2024-01-17 01:59:00
VOICE OF LIVER 2024 Listen to the voice of the liver and fight cancer for the 3rd time, organized by the Liver Care Foundation. honored by Associate Professor Dr. Cherdchai Tantisirin Assistant Minister of the Ministry of Public Health Opening the event, he said that cancer is a challenging disease for the public health system. Because it is the number 1 cause of death for the Thai population. Data from the National Cancer Institute, Department of Medical Services, reported that in 2022 Thailand had approximately 140,000 new patients per year, with approximately 84,000 deaths.
30 baht plus policy of the Ministry of Public Health Set comprehensive cancer as one of the Quick Win policies, with the Cancer Warrior project as a screening tool for early detection. to enter treatment quickly Presently, liver cancer has high quality medicine and technology for comprehensive treatment, including promotion, prevention, screening, diagnosis, treatment, and palliation. with the National Health Security Office and the Social Security Office Support in thorough screening.
Liver cancer is more common in Asia.
Dr. Napa Siriwiwattanakul Director of the National Cancer Institute, Department of Medical Services Mentioning the situation of liver cancer in Thailand: A large number of liver cancer patients were found in Asia, 73.3% from GLOBOCAN. WHO: Liver 2020. Liver cancer can occur for many reasons, such as following hepatitis B and C. or infection from sharing needles Hepatitis B can be transmitted from mother to child up to 90% of the time. Of these, there is a 2% chance per year of developing liver cancer. As for hepatitis C, it can be transmitted through blood. There is a 1-4% chance of developing liver cancer per year.
Thailand ranks 4th in the world in liver cancer deaths.
Dr. Chamrat Phongphit, a gastrointestinal and liver specialist at Nong Khai Hospital and a representative of the Rak Liver Foundation, said that in Thailand, the death rate from liver cancer is as high as 26,704 cases per year, ranking 4th in the world, with 3 deaths. It averages every 1 hour and is the number 1 cause of death in Thailand compared to other types of cancer.
Early stages of hepatocellular carcinoma often cause no symptoms. Patients often come to the doctor when the disease has progressed. causing the treatment to have poor results and has a low chance of recovery Considering treatment for hepatocellular carcinoma is an urgent matter, therefore we would like all sectors to come together and discuss. For the benefits of Thai people
Innovative medicine to treat advanced liver cell cancer
Col. Asst. Prof. Dr. Naiyarat Prasongsuk, Medical Oncologist Phramongkutklao Hospital and Head of the Center of Excellence in Cancer Phramongkutklao Hospital Describes the treatment of patients with hepatocellular carcinoma. Patients with advanced hepatocellular carcinoma Drug treatment is required, including:
1. Targeted drugs act to stop them from dividing. There is a survival rate of regarding 10-13 months.
2. Immunotherapy combined with antiangiogenic drugs administered as an injection has a survival rate of approximately 19.2 months in patients worldwide and 24 months in patients in China. Currently there is no such medicine. Included in the benefits package for liver cancer patients
Risk factors for liver cancer
Risk factors for liver cancer include cirrhosis of the liver from any cause, infection with hepatitis B and C viruses, drinking alcoholic beverages, fatty liver, obesity, diabetes, opflatoxins.
Symptoms of liver cancer In the early stages, there are often no symptoms, later abdominal pain. Especially in the upper right area. The stomach is swollen or the eyes are yellow. body weight decreased For unknown reasons loss of appetite, fatigue He had a fever with no known cause and felt a lump in his liver area.
To prevent hepatitis B risk factors Protect with vaccination Prevention of contamination of blood and secretions and administration of antiviral drugs, in the case of hepatitis C virus Currently there is no vaccine. Contamination through blood and secretions must be prevented. Taking antiviral drugs will cure the disease, in cases of hepatitis caused by drinking alcohol. You should stop drinking alcohol. and risk factors for aflatoxin toxins Be careful of contaminated food. This type of toxin is especially present in dry food.
Screening for liver cancer in the early stages In the case of hepatitis B, males aged 40 years and older and females aged 50 years and older should have an ultrasound every 1 year in cases of liver cirrhosis of any cause. The alpha-fetoprotein indicator must be checked semi-annually.
Treatment of liver cancer in the early stages where there is only one cancerous lump no more than 2 centimeters in size, and in the early stages where there is only one cancerous lump or no more than 3 cancerous lumps smaller than 3 centimeters, the tumor will be surgically removed. or liver transplant or cauterization to destroy the tumor Survival time is more than 60 months.
In the middle stage, many cancerous tumors are larger than the initial stage of cancer. It will be treated with local chemotherapy. through the artery Survival time is more than 30 months.
Metastatic stage: The cancerous tumor has grown very large or has spread into tissues surrounding the liver. or blood vessels in the stomach or spread through the bloodstream into other lobes of the liver Treated with liver cancer drugs Survival time greater than or equal to 24 months.
and the final stage The cancerous tumor has spread to other organs. Will be treated according to symptoms Survival time 3 months
cancer medicine Basic rights should be granted
Dr. Chakkrit Ngosiri, an expert The National Health Security Office (NHSO) said that cancer medicines It is a basic right that humans should receive. Which is the role and duty of NHSO? Make every Thai person and every person have equal rights.
“In order to increase benefits, new medicines will replace old medicines. Under the resolution of the National Health Security Committee, it was stated that if there is any drug that has a cost that is not as high as the original drug, or can be reduced from the original medicine That medicine can replace it. without having to wait for it to be added to the national list of essential medicines first Because it may take 2-3 years,” said Dr. Chakkrit.
While Prof. Dr. Phisit Tangkitwanit Gastrointestinal and liver disease specialist and head of the center specialized in hepatitis and liver cancer Faculty of Medicine Chulalongkorn University As the Liver Disease Association of Thailand suggests that even though we want to treat everyone But this is still not possible. Therefore, if we consider selecting suitable people to receive treatment in advanced stages first, such as people who have good results, live longer, etc., in order to have access to treatment universally. People benefit the most Under discussion of relevant experts
In addition, there has also been a study of data on the use of immunotherapy in Thailand and it has been found that the efficacy data for Thai people is not different from data from studies around the world.
This event is sponsored by Rose Thailand, one of Thailand’s leading healthcare companies that continuously invests in research and development in Thailand.
Raise the level of benefits Hepatocellular carcinoma patients
Weerayuth Yodkham, a patient with advanced liver cell cancer, revealed that he has been ill since 2019. The doctor recommended treatment by taking antiviral drugs and then using drugs targeting the cancer once more. Because it is an advanced case Because it is the hepatitis C virus. I’ve been taking the pills for regarding 2-3 months and have had a lot of side effects. My hands and feet are cracked, and the wounds are all broken when I touch anything. Daily life is quite difficult.
Therefore, I would like to change to another medicine. and received immunotherapy together with antiangiogenic drugs, found that it improved with no side effects and weight increased From the beginning I thought I might not survive. Currently, I see the doctor every 3 weeks to receive medicine, but I am responsible for the expenses myself. Because the medicine is not within the right to treat 30 baht
Pongsin Nuanla-or, a patient with liver cell cancer, said that he was diabetic. high blood pressure and gout before encountering late-stage liver cell cancer and kidney disease Currently, I’ve had my kidney and liver transplanted for 6 years. In the beginning, I didn’t know it was hepatocellular carcinoma. I was just tired so I went to see a doctor. and detected the hepatitis C virus. Treat until the value is 0, then return to living life as before. until there was pain in the right ribcage She had rabbit excrement and mucus, so she went to the doctor and found hepatocellular carcinoma, 7 centimeters in size. She received treatment continuously. until the size increased to 21 centimeters
“I would like to ask the government to consider helping patients have access to innovative immunotherapy drugs. I would like to have a fund set up specifically for liver cancer patients,” Pongsin said.
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