مركز هداسا الطبي، المعترف به من قبل مجلة نيوزويك كواحد من أفضل المراكز الطبية في العالم، متخصص في الأورام، حيث يقود الدكتور فلاديمير يوتكين برنامج أورام المسالك البولية. يتمتع الدكتور يوتكين بخبرة تزيد عن _doctor_3603_years_ ويجري جراحات روبوتية متقدمة لسرطان الخصية. وهو مدرج في قائمة مجلة فوربس لأفضل الأطباء في إسرائيل وقد أجرى أكثر من 300 عملية جراحية روبوتية.
مركز هداسا الطبي هو مركز طبي متعدد التخصصات تابع للدولة يقع في القدس ، إسرائيل. أقوى التخصصات هي جراحة المخ والأعصاب وجراحة العظام والأورام وأمراض الدم والأورام. في كل عام ، تم إدراج أكثر من 150 طبيبًا في هداسا في قائمة أفضل الأطباء وفقًا لمجلة فوربس. يخدم مركز هداسا الطبي البالغين والأطفال على حدٍ سواء. يختار مليون مريض مركز هداسا الطبي للحصول على الرعاية الطبية كل عام. المرضى من رابطة الدول المستقلة وأوروبا والكومنولث وجامعة الدول العربية يزورون العيادة في أغلب الأحيان. في عام 2017 ، زارت ميلانيا ترامب ، السيدة الأولى السابقة للولايات المتحدة الأمريكية ، مركز هداسا الطبي كمستشفى إسرائيلي رائد.
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لإجراء علاج فعال ، من الضروري إنشاء تشخيص دقيق . بادئ ذي بدء ، يقوم المتخصصون مثل أخصائي المسالك البولية وأخصائي الأورام بإجراء فحص يشمل ملامسة الخصيتين والعقد الليمفاوية.
ثم يجب تطبيق طرق التصور :
تسمح هذه الطرق باكتشاف الخصائص المميزة لنمو الورم ، النقائل ومستوى انتشارها ، وتقدير حالة الأنسجة المحيطة.
الخطوة التالية هي إجراء اختبارات تشخيصية على علامات الورم المحددة . في حالة الكشف عن نوع غير الورم المنوي من بروتين ألفا فيتوبروتين الورم.
يبدأ علاج سرطان الخصية دائمًا بإزالة الخصية المصابة (يسمى هذا النوع من الجراحة استئصال الخصية). تعتمد أساليب العلاج الأخرى على الخصائص النسيجية للورم ، ومرحلة السرطان ومستوى علامات الورم في الدم.
في حالة ورم الخصية المنوي في المرحلة 1 و 2 ، يتم إجراء الجراحة مع العلاج الإشعاعي وإزالة العقد الليمفاوية من تجويف البطن. يشمل علاج سرطان الخصية في المرحلة 3 و 4 العلاج الكيميائي .
في المراحل الأولى يتم علاج ورم الورم المنوي بنجاح في 95٪ من الحالات .
تعتبر أورام الخصية غير الورمية أقل حساسية للعلاج الإشعاعي. إذا كان المريض يعاني من سرطان الخصية غير المنوي المرحلة 1 و 2 بعد استئصال الخصية ، يتم تطبيق هذه الطرق:
تعتمد تكلفة علاج سرطان الخصية على مرحلة المرض ، ومستوى انتشار النقيلي ، والبلد والمستشفى حيث يفضل المريض الخضوع للعلاج.
عادة ما تعتمد تكلفة استئصال الخصية على هذه العوامل:
يفترض علاج سرطان الخصية دائمًا إزالة خصية أو خصيتين. لكن غياب هذا العضو يمكن أن يسبب إزعاجًا للرجال ، ولهذا السبب تقترح أفضل المستشفيات في جميع أنحاء العالم صنع خصيتين اصطناعيتين . يعتمد سعر هذا الإجراء على مادة الزرع والمركز الطبي الذي ستجرى فيه هذه العملية.
عادةً ما تُصنع الخصيتان الاصطناعية من السيليكون المضاد للحساسية. يعيد الزرع تكوين شكل العضو الذي تمت إزالته ، لذلك ستبدو الخصية الاصطناعية مثل الخصية الطبيعية . يتم احتساب تكلفة هذا الإجراء بشكل فردي.
تجرى العملية تحت تأثير التخدير العام أو الموضعي. تستمر 30-40 دقيقة . الاستشفاء ليس ضروريًا لهذا النوع من الجراحة.
وصول
التشخيص
تطوير خطة العلاج
علاج
متابعة
إعادة تأهيل
تذكر ، يمكن للطبيب فقط تحديد خطة التشخيص والعلاج لأن كل حالة فردية. يمكن أيضًا استخدام طرق التشخيص الأخرى مثل التصوير المقطعي المحوسب أو التصوير بالرنين المغناطيسي. يمكن اعتبار العلاجات الإضافية مثل العلاج الكيميائي بجرعات عالية مع زراعة الخلايا الجذعية أو العلاج الهرموني أو العلاجات المستهدفة بناءً على حالة المريض.
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