Protonov\u00e9 centrum Praha (PTC) dosahuje \u0161pi\u010dkov\u00fdch v\u00fdsledk\u016f p\u0159i l\u00e9\u010db\u011b n\u00e1dor\u016f prostaty. \u0160etrn\u00e1 protonov\u00e1 l\u00e9\u010dba v\u0161ak nepom\u00e1h\u00e1 jen mu\u017e\u016fm. Profituj\u00ed z n\u00ed tak\u00e9 stovky \u017een, kter\u00e9 se pot\u00fdkaj\u00ed s karcinomem prsu.<\/p>\n\n\n\n
O tom, jak m\u016f\u017ee pom\u00e1hat \u017een\u00e1m s touto diagn\u00f3zou l\u00e9\u010dba v PTC, jsme hovo\u0159ili s MUDr. Andreou P\u00e1sztorovou, vedouc\u00ed l\u00e9ka\u0159kou pro l\u00e9\u010dbu karcinomu prsu v PTC.<\/p>\n\n\n\n
Kolik \u017een u n\u00e1s ro\u010dn\u011b vyslechne tuto diagn\u00f3zu?<\/p>\n\n\n\n
Karcinom prsu je nej\u010dast\u011bj\u0161\u00edm zhoubn\u00fdm onemocn\u011bn\u00edm u \u017een. Ro\u010dn\u011b onemocn\u00ed asi sedm a p\u016fl tis\u00edce pacientek. I kdy\u017e incidence (v\u00fdskyt) je i nad\u00e1le rostouc\u00ed, p\u0159\u00edzniv\u00fdm ukazatelem je v\u00fdvoj mortality (\u00famrtnosti), kter\u00e1 je dlouhodob\u011b stejn\u00e1 nebo dokonce m\u00edrn\u011b klesaj\u00edc\u00ed.<\/p>\n\n\n\n
Jak se n\u00e1m v \u010cR da\u0159\u00ed \u0161\u00ed\u0159it osv\u011btu karcinomu prsu, jste se sou\u010dasnou situac\u00ed jako l\u00e9ka\u0159ka spokojena?<\/p>\n\n\n\n
V roce 2002 byl zaveden v \u010cesk\u00e9 republice st\u00e1tem garantovan\u00fd celoplo\u0161n\u00fd screening pomoc\u00ed mamografie pro \u017eeny ve v\u011bku od 45 let. Vy\u0161et\u0159en\u00ed se nab\u00edz\u00ed \u017een\u00e1m ka\u017ed\u00e9 2 roky. D\u00edky celoplo\u0161n\u00e9mu screeningu se poda\u0159\u00ed odhalit a\u017e 83 procent pacientek v \u010dasn\u00fdch, dob\u0159e l\u00e9\u010diteln\u00fdch stadi\u00edch. Toto pova\u017euji za p\u0159\u00edzniv\u00fd trend, a pr\u00e1v\u011b proto je velmi d\u016fle\u017eit\u00e9 na screening nezapom\u00ednat a absolvovat jej v pravideln\u00e9m, doporu\u010dovan\u00e9m intervalu.<\/p>\n\n\n\n
V \u0159\u00edjnu prob\u00edhal r\u016f\u017eov\u00fd \u0159\u00edjen. Jak vn\u00edm\u00e1te preventivn\u00ed akce?<\/p>\n\n\n\n
\u0158\u00edjen je na cel\u00e9m sv\u011bt\u011b pova\u017eov\u00e1n za m\u011bs\u00edc prevence a zvy\u0161ov\u00e1n\u00ed pov\u011bdom\u00ed o karcinomu prsu. Kl\u00ed\u010dovou roli v \u00fasp\u011b\u0161nosti l\u00e9\u010dby tohoto onemocn\u011bn\u00ed st\u00e1le hraje jeho v\u010dasn\u00fd z\u00e1chyt. Je d\u016fle\u017eit\u00e9 nepodce\u0148ovat proto ji\u017e zmi\u0148ovan\u00e9 pravideln\u00e9 vy\u0161et\u0159en\u00ed na mamografii, v ni\u017e\u0161\u00edm v\u011bku vy\u0161et\u0159en\u00ed ultrazvukem, ale taky pravideln\u00e9 samovy\u0161et\u0159en\u00ed prs\u016f. Toto by si \u017eena m\u011bla prov\u00e1d\u011bt ka\u017ed\u00fd m\u011bs\u00edc. Pokud si v prsu \u010di podpa\u017e\u00ed nahmat\u00e1 bulku, zaznamen\u00e1 v\u00fdtok z bradavky nebo jej\u00ed vtahov\u00e1n\u00ed, je nutno bez prodlevy nav\u0161t\u00edvit sv\u00e9ho gynekologa \u010di praktick\u00e9ho l\u00e9ka\u0159e.<\/p>\n\n\n\n
Objevily se u karcinomu prsu v posledn\u00ed dob\u011b n\u011bjak\u00e9 nov\u00e9 metody l\u00e9\u010dby?<\/p>\n\n\n\n
Vzhledem k tomu, \u017ee karcinom prsu je nej\u010dast\u011bj\u0161\u00edm n\u00e1dorov\u00fdm onemocn\u011bn\u00edm u \u017een, jeho l\u00e9\u010dba jde rychl\u00fdmi kroky dop\u0159edu. Tomuto onemocn\u011bn\u00ed se v\u011bnuje velk\u00e1 pozornost a do l\u00e9\u010dby se dost\u00e1vaj\u00ed modern\u011bj\u0161\u00ed technologie jak medikament\u00f3zn\u00ed, nap\u0159\u00edklad imunoterapie, tak radia\u010dn\u00ed. Protonov\u00e1 radioterapie je pr\u00e1v\u011b jedn\u00edm z t\u011bchto velk\u00fdch pokrok\u016f v l\u00e9\u010db\u011b oza\u0159ov\u00e1n\u00edm.<\/p>\n\n\n\n
Kter\u00fdm pacientk\u00e1m s karcinomem prsu je protonov\u00e1 terapie doporu\u010dena?<\/p>\n\n\n\n
Pro protonovou radioterapii (oza\u0159ov\u00e1n\u00ed) jsou vhodn\u00e9 pacientky s levostrann\u00fdm karcinomem prsu, proto\u017ee v bl\u00edzkosti oza\u0159ovan\u00e9ho objemu se nach\u00e1z\u00ed srdce a jeho tepny. Zejm\u00e9na u pacientek, kter\u00e9 absolvovaly kardiotoxickou l\u00e9\u010dbu, jako je chemoterapie \u010di biologick\u00e1 l\u00e9\u010dba, je nutn\u00e9 srdce p\u0159ed z\u00e1\u0159en\u00edm chr\u00e1nit, a zde je protonov\u00e1 l\u00e9\u010dba velk\u00fdm p\u0159\u00ednosem. Je jednozna\u010dn\u011b v\u00fdhodn\u00e1 pro pacientky s oboustrann\u00fdm posti\u017een\u00edm prs\u016f, komplikovan\u00fdmi tvary hrudn\u00edku, d\u00e1le pro ty, kter\u00e9 ji\u017e v minulosti byly oza\u0159ovan\u00e9 na druh\u00e9m prsu. Doporu\u010dena je tak\u00e9 pro velkou skupinu pacientek, kter\u00e9 maj\u00ed p\u0159idru\u017een\u00e9 srde\u010dn\u00ed nebo plicn\u00ed onemocn\u011bn\u00ed. C\u00edlem modern\u00ed onkologick\u00e9 l\u00e9\u010dby je zajistit pacient\u016fm maxim\u00e1ln\u00ed \u0161anci na vyl\u00e9\u010den\u00ed p\u0159i minimalizaci vedlej\u0161\u00edch \u00fa\u010dink\u016f. A pr\u00e1v\u011b toho se n\u00e1m s protonovou l\u00e9\u010dbou da\u0159\u00ed velmi dob\u0159e dosahovat.<\/p>\n\n\n\n
Jak tedy vlastn\u011b funguje protonov\u00e1 radioterapie?<\/p>\n\n\n\n
V PTC vyu\u017e\u00edv\u00e1me modern\u00ed metodu tzv. tu\u017ekov\u00e9ho skenov\u00e1n\u00ed. Protonov\u00fd svazek d\u00edky jeho fyzik\u00e1ln\u00edm vlastnostem umo\u017e\u0148uje zac\u00edlit po\u017eadovanou oblast a v\u00fdznamn\u011b sn\u00ed\u017eit oz\u00e1\u0159en\u00ed okoln\u00edch zdrav\u00fdch tk\u00e1n\u00ed a org\u00e1n\u016f, co\u017e je nejv\u011bt\u0161\u00edm benefitem protonov\u00e9 l\u00e9\u010dby. V\u00fdrazn\u011b se tak sni\u017euje riziko vzniku ne\u017e\u00e1douc\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f l\u00e9\u010dby a zvy\u0161uje se kvalita \u017eivota pacient\u016f po jej\u00edm ukon\u010den\u00ed. V p\u0159\u00edpad\u011b oza\u0159ov\u00e1n\u00ed lev\u00e9ho prsu m\u016f\u017eeme velmi v\u00fdznamn\u011b sn\u00ed\u017eit ne\u017e\u00e1douc\u00ed oz\u00e1\u0159en\u00ed srdce, v\u011bn\u010dit\u00fdch tepen, ale taky plic a druhostrann\u00e9ho prsu. T\u00edm p\u0159edch\u00e1z\u00edme riziku vzniku srde\u010dn\u00edch onemocn\u011bn\u00ed jako je nap\u0159\u00edklad infarkt myokardu, riziku vzniku plicn\u00edch onemocn\u011bn\u00ed a podobn\u011b.<\/p>\n\n\n\n
V \u010dem spo\u010d\u00edv\u00e1 v\u00fdhoda protonov\u00e9ho oza\u0159ov\u00e1n\u00ed?<\/p>\n\n\n\n
Nejz\u00e1sadn\u011bj\u0161\u00ed v\u00fdhodou je p\u0159esnost oza\u0159ov\u00e1n\u00ed a tak\u00e9 ochrana okoln\u00edch zdrav\u00fdch tk\u00e1n\u00ed. Z\u00e1t\u011b\u017e na zdrav\u00e9 tk\u00e1n\u011b vznikl\u00e1 oza\u0159ov\u00e1n\u00edm je t\u00edmto minimalizov\u00e1na. Na druhou stranu jde o vysoce n\u00e1ro\u010dnou technologii, kter\u00e1 vy\u017eaduje zna\u010dnou spolupr\u00e1ci pacientky.<\/p>\n\n\n\n
Jak prob\u00edh\u00e1 p\u0159\u00edprava na l\u00e9\u010dbu a samotn\u00e9 oza\u0159ov\u00e1n\u00ed pacientky?<\/p>\n\n\n\n
Protonov\u00e9 centrum v Praze vyu\u017e\u00edv\u00e1 vysoce p\u0159esnou technologii protonov\u00e9ho oza\u0159ov\u00e1n\u00ed v \u0159\u00edzen\u00e9m hlubok\u00e9m n\u00e1dechu, p\u0159i detekci povrchu t\u011bla syst\u00e9mem Vision RT. D\u00edky tomuto postupu se \u0159ad\u00ed na\u0161e pracovi\u0161t\u011b mezi p\u0159edn\u00ed sv\u011btov\u00e1 centra v l\u00e9\u010db\u011b karcinomu prsu. B\u011bhem d\u00fdchac\u00edch pohyb\u016f se m\u011bn\u00ed objem hrudn\u00edku, proto mus\u00edme tyto dechov\u00e9 pohyby zastavit. K tomu vyu\u017e\u00edv\u00e1me techniku tzv. \u0159\u00edzen\u00e9ho d\u00fdch\u00e1n\u00ed, to je zadr\u017eov\u00e1n\u00ed dechu v hlubok\u00e9m n\u00e1dechu. Na za\u010d\u00e1tku procesu je pacientka pozv\u00e1na k n\u00e1cviku d\u00fdch\u00e1n\u00ed, aby se ur\u010dila hloubka po\u017eadovan\u00e9ho n\u00e1dechu. N\u00e1sledn\u011b t\u00fdm l\u00e9ka\u0159\u016f a klinick\u00fdch fyzik\u016f p\u0159iprav\u00ed oza\u0159ovac\u00ed pl\u00e1n, podle kter\u00e9ho bude protonov\u00e1 l\u00e9\u010dba prob\u00edhat. Po zhotoven\u00ed oza\u0159ovac\u00edho pl\u00e1nu je pacientka pozv\u00e1na k l\u00e9\u010db\u011b. P\u0159ed ka\u017ed\u00fdm oza\u0159ov\u00e1n\u00edm je pe\u010dliv\u011b p\u0159ekontrolov\u00e1na poloha pacientky. Prov\u00e1d\u00ed se to prost\u0159ednictv\u00edm rentgenov\u00fdch sn\u00edmk\u016f a nav\u00edc pomoc\u00ed dvou stereoskopick\u00fdch kamer na oza\u0159ovn\u011b, kter\u00e9 monitoruj\u00ed povrch t\u011bla pacientky. Po jej\u00edm pe\u010dliv\u00e9m nastaven\u00ed prob\u011bhne samotn\u00e9 oz\u00e1\u0159en\u00ed, kter\u00e9 trv\u00e1 jen n\u011bkolik minut.<\/p>\n\n\n\n
Mus\u00ed b\u00fdt va\u0161e pacientky hospitalizov\u00e1ny, nebo doj\u00ed\u017ed\u011bj\u00ed za l\u00e9\u010dbou z domova?<\/p>\n\n\n\n
L\u00e9\u010dba prob\u00edh\u00e1 ambulantn\u011b. Pacientky z Prahy a okol\u00ed doj\u00ed\u017ed\u011bj\u00ed na l\u00e9\u010dbu denn\u011b z domova. Na na\u0161em pracovi\u0161ti se l\u00e9\u010d\u00ed pacientky nejenom z Prahy, ale z cel\u00e9 \u010cesk\u00e9 republiky, n\u011bkter\u00e9 ze Slovenska nebo zahrani\u010d\u00ed. Pro n\u011b nab\u00edz\u00ed Protonov\u00e9 centrum mo\u017enost ubytov\u00e1n\u00ed v bl\u00edzk\u00e9m hotelu ve spolupr\u00e1ci s Nada\u010dn\u00edm fondem pro protonovou terapii.<\/p>\n\n\n\n
Mohou m\u00edt pacientky v p\u0159\u00edpad\u011b protonov\u00e9 l\u00e9\u010dby i p\u0159\u00edli\u0161n\u00e1 o\u010dek\u00e1v\u00e1n\u00ed. U karcinomu prsu je z\u00e1sadn\u00ed v\u011bd\u011bt, \u017ee protonov\u00e1 terapie p\u0159\u00edmo neodstra\u0148uje zhoubn\u00fd n\u00e1dor\u2026<\/p>\n\n\n\n
Je velmi d\u016fle\u017eit\u00e9, aby tuto informaci \u017eeny m\u011bly, proto\u017ee n\u011bkter\u00e9 pacientky se na n\u00e1s skute\u010dn\u011b obracej\u00ed s t\u00edm, \u017ee se boj\u00ed chemoterapie nebo operace. P\u0159edpokl\u00e1daj\u00ed, \u017ee my jim oza\u0159ov\u00e1n\u00edm n\u00e1dor odstran\u00edme. Je proto nutno p\u0159ipomenout, \u017ee protonov\u00e1 terapie nenahrazuje ani operaci, ani chemoterapii. Je na m\u00edst\u011b a\u017e tam, kde je v pl\u00e1nu oza\u0159ov\u00e1n\u00ed.<\/p>\n\n\n\n
Mnoz\u00ed pacienti se ob\u00e1vaj\u00ed oza\u0159ov\u00e1n\u00ed, proto\u017ee m\u016f\u017ee jejich tk\u00e1n\u011b v\u00fdrazn\u011b po\u0161kodit. Jak vypad\u00e1 z tohoto pohledu protonov\u00e1 terapie?<\/p>\n\n\n\n
V radioterapii je ot\u00e1zka ochrany zdrav\u00fdch tk\u00e1n\u00ed velice d\u016fle\u017eit\u00e1. Nejenom vzhledem k mo\u017en\u00fdm komplikac\u00edm vznikaj\u00edc\u00edm po oz\u00e1\u0159en\u00ed t\u011bchto org\u00e1n\u016f, ale i z d\u016fvod\u016f mo\u017enosti vzniku sekund\u00e1rn\u00edch n\u00e1dor\u016f. To jsou n\u00e1dory, kter\u00e9 vznikaj\u00ed na podklad\u011b oz\u00e1\u0159en\u00e9ho ter\u00e9nu. I n\u00edzk\u00e9 d\u00e1vky m\u016f\u017eou v\u00e9st s odstupem n\u011bkolika let a n\u011bkdy i d\u0159\u00edve ke vzniku sekund\u00e1rn\u00edch n\u00e1dor\u016f. Vzhledem k tomu, \u017ee u protonov\u00e9 terapie je posti\u017een\u00ed zdrav\u00fdch tk\u00e1n\u00ed podstatn\u011b ni\u017e\u0161\u00ed, n\u011bkdy a\u017e t\u00e9m\u011b\u0159 nulov\u00e9, je i toto riziko n\u011bkolikan\u00e1sobn\u011b men\u0161\u00ed.<\/p>\n\n\n\n
PTC disponuje \u0161pi\u010dkov\u00fdm diagnostick\u00fdm z\u00e1zem\u00edm. Pom\u00e1h\u00e1 i v\u00e1m p\u0159i l\u00e9\u010db\u011b karcinomu prsu?<\/p>\n\n\n\n
Ur\u010dit\u011b ano. V\u011bt\u0161ina pacientek je p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby do\u0161et\u0159ena na magnetick\u00e9 rezonanci. U pokro\u010dilej\u0161\u00edch n\u00e1lez\u016f dopl\u0148ujeme i celot\u011blov\u00e9 vy\u0161et\u0159en\u00ed na PET\/CT. C\u00edlem vy\u0161et\u0159en\u00ed je potvrdit, \u017ee v prsu nebo jinde v t\u011ble se ji\u017e n\u00e1dor nebo jeho metast\u00e1zy nevyskytuj\u00ed. V n\u011bkter\u00fdch vz\u00e1cn\u00fdch p\u0159\u00edpadech n\u00e1m toto vy\u0161et\u0159en\u00ed pom\u00e1h\u00e1 i v ur\u010dov\u00e1n\u00ed pl\u00e1novan\u00e9ho oza\u0159ovan\u00e9ho objemu.<\/p>\n\n\n\n
Jak se pacientky na protonovou l\u00e9\u010dbu do Protonov\u00e9ho centra mohou dostat?<\/p>\n\n\n\n
Cest do PTC je n\u011bkolik. Nej\u010dast\u011bj\u0161\u00ed cestou je indikace pacientky na z\u00e1klad\u011b dlouhodob\u00e9 spolupr\u00e1ce l\u00e9ka\u0159\u016f PTC s odborn\u00edky z jin\u00fdch pracovi\u0161\u0165. Dal\u0161\u00ed mo\u017enost\u00ed je, \u017ee pacientka sama zavol\u00e1 na na\u0161i infolinku, nebo po\u0161le e -mailem dotaz na n\u00e1\u0161 klientsk\u00fd servis. Do 24 hodin od n\u00e1s dostane informaci, zda je vhodn\u00e1 k protonov\u00e9 l\u00e9\u010db\u011b. Pokud ano, je objedn\u00e1na na vstupn\u00ed konzultaci.<\/p>\n\n\n\n
Hrad\u00ed protonovou l\u00e9\u010dbu zdravotn\u00ed poji\u0161\u0165ovny?<\/p>\n\n\n\n
Protonov\u00e1 l\u00e9\u010dba je ze z\u00e1kona hrazena zdravotn\u00edmi poji\u0161\u0165ovnami. PTC m\u00e1 dlouhodob\u011b uzav\u0159eny smlouvy s v\u0161emi \u010desk\u00fdmi zdravotn\u00edmi poji\u0161\u0165ovnami.<\/p>\n\n\n\n
Kolik se v PTC l\u00e9\u010dilo pacientek s karcinomem prsu? Stoupaj\u00ed jejich po\u010dty?<\/p>\n\n\n\n
V PTC m\u00e1me n\u011bkolik stovek spokojen\u00fdch pacientek po oza\u0159ov\u00e1n\u00ed. S l\u00e9\u010dbou se za\u010dalo v roce 2015, zpo\u010d\u00e1tku jsme l\u00e9\u010dili jednotky \u017een, nyn\u00ed se v\u0161ak po\u010dty ka\u017edoro\u010dn\u011b navy\u0161uj\u00ed. Oslovuje n\u00e1s \u010d\u00edm d\u00e1l v\u00edce l\u00e9ka\u0159\u016f z \u010cesk\u00e9 republiky, ale i ze zahrani\u010d\u00ed. Obracej\u00ed se na n\u00e1s i samotn\u00e9 pacientky, kter\u00e9 cht\u011bj\u00ed u n\u00e1s l\u00e9\u010dbu absolvovat. Nyn\u00ed je karcinom prsu druhou nej\u010dast\u011bj\u0161\u00ed diagn\u00f3zou l\u00e9\u010denou v na\u0161em centru.<\/p>\n\n\n\n
Vyskytuje se karcinom prsu u mu\u017e\u016f? Je protonov\u00e1 l\u00e9\u010dba v PTC ur\u010dena tak\u00e9 jim?<\/p>\n\n\n\n
Karcinom prsu u mu\u017e\u016f je m\u00e9n\u011b \u010dast\u00fdm onemocn\u011bn\u00edm, p\u0159edstavuje m\u00e9n\u011b ne\u017e jedno procento t\u011bchto karcinom\u016f. M\u016f\u017ee b\u00fdt v\u0161ak spojen s mutac\u00ed gen\u016f, zejm\u00e9na BRCA 2 nebo BRCA 1, proto doporu\u010dujeme u v\u0161ech nov\u011b diagnostikovan\u00fdch mu\u017esk\u00fdch karcinom\u016f prsu doplnit genetick\u00e9 vy\u0161et\u0159en\u00ed. L\u00e9\u010dba mu\u017esk\u00fdch karcinom\u016f prsu se prov\u00e1d\u00ed i na na\u0161em pracovi\u0161ti, absolvovalo ji n\u011bkolik pacient\u016f. V\u00fdb\u011br pacient\u016f a n\u00e1sledn\u011b i oza\u0159ov\u00e1n\u00ed prob\u00edh\u00e1 za stejn\u00fdch podm\u00ednek jako u \u017een.<\/p>\n\n\n\n
Oza\u0159ov\u00e1n\u00edm ale va\u0161e p\u00e9\u010de o pacientky nekon\u010d\u00ed. Pom\u00e1h\u00e1te jim i s p\u00e9\u010d\u00ed o k\u016f\u017ei?<\/p>\n\n\n\n
P\u00e9\u010de o oza\u0159ovanou oblast je d\u016fle\u017eit\u00e1. Ji\u017e p\u0159ed zah\u00e1jen\u00edm oza\u0159ov\u00e1n\u00ed dost\u00e1v\u00e1 od n\u00e1s pacientka speci\u00e1ln\u00ed kr\u00e9m k p\u00e9\u010di o poko\u017eku. C\u00edlem je, aby byla dan\u00e1 oblast l\u00e9pe vy\u017eivena ji\u017e od za\u010d\u00e1tku l\u00e9\u010dby. Po zah\u00e1jen\u00ed radioterapie absolvuj\u00ed pacientky edukaci u kvalifikovan\u00fdch sester, kter\u00e9 je pou\u010d\u00ed, jak se o oza\u0159ovanou oblast starat. Pacientka je pravideln\u011b kontrolov\u00e1na i u sv\u00e9ho l\u00e9ka\u0159e b\u011bhem l\u00e9\u010dby i po jej\u00edm ukon\u010den\u00ed.<\/p>\n\n\n\n
Dala byste na z\u00e1v\u011br \u010dten\u00e1\u0159k\u00e1m n\u011bjak\u00e9 doporu\u010den\u00ed, jak karcinomu prsu nejefektivn\u011bji p\u0159edch\u00e1zet?<\/p>\n\n\n\n
Jak ji\u017e zazn\u011blo, velmi d\u016fle\u017eit\u00e1 je prevence. Nezapom\u00ednat na samovy\u0161et\u0159ov\u00e1n\u00ed prs\u016f, absolvovat doporu\u010den\u00e1 screeningov\u00e1 vy\u0161et\u0159en\u00ed. Pokud se objev\u00ed jak\u00e1koliv zm\u011bna v prsu, neztr\u00e1cet \u010das a ihned nav\u0161t\u00edvit l\u00e9ka\u0159e.<\/p>\n\n\n\n
PTC PRAHA Pra\u017esk\u00e9 Protonov\u00e9 centrum letos v prosinci oslav\u00ed ji\u017e 11. v\u00fdro\u010d\u00ed od zah\u00e1jen\u00ed sv\u00e9ho klinick\u00e9ho provozu. Za tuto dobu se zde l\u00e9\u010dilo ji\u017e p\u0159es 10 000 pacient\u016f z 50 zem\u00ed sv\u011bta. B\u011bhem sv\u00e9 existence se stalo uzn\u00e1van\u00fdm centrem pro protonovou l\u00e9\u010dbu u n\u00e1s i za hranicemi \u010cesk\u00e9 republiky, a zviditel\u0148uje tak cel\u00e9 \u010desk\u00e9 zdravotnictv\u00ed.<\/p>\n\n\n\n
Pra\u017esk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/pr.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Protonov\u00e9 centrum Praha (PTC) dosahuje \u0161pi\u010dkov\u00fdch v\u00fdsledk\u016f p\u0159i l\u00e9\u010db\u011b n\u00e1dor\u016f prostaty. \u0160etrn\u00e1 protonov\u00e1 l\u00e9\u010dba v\u0161ak nepom\u00e1h\u00e1 jen mu\u017e\u016fm. Profituj\u00ed z n\u00ed tak\u00e9 stovky \u017een, kter\u00e9 […]<\/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":[9],"tags":[],"class_list":["post-44326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/44326","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=44326"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/44326\/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=44326"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=44326"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=44326"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}