{"id":39122,"date":"2023-04-20T23:58:51","date_gmt":"2023-04-20T21:58:51","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39122"},"modified":"2023-04-21T00:05:12","modified_gmt":"2023-04-20T22:05:12","slug":"39122","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39122","title":{"rendered":"\u017den\u00e1m s\u00a0agresivn\u00edm n\u00e1dorem prsu sv\u00edt\u00e1 nad\u011bje na novou l\u00e9\u010dbu"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p><strong>Diagn\u00f3zu rakoviny prsu si v\u00a0\u010cesku za rok vyslechne p\u0159ibli\u017en\u011b 7 400 \u017een. Asi 15 % z\u00a0nich m\u00e1 typ, kter\u00fd je vysoce agresivn\u00ed \u2013 rychle roste a metastazuje. Naz\u00fdv\u00e1 se triple negativn\u00ed. Jedinou sou\u010dasnou l\u00e9\u010dbou je chemoterapie, p\u0159\u00edpadn\u011b \u2013 pokud se n\u00e1dor zachyt\u00ed v\u00a0\u010dasn\u00e9m stadiu \u2013 operace a radioterapie. <\/strong><\/p>\n\n\n\n<p><strong>Nov\u011b se ale pacientk\u00e1m otev\u00edr\u00e1 \u0161ance na \u00fa\u010dinnou pomoc v\u00a0podob\u011b imunoterapie. Studie prok\u00e1zaly jej\u00ed \u00fa\u010dinnost pr\u00e1v\u011b u tohoto typu n\u00e1doru a Evropsk\u00e1 agentura pro l\u00e9\u010div\u00e9 p\u0159\u00edpravky (EMA) ji schv\u00e1lila. Podle Aliance \u017een s\u00a0rakovinou prsu by se m\u011bly \u010desk\u00e9 pacientky do\u010dkat \u00fahrady l\u00e9\u010dby ze stran zdravotn\u00edch poji\u0161\u0165oven u\u017e od dubna leto\u0161n\u00edho roku. <\/strong><\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>\u201eTriple negativn\u00ed karcinom prsu postihuje \u010dasto mlad\u0161\u00ed \u017eeny, v\u00a0produktivn\u00edm v\u011bku. Tento typ n\u00e1doru roste velmi rychle \u2013 zv\u011bt\u0161uje se v\u00a0\u0159\u00e1du t\u00fddn\u016f. \u010casto se objevuje jako intervalov\u00fd, proto\u017ee m\u016f\u017ee vzniknout a rychle vyr\u016fst mezi pravideln\u00fdmi preventivn\u00edmi prohl\u00eddkami. Nen\u00ed tak\u00e9 nezvykl\u00e9, \u017ee \u017eeny onemocn\u00ed v t\u011bhotenstv\u00ed nebo v\u00a0dob\u011b kojen\u00ed, kdy se prsa vlivem r\u016fzn\u00fdch hormon\u00e1ln\u00edch zm\u011bn m\u011bn\u00ed, a\u00a0n\u00e1dor se v\u00a0nich tak snadno \u201aztrat\u00ed\u2018,\u201c vysv\u011btluje onkolo\u017eka MUDr. Katar\u00edna Petr\u00e1kov\u00e1, Ph.D., prim\u00e1\u0159ka Kliniky komplexn\u00ed onkologick\u00e9 p\u00e9\u010de Masarykova onkologick\u00e9ho \u00fastavu. Na n\u00e1dor se tak podle n\u00ed \u010dasto p\u0159ijde pozd\u011b, ve stadiu, kdy u\u017e metastazuje. <\/p>\n\n\n\n<p>\u201e\u017deny s\u00a0t\u00edmto typem n\u00e1doru jsou v\u00a0dob\u011b diagn\u00f3zy v\u00a0pr\u016fm\u011bru o 10 let mlad\u0161\u00ed ne\u017e ty, kter\u00e9 maj\u00ed jin\u00fd typ karcinomu prsu. A\u017e 20 % z\u00a0nich je mlad\u0161\u00edch 40 let. S\u00a0t\u00edm, \u017ee by v\u00a0takto mlad\u00e9m v\u011bku mohly onemocn\u011bt rakovinou, v\u016fbec nepo\u010d\u00edtaj\u00ed. N\u00e1dor je agresivn\u00ed, u 45 % \u017een metastazuje do t\u0159\u00ed let,\u201c \u0159\u00edk\u00e1 specialistka. Imunoterapie je podle n\u00ed standardem l\u00e9\u010dby u jin\u00fdch typ\u016f n\u00e1dor\u016f a slav\u00ed velk\u00e9 \u00fasp\u011bchy. \u201eImunoterapie nab\u00edz\u00ed na\u0161im pacientk\u00e1m v\u00fdrazn\u011b \u00fa\u010dinn\u011bj\u0161\u00ed l\u00e9\u010dbu, kter\u00e1 je spojena s\u00a0vy\u0161\u0161\u00edm procentem dosa\u017een\u00fdch kompletn\u00edch remis\u00ed, tedy \u00fapln\u00e9ho vymizen\u00ed n\u00e1doru. Sou\u010dasn\u011b se v\u00fdznamn\u011b sni\u017euje riziko n\u00e1vratu nemoci ve form\u011b metast\u00e1z,\u201c dopl\u0148uje prim. Petr\u00e1kov\u00e1 a zd\u016fraz\u0148uje, \u017ee je t\u0159eba, aby se pacientky l\u00e9\u010dily v\u00a0komplexn\u00edch onkologick\u00fdch centrech (KOC), kde je k\u00a0dispozici nejmodern\u011bj\u0161\u00ed terapie. \u201eOnemocn\u011bn\u00ed se \u010dasto t\u00fdk\u00e1 \u017een ve fertiln\u00edm v\u011bku, kter\u00e9 je\u0161t\u011b nemaj\u00ed d\u011bti. T\u011bm m\u016f\u017eeme krom\u011b l\u00e9\u010dby nab\u00eddnout i odebr\u00e1n\u00ed a zmrazen\u00ed vaj\u00ed\u010dek, kter\u00e9 by l\u00e9\u010dba mohla po\u0161kodit. Tedy zachovat jejich plodnost,\u201c \u0159\u00edk\u00e1 onkolo\u017eka.<\/p>\n\n\n\n<p> Jak uv\u00e1d\u00ed pacientsk\u00e1 organizace Aliance \u017een s\u00a0rakovinou prsu, p\u0159es 30 % \u017een se do KOC v\u016fbec nedostane, a jejich \u0161ance na modern\u00ed terapii je tak miziv\u00e1. <\/p>\n<\/div><\/div>\n\n\n\n<p><em>\u201ePoji\u0161\u0165ovny \u00fahradu l\u00e9\u010dby schv\u00e1lily, dostanou se k\u00a0n\u00ed v\u0161ak jen pacientky v\u00a0t\u011bchto specializovan\u00fdch centrech, proto je krom\u011b rychlosti diagn\u00f3zy d\u016fle\u017eit\u00e9 i m\u00edsto, kde se o n\u011b staraj\u00ed,\u201c<\/em> vysv\u011btluje \u0160t\u011bp\u00e1nka\u00a0Pokorn\u00e1, \u0159editelka Aliance. Jak d\u00e1le uv\u00e1d\u00ed, triple negativn\u00ed n\u00e1dor vznik\u00e1 \u010dasto u mlad\u00fdch \u017een s mutacemi genu <em>BRCA1<\/em> a <em>BRCA2<\/em>. Zpozorn\u011bt by tak\u00e9 m\u011bly ty, u nich\u017e se v\u00a0rodin\u011b vyskytlo v\u00edce n\u00e1dorov\u00fdch onemocn\u011bn\u00ed v\u00a0mlad\u0161\u00edm v\u011bku.<em> \u201eTyto \u017eeny by si m\u011bly zjistit, jak\u00e9 riziko n\u00e1doru jim hroz\u00ed, pravideln\u011b se samovy\u0161et\u0159ovat a\u00a0chodit \u010dast\u011bji na preventivn\u00ed prohl\u00eddky. \u017d\u00edt v neust\u00e1l\u00e9m strachu ale nijak nepom\u00e1h\u00e1. Je sice t\u0159eba sv\u016fj zdravotn\u00ed stav hl\u00eddat, ale nepodl\u00e9hat panice a stresu, kter\u00fd zdrav\u00ed rozhodn\u011b neprosp\u00edv\u00e1,\u201c<\/em> dopl\u0148uje \u0160t\u011bp\u00e1nka Pokorn\u00e1. Jak d\u00e1le uv\u00e1d\u00ed, pacientsk\u00e1 organizace se \u010dasto u\u00a0nemocn\u00fdch \u017een setk\u00e1v\u00e1 s\u00a0t\u00edm, \u017ee hledaj\u00ed vinu u sebe, i kdy\u017e nap\u0159\u00edklad nekou\u0159\u00ed, \u017eij\u00ed zdrav\u00fdm \u017eivotn\u00edm stylem a sportuj\u00ed. <em>\u201e\u0158ada z\u00a0nich kv\u016fli onemocn\u011bn\u00ed ztrat\u00ed partnera a boj\u00ed se, co bude s\u00a0d\u011btmi, vnit\u0159n\u011b trp\u00ed,\u201c <\/em>popisuje \u0159editelka Aliance \u017een s\u00a0rakovinou prsu. Nov\u00e1 l\u00e9\u010dba tak bude pro pacientky s\u00a0triple negativn\u00edm typem n\u00e1doru dle \u0160t\u011bp\u00e1nky Pokorn\u00e9 znamenat nad\u011bji.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Diagn\u00f3zu rakoviny prsu si v\u00a0\u010cesku za rok vyslechne p\u0159ibli\u017en\u011b 7 400 \u017een. Asi 15 % z\u00a0nich m\u00e1 typ, kter\u00fd je vysoce agresivn\u00ed \u2013 rychle roste <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=39122\" title=\"\u017den\u00e1m s\u00a0agresivn\u00edm n\u00e1dorem prsu sv\u00edt\u00e1 nad\u011bje na novou l\u00e9\u010dbu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14166,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39122","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=39122"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39122\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14166"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39122"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39122"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}