臟癌 肝癌 甲狀腺癌 => 一般外科

化學治療: 屬於"全身性"治療,也就是常聽到的藥物治療, 負責的醫師依照醫院會有所不同, 有些是由上面提到的外科醫師負責, 有些不是

所有腫瘤的化療 => 血液腫瘤科
肺癌 => 有些醫院是胸腔內科負責

放射治療 => 屬於局部治療, 就是俗稱的電療, 利用放射線殺死癌細胞

所有腫瘤的放射治療 => 放射腫瘤科
腦癌 => 有些醫院的加馬刀由神經外科負責

最後想說的是, 癌症治療通常不是單一個醫師可以完成的, 往往都要透過跨專科討論, 因此許多醫院都有所謂的癌症聯合討論會, 有負責治療的醫師以及在幕後工作的放射科醫師, 病理科醫師, 核醫科醫師等等, 大家一起討論, 發揮團隊的力量, 提供病友更好的治療!