乳癌的中西醫觀點暨自然療法初探

Views of Traditional Chinese and Western Medicine and Preliminary Exploration of Naturopathy on Breast Cancer

呂琇蓉(Lu, Hsiu-Jung) ； 趙恆翊(Chao, Heng-Yi) ； 王育才(Wang, Yu-Tsai)

《中醫內科醫學雜誌》 18卷2期 (2020/12) Pp. 35-47

https://doi.org/10.7102/JTCIM.202012_18(2).0003

摘要

本乳癌不易早期自我發現。乳房致癌的危險因子包括不能改變的因子和可以改變的因子，是複雜的遺傳與環境或是基因與成熟的交互作用。乳癌的西醫治療方法包括手術切除、和放射線治療、化學治療、抗荷爾蒙治療及標靶治療，每種治療方式各有其副作用。絕大多數的台灣罹患乳癌婦女會接受西醫的手術治療，綜合治療是乳癌治療的主要發展方向。中西醫結合治療乳癌漸漸成為目前臨床治療的發展方向。乳癌患者求診中醫，並非完全只是為了治療乳癌或是西醫治療乳癌的副作用。中醫治療以及其他的補充、替代的或整合醫療作為西醫輔助療法是很普遍的，對於西醫治療乳癌患者之副作用的改善與生活品質之提昇確實有其療效；但是，這些補充、替代的或整合醫療亟待建立臨床指引。

關鍵字

乳癌 ； 中醫 ； 放射治療 ； 化學治療 ； 荷爾蒙治療

並列摘要

Breast cancer is not easy to self-detect early. The risk factors for breast cancer include factors that cannot be changed and factors that can be changed. It is a complex interaction between heredity and environment or gene and maturity. Western medicine treatment methods for breast cancer include surgical resection, radiation therapy, chemotherapy, anti-hormonal therapy, and targeted therapy, each of which has its own side effects. The vast majority of women suffering from breast cancer in Taiwan will receive surgical treatment by Western medicine. Comprehensive treatment is the main development direction of breast cancer treatment. The treatment of breast cancer with integrated traditional Chinese and Western medicine has gradually become the current development direction of clinical treatment. The treatment of breast cancer patients with Chinese medicine is not solely for the treatment of breast cancer or the side effects of Western medicine treatment of breast cancer. Traditional Chinese medicine treatments and other complementary, alternative or integrated medical treatments are very common as adjuvant western medicines. They do have curative effects in improving the side effects and quality of life of breast cancer patients treated by western medicine; however, these complementary, alternative or integrated medical treatments are urgent to establish clinical guidelines.

並列關鍵字

breast cancer ； Traditional Chinese medicine ； radiotherapy ； chemotherapy ； hormone therapy

參考文獻

International Agency for Research On Cancer. Press Release Dec 12, 2013. http://www.iarc.fr/en/media-centre/pr/2013/pdfs/pr223_E.pdf

自由時報：肺癌蟬聯癌症死因之首，乳癌最折壽，2018 年6 月15 日，取自 https://news.ltn.com.tw/news/life/breakingne ws/2459565。

Fallowfield L, Jenkins V. Psychosocial/survivorship issues in breast cancer: are we doing better? J Natl Cancer Inst. 2014 Nov 27;107(1):335.

Greenlee H, Balneaves LG, Carlson LE, et al. Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer [published correction appears in J Natl Cancer Inst Monogr. 2015 May;2015(51):98]. J Natl Cancer Inst Monogr. 2014; 2014(50):346-358.

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