乳房磁振造影 發現早測的準
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<p style="line-height: 150%; margin: 0cm 0cm 0pt;" class="MsoNormal"><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">【中央社</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 細明體; COLOR: dimgray; FONT-SIZE: 10pt; mso-bidi-font-family: 細明體; mso-font-kerning: 0pt" lang="EN-US">╱</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">台北</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">22</span><span style="line-height: 150%; font-family: '新細明體','serif'; color: dimgray; font-size: 10pt;">日電】</span></p><p style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan" class="MsoNormal"><br><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt"></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US"><o:p></o:p></span></p>
<p style="LINE-HEIGHT: 190%; WORD-BREAK: break-all"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">乳房磁振造影（</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">MRI</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">）是檢測乳癌工具之一，適合曾隆乳及多發性乳癌婦女，連最小</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">0.5</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">公分以下病灶都可發現，並透過細針定位及粗針穿刺切片，可早期發現乳癌並治療。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US"> <o:p></o:p></span></p>
<p style="LINE-HEIGHT: 190%; WORD-BREAK: break-all"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">根據行政院衛生署十大死因統計，乳癌排名第</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">4</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">，三軍總醫院放射診斷部主治醫師張尊厚今天表示，磁振造影（</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">MRI</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">）自推出後可用在全身部位，包括乳癌檢測，目前檢驗乳癌的方式還包括傳統</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">X</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">光、電腦斷層（</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">CT</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">）、超音波與正子掃描等。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US"> <o:p></o:p></span></p>
<p style="LINE-HEIGHT: 190%; WORD-BREAK: break-all"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">張尊厚舉例說，</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">1</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">名</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">6</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">旬婦人，在年輕時曾作矽膠注射隆乳，最近在右乳外上側摸到硬塊，因不痛也無異狀初期忽略它，經過乳房</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">X</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">光攝影檢查及超音波檢查都因矽膠注射後的結疤塊阻擋音波穿透，無法深入判讀，觸摸時是可以明顯摸到硬塊。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US"> <o:p></o:p></span></p>
<p style="LINE-HEIGHT: 190%; WORD-BREAK: break-all"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">張尊厚建議婦人透過磁振造影檢查，發現一顆約</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">1.6</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">公分腫塊，但離摸到的硬塊還差一點，「這是新的病灶，屬多發性乳癌」，不同於</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">X</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">光攝影與摸到硬塊的位置，因此，說服病人接受磁振造影導引下的粗針穿刺術，在檢查過後的結果顯示是乳癌。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US"> <o:p></o:p></span></p>
<p style="LINE-HEIGHT: 190%; WORD-BREAK: break-all"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">乳癌要發現早、發現小、證明準，張尊厚說，乳房磁振造影的高敏感度表現，連小於</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">0.5</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">公分以下的病灶也無所遁形，這是乳房</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">X</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">光攝影或超音波辦不到的。若需施行影像導引的組織取樣，可採取磁振造影導引下的細針定位，合併外科局部切片術來完成。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US"> <o:p></o:p></span></p>
<p style="LINE-HEIGHT: 190%; WORD-BREAK: break-all"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">他指出，乳房磁振造影檢測具高敏感度，且能針對植入物影訊號過濾處理，使隆乳女性做出清晰的透視影像，是追蹤乳房健康狀態的最佳工具，較適合多發性乳癌及隆乳過後的女性，然而，若裝置有心臟節律器或顱內有磁性的血管夾病患不適合。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US"> <o:p></o:p></span></p>
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