Name: 狗狗黑色素瘤 3 期：下一步該怎麼辦？| 南希-里斯博士問答 (Stage 3 Melanoma in Dogs: What Can We Do Next? | Dr. Nancy Reese Q&A)
Uploaded: 2024-09-03T05:00:46.000Z
Duration: 16 min 22 s

基礎被動語態

Today's show is brought to you by the best-selling book, The Dog Cancer Survival Guide, full spectrum treatments to optimize your dog's life quality and longevity.

今天的節目由暢銷書《狗狗癌症生存指南》為您帶來，全方位的治療方法能優化狗狗的生活品質和壽命。

It's available everywhere books are sold, in both paperback and digital editions, and on the publisher's website at dogcancerbook.com.

該書有平裝本和電子版，在所有出售圖書的地方都可以買到，也可以在出版商的網站 dogcancerbook.com 上買到。

Use coupon code PODCAST on that website to get 10% off The Dog Cancer Survival Guide today.

今天在該網站上使用優惠券代碼 PODCAST，即可享受《狗狗癌症生存指南》9 折優惠。

But honestly, my opinion with thinking in this really aggressive type of tumor that is out with the melanoma vaccine, which seems so much more promising, and it's evaded the radiation, which is such a strong treatment, my feeling is that Panacure would not be, it might be a supportive thing, but I just wouldn't hold out great hope that it would really help with the metastasis.

但老實說，我的看法是，對於這種真正具有侵襲性的腫瘤，使用黑色素瘤疫苗似乎更有希望，而且它躲過了放射線，而放射線是一種強有力的治療手段，我的感覺是，Panacure 不會是，它可能是一種輔助手段，但我不會抱有很大的希望，認為它能真正幫助治療轉移。

Welcome to Dog Cancer Answers, where we help you help your dog with cancer.

歡迎訪問 "狗狗癌症解答"，我們將幫助您幫助患有癌症的狗狗。

下面有請主持人詹姆斯-雅各布森。

Today's episode is a question and answer show, featuring a call that we received on our listener line about a dog with oral melanoma.

今天的節目是一問一答，我們的聽眾熱線接到了一個關於一隻患有口腔黑色素瘤的狗狗的電話。

To answer this caller's question, we have, once again, our medical editor, Dr. Nancy Reese.

為了回答這位聽眾的問題，我們再次請來了醫學編輯南希-里斯博士。

Dr. Nancy has been practicing veterinary medicine for over 30 years now, and as if that wasn't enough, Dr. Nancy also has a master's degree in preventative veterinary medicine and a PhD in epidemiology for good measure.

南希博士從事獸醫工作已有 30 多年，如果這還不夠，南希博士還擁有預防獸醫學碩士學位和流行病學博士學位。

Best of all, Dr. Nancy loves sharing her knowledge and compassion with all of us dog lovers.

最重要的是，南希醫生喜歡與我們這些愛狗人士分享她的知識和愛心。

Once again, Dr. Nancy, thank you so much for being with us.

再次感謝南希博士接受我們的採訪。

Your listeners always seem to have some good, challenging questions, so it's always a good discussion with you.

你的聽眾似乎總能提出一些具有挑戰性的好問題，所以與你的討論總是很愉快。

Well, I think you will enjoy this question from Shirley in Arizona, who has a rescue dog.

我想你們會喜歡亞利桑那州雪莉提出的這個問題，她有一隻救助犬。

Hi, my name is Shirley Ernst, and I live in Arizona.

你好，我叫雪莉-恩斯特，住在亞利桑那州。

She has been diagnosed with oral melanoma.

她被診斷出患有口腔黑色素瘤。

I have been doing these radiation, the three days radiation, and then also she already got the four vaccines.

我一直在做這些輻射，三天的輻射，然後她已經接種了四種疫苗。

And I have been, you know, doing the diet and a lot of natural stuff, most from CBDs, four factor, et cetera.

你知道，我一直在節食，也吃了很多天然的東西，大部分來自 CBDs、四因子等。

And now she has the cancer in the mouth and also in the lymph nodes when she was diagnosed.

現在，她的口腔和淋巴結都有了癌細胞。

So like a week ago, I started to feel like her lymph nodes are getting bigger.

一週前，我開始感覺她的淋巴結越來越大。

And I went to the oncologist and they took an X-ray and seems like she has a little tumor in her lungs.

我去看了腫瘤醫生，他們給她拍了 X 光片，她的肺部好像長了一個小腫瘤。

So I just wanna have an advice what I can do next, because, you know, despite all everything that I have been done, so it seems like the stupid melanoma is not stopping.

所以，我想知道下一步該怎麼辦，因為，你知道，儘管我做了這麼多，但這愚蠢的黑色素瘤似乎並沒有停止生長。

And I was reading about PenaCure and well, I just wanna ask for any advice because according to oncologist, the only option that I have is to do chemo.

我讀到了關於 PenaCure 的報道，我只想聽聽大家的建議，因為根據腫瘤專家的說法，我唯一的選擇就是化療。

And she said that I only have 30% of chances.

And it's probably how a lot of people feel when they're grappling with cancer, stupid melanoma.

這可能也是很多人在面對癌症（愚蠢的黑色素瘤）時的感受。

Dr. Nancy, this sounds like it's metastasizing.

Yeah, well, I'd have to agree with you of stupid melanoma because it is, especially the oral ones, they're just really awful tumors.

是啊，我不得不同意你說的愚蠢的黑色素瘤，因為它，尤其是口腔黑色素瘤，真的是非常可怕的腫瘤。

I mean, not that there's a lot of good tumors out there, but some are certainly worse than others.

我的意思是，並不是說有很多好的腫瘤，但有些肯定比其他的更糟糕。

And you can see all the things that she has done.

She's done the best possible treatments between the radiation and the vaccine, which when the vaccine came out, it really made us excited.

在放射治療和疫苗接種之間，她做了最好的治療，當疫苗問世時，我們真的很興奮。

But obviously it isn't 100% effective in all cases.

但顯然，它並不是在所有情況下都 100%有效。

And it's just such an aggressive cancer that despite those best efforts, unfortunately it seems to have spread to the lymph nodes and presumably the lungs as well.

這是一種侵襲性很強的癌症，儘管已經盡了最大努力，但不幸的是，它似乎已經擴散到淋巴結，可能還擴散到了肺部。

So like I said, I think she wrapped it up the best saying stupid melanoma.

所以，就像我說的，我覺得她用 "愚蠢的黑色素瘤 "這句話做了最好的總結。

So the oral melanoma vaccine, let's talk a little bit about that.

讓我們來談談口服黑色素瘤疫苗。

And the idea of using both the vaccine and the rounds of radiation.

還有同時使用疫苗和放射線的想法。

Yeah, so the radiation helps to shrink the size of it overall.

是的，所以輻射有助於縮小它的整體大小。

So it's a pretty good treatment in terms of getting rid of the bulk of the mass that's in the mouth.

是以，就去除口腔中的大部分腫塊而言，這是一種相當不錯的治療方法。

The melanoma vaccine, I think it was kind of one of the first vaccine types of things we had for cancer.

黑色素瘤疫苗，我認為是我們最早的癌症疫苗之一。

所以，還是那句話，超級激動人心。

And they actually make it from a human version of a component that stimulates the dog's immune system to fight the cancer.

實際上，他們使用的是人類版本的一種成分，這種成分能刺激狗的免疫系統對抗癌症。

So it's kind of one of these interesting ones where the humans are actually helping the dogs.

是以，這是一個有趣的故事，人類實際上是在幫助狗。

Whereas usually most of the things are the dog studies help the humans.

而通常情況下，大多數事情都是狗的研究在幫助人類。

One health, we like this one health, one health.

一個健康，我們喜歡這個 "一個健康，一個健康"。

So the idea of the vaccine is to, again, we're always looking for those ways to get the body's own immune system to attack the cancer.

是以，我們一直在尋找讓人體自身免疫系統攻擊癌症的方法。

Because that's what the body tries to do in general.

You know, we're always fighting off things.

你知道，我們總是在和一些東西作鬥爭。

I mean, there's probably so many things that happen to a dog or a human on a daily basis that could have run rampant and caused problems, but our immune system has effectively dealt with it.

我的意思是，每天發生在狗或人身上的事情可能有很多，它們本可以肆虐並造成問題，但我們的免疫系統卻有效地處理了這些問題。

So, you know, some cancers never get started because the immune system can go after it.

所以，你知道，有些癌症從未開始，因為免疫系統可以追擊它。

So once the tumor is already there, the idea is to supercharge the immune system to attack that particular cell type and try to reduce the effects of it.

是以，一旦腫瘤已經存在，我們的想法就是增強免疫系統的能力，以攻擊這種特殊的細胞類型，並試圖減少它的影響。

But again, unfortunately, it's not sometimes a full-blown cure.

但同樣不幸的是，它有時並不能完全治癒。

Well, I think you have your PhD in epidemiology, right?

Yeah, so, I mean, vaccines are something that people talk about a lot these days, just to make sure, because we've covered this before on Dog Cancer Answers, but this vaccine is not something you do as a preventative.

是的，所以，我的意思是，疫苗是人們最近經常談論的東西，只是為了確保，因為我們之前在 "狗癌症答案 "節目中也提到過這個問題，但這種疫苗並不能作為預防措施。

It's something you do once you have the diagnosis.

Right, right, it's very specific to, you know, train the body to go after those types of cells.

對，對，這是非常特殊的，你知道，訓練身體去尋找那些類型的細胞。

And the normal melanin or pigment-containing cells that exist in the body, I mean, that's what causes, you know, things like freckles or black pigment or the black spots in dogs' tongues.

而人體內正常的黑色素或含色素的細胞，我是說，這就是導致雀斑、黑色素或狗舌頭上的黑斑等的原因。

They have melanocytes, which are the melanin-containing cells.

它們有黑色素細胞，即含有黑色素的細胞。

But when those cells go rampant and turn into cancer, they become the melanoma.

但是，當這些細胞猖獗起來，變成癌症時，它們就成了黑色素瘤。

And those cells react a little differently than normal melanin cells.

這些細胞的反應與正常的黑色素細胞有些不同。

So the vaccine helps to target the abnormal ones and get the body to fight off the cancer that way.

是以，疫苗有助於針對異常的癌細胞，讓身體通過這種方式來抵禦癌症。

So going back to that first question I posed, clearly, Shirley sounds like she's a type A personality based on our personality structure.

所以，回到我提出的第一個問題，很明顯，根據我們的人格結構，雪莉聽起來像是 A 型人格。

So she's doing everything she possibly can.

Is it pretty common in a situation like this to use both radiation and the vaccine?

在這種情況下，同時使用輻射和疫苗是否很常見？

Yeah, it's definitely not uncommon, depending on what resources that particular guardian has available to them.

是的，這絕對不是什麼稀罕事，這取決於特定監護人擁有哪些可用資源。

So some people are so against radiation that they would not consider that, and they might just use the vaccine.

是以，有些人非常反對輻射，他們不會考慮輻射，可能會直接使用疫苗。

Or they might try to surgically remove as much of the tumors they can if it's in an area that that's possible.

或者，如果腫瘤位於可能的區域，他們可能會嘗試通過手術儘可能多地切除腫瘤。

So you might do surgery and then the vaccine afterwards to try to prevent the metastasis.

是以，您可能會先做手術，然後再注射疫苗來預防轉移。

So the metastasis that she is seeing now, in terms of going into the lymph nodes and seeing it in the lung, just pretty much textbook.

是以，她現在看到的轉移，從進入淋巴結和在肺部看到轉移來看，幾乎就是教科書式的。

Yeah, unfortunately, it's just such an aggressive type of tumor that it is not uncommon to have it continue to spread despite the best efforts.

是的，不幸的是，這是一種侵襲性很強的腫瘤，儘管已經盡了最大努力，但腫瘤繼續擴散的情況並不少見。

I wanna get into that right after the break.

我想在休息之後再談這個問題。

Do you have a dog with cancer, need a little support?

您的愛犬患有癌症，需要支持嗎？

Well, please join us and find a few thousand new friends in our private Facebook group called Dog Cancer Support.

那麼，請加入我們，在我們名為 "狗狗癌症支持 "的 Facebook 私人群組中找到數千名新朋友。

Our group is the least judgmental, most helpful and supportive group on the platform, and it is rigorously monitored for kindness.

我們的群組是平臺上最不挑剔、最樂於助人和提供支持的群組，我們會嚴格監督群組的善意行為。

You won't be asked for money or sold anything or ganged up on if someone disagrees with your choices.

如果有人不同意你的選擇，你不會被要錢，也不會被推銷任何東西，更不會被群起而攻之。

You will be listened to, empathized with, and given gentle support and solid advice.

我們將傾聽您的心聲，與您產生共鳴，併為您提供溫和的支持和可靠的建議。

We average 75% participation for a reason.

我們平均 75% 的參與率是有原因的。

It's the only place on Facebook that feels like a truly loving group of people.

這是 Facebook 上唯一一個讓人感覺真正充滿愛的地方。

And if you're not a member yet, join today by typing Dog Cancer Support into the search box in Facebook or by going directly to dogcancersupport.com.

如果您還不是會員，請在 Facebook 的搜索框中輸入 Dog Cancer Support 或直接訪問 dogcancersupport.com，立即加入。

So one of the things that Shirley asked about was Panacur that she'd been reading about.

雪莉問到的其中一個問題就是她在書上看到的 Panacur。

Her oncologist says that, you know, just stick with chemotherapy, but what are your thoughts on Panacur?

她的腫瘤醫生說，你知道，堅持化療就好，但你對 Panacur 有什麼看法？

Yeah, the oncologist, I think, mentioned chemo was the quote, best option, but still only gave it a 30% chance.

是的，我想腫瘤學家提到化療是最好的選擇，但仍然只給了 30% 的機會。

And I think that's, you know, yeah, that's very realistic because it's not one of the most chemo-responsive cancers.

我認為這是非常現實的，因為它不是化療反應最強烈的癌症之一。