エピソード

  • Chronic Venous Insufficiency: Symptoms, Risks & Solutions
    2025/07/18

    In this episode of vpod.ai, we dive deep into a vascular condition that affects millions—often silently—yet remains poorly understood by most: Chronic Venous Insufficiency (CVI).

    Prompted by a recent high-profile diagnosis, CVI has entered the public spotlight, and for good reason. It's more common than heart disease, yet its early symptoms—like swollen legs or varicose veins—are often brushed off as cosmetic or “just aging.”

    Join us as we explore:

    • What CVI really is and how it affects blood flow in your legs
    • Why weak vein valves and pooling blood create visible and painful symptoms
    • Who’s most at risk (hint: age, genetics, pregnancy, lifestyle, and even height play a role)
    • How to recognize early signs like swelling, discoloration, and heaviness
    • What happens if CVI is left untreated—and the serious complications it can lead to
    • The key diagnostic tools doctors use to assess severity
    • Treatment options: from lifestyle changes and compression therapy to minimally invasive vein procedures and surgical interventions

    You'll also hear practical, science-backed advice on how to improve circulation, manage symptoms, and regain comfort—whether you're standing all day, recovering from DVT, or just noticing spider veins for the first time.

    This is a must-listen for anyone managing vascular issues, concerned abo

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    20 分
  • Inflammatory Breast Cancer: Signs, Diagnosis & Treatment Guide
    2025/07/16

    In this powerful deep dive into Inflammatory Breast Cancer (IBC), we unpack:

    ⚠️ What it is & why it's unique

    • IBC is rare and aggressive—only 1–5% of breast cancers—but often mimics benign conditions like mastitis.
    • Unlike other breast cancers, it typically doesn’t form a lump, instead caused by cancer blocking lymph vessels, which leads to redness, heat, swelling, and the telltale “peau d’orange” texture.

    🔍 How it’s diagnosed

    • Diagnosis relies on recognizing visual symptoms involving at least a third of the breast within six months, aided by diagnostic mammograms, ultrasounds, and breast MRI.
    • Biopsy is needed—often including skin—to confirm breast cancer, as IBC is a clinical diagnosis (T4D stage) based on presentation.
    • Tests include HER2 and hormone receptors (ER/PR), genetic profiling (PIK3CA, AKT1, PD-L1), and BRCA screening. Fertility preservation is considered early due to treatment risks.

    🛡 Treatment overview

    1. Neoadjuvant systemic therapy: Chemo—plus HER2‑targeted or immunotherapy if needed—to shrink disease pre‑surgery.
    2. Surgery: Modified mastectomy with lymph node removal; lumpectomy is not recommended for IBC.
    3. Radiation (adjuvant): Typically 5–6 weeks post‑surgery; newer techniques may shorten this duration.
    4. Post‑treatment: Endocrine therapy (if HR‑positive) for 5–10 years; evolving use of ADCs, CDK4/6 inhibitors, immunotherapy, and emerging targeted agents.

    📊 Prognosis & research

    • IBC is always advanced at diagnosis—either stage III (locally advanced) or stage IV (metastatic).
    • 5‑year survival: ~53% with regional spread, ~22% with distant metastasis—underscoring both its severity and urgency for ongoing research.
    • Dedicated funds like the IBC Network Foundation (>$1.8M invested) are driving breakthroughs—identifying IBC‑specific mutations and enabling innovative therapies.

    👥 The power of advocacy
    IBC demands patient vigilance. Your voice can be life‑saving—insist on follow-up if symptoms persist, ask in-depth questions, seek specialists with IBC expertise, and explore clinical trials. Peer support also helps tremendously.

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    25 分
  • Hurthle Cell Carcinoma: Rare Thyroid Cancer Explained & Managed
    2025/07/16

    Join us for a detailed exploration of Hurthle Cell Carcinoma (HCC)—a rare but aggressive thyroid cancer. In this episode, we cover:

    • 🔬 The unique biology: Hurthle cells (oxyphilic cells), packed with mitochondria, and how they differ from other thyroid cancers
    • 🧩 Diagnostic challenges: why fine-needle biopsies often fall short and why surgery is usually needed
    • 🏷 Tumor classification: minimally invasive, angioinvasive, and widely invasive—and how each affects prognosis
    • 🔬 Cutting-edge genetics: mitochondrial mutations, chromosomal loss/near-haploidy, and why drivers like BRAF or RAS are uncommon
    • 🏥 Treatment essentials: surgery (lobectomy vs. total thyroidectomy), the debated role of radioactive iodine (RAI), and the importance of an expert surgeon
    • 💊 Systemic therapy in advanced cases: targeted kinase inhibitors, mTOR inhibitors, clinical trials, and real-world examples
    • 🩺 Follow-up strategy: ultrasound, thyroglobulin monitoring, TSH suppression, imaging (CT/PET/MRI), and multidisciplinary care

    Whether you’re newly diagnosed, in treatment, or a survivor, this guide will help you feel empowered and informed.

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    15 分
  • Hodgkin Lymphoma Uncovered: Biology, Treatment & Long-Term Health
    2025/07/15

    Dive into the evolving world of Hodgkin Lymphoma (HL)—a once-feared cancer now boasting cure rates over 90%. In this episode, we:

    • Explore cellular roots with Reed–Sternberg "owl‑eye" cells and how HL evades the immune system
    • Explain definitive diagnosis via lymph node biopsy and PET-based staging
    • Detail modern, risk-adapted treatments: refined chemo regimens (ABVD, OEPA), targeted therapy like brentuximab vedotin, and checkpoint inhibitors nivolumab & pembrolizumab
    • Highlight strategies to reduce long-term harm: response-adapted therapy, minimizing or avoiding radiation
    • Look at relapse plans including salvage chemo & autologous stem cell transplant, plus novel options like CAR‑T and antibody–drug conjugates
    • Stress survivorship essentials: lifelong monitoring for second cancers (breast, lung), heart & thyroid health, fertility, and mental wellbeing
    • Discuss cutting-edge research areas: liquid biopsies (ctDNA) and personalized care based on tumor biology

    Whether you’re newly diagnosed, in treatment, or a survivor seeking insight, this episode gives clear, essential perspectives.

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    22 分
  • Hairy Cell Leukemia Explained: Diagnosis, Treatment, and Lifesaving Hope
    2025/07/15

    What if a rare blood cancer called hairy cell leukemia (HCL) could ACTUALLY be treatable—and in many cases, allow you to live a normal lifespan? In this illuminating deep dive, we explore:

    • What exactly HCL is—and how the BRAF V600E mutation revolutionized treatment
    • How it’s diagnosed, including hair-like B cells, bone marrow biopsy, and immunophenotyping
    • When treatment is needed (sometimes, wait-and-watch is best)
    • Gold-standard therapies: purine analogs (cladribine, pentostatin) and their excellent long-term results
    • Next-gen targeted options for relapse: BRAF inhibitors like vemurafenib, plus BTK inhibitors, moxetumomab pasudotox, and combination treatments
    • Managing side effects, infection risk, and the importance of vaccination
    • Hopeful prognosis: many HCL patients now have normal life expectancy
    • Support networks with the Hairy Cell Leukemia Foundation—peer forums, webinars, and expert connections

    Whether you're newly diagnosed or supporting someone with HCL, this episode empowers you with factual, hopeful insights.

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    16 分
  • Oral Cancer: Warning Signs, Diagnosis & Life-Changing Prevention
    2025/07/15

    Could that stubborn sore or patch inside your mouth be more than just irritation? In this in-depth deep dive, we unpack oral cancer—where it hides, why early detection matters, and how today's treatments and prevention strategies can save lives.

    🎯 What you’ll learn:

    • Where oral cancers typically occur—tongue, gums, cheeks, and more
    • The most common type: squamous cell carcinoma (~90%)
    • Early warning signs: non-healing sores, red/white patches, bleeding, swelling
    • Advanced symptoms: numbness, swallowing issues, ear pain, neck lumps
    • How doctors diagnose—it starts with biopsy and involves imaging like CT, MRI, PET/CT
    • Understanding staging (TNM system), key prognostic factors, and what they mean for survival
    • Treatment tools: surgery, reconstruction, radiation, chemo, targeted drugs, immunotherapy
    • Supportive care essentials for managing eating, speech, saliva, pain, and mental health
    • Prevention tips: quit tobacco & alcohol, regular dental checkups, monthly self-exams

    Whether you’re supporting a loved one, facing a diagnosis, or want to stay informed, this episode gives you the facts, the tools, and the hope you need.

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    23 分
  • Stomach Cancer: Subtle Symptoms, New Therapies, and Survival Tools
    2025/07/15

    Stomach (or gastric) cancer is the fifth most common cancer worldwide—and the third leading cause of cancer-related death. In this deep dive, we unpack why it's so elusive early on, how it's treated today, and what you can do to lower your risk or support someone through treatment.

    🎯 What you’ll learn:

    • Why early stomach cancer symptoms often mimic indigestion
    • Patient stories that reveal subtle but critical warning signs
    • Key risk factors, from H. pylori to diet, smoking, and genetics
    • Advances in diagnosis, surgery, and life after gastrectomy
    • The powerful role of nutrition and how to eat after treatment
    • How palliative care relieves symptoms and improves quality of life
    • Cutting-edge treatments like immunotherapy and targeted drugs
    • The rise of hyper-personalized cancer care

    Whether you're navigating a diagnosis, supporting a loved one, or simply staying informed, this episode offers clear, compassionate, and science-backed insight.

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    27 分
  • Gallbladder Cancer: From Hidden Diagnosis to Healing Strategies
    2025/07/15

    Gallbladder cancer is one of the most elusive and underrecognized cancers—often discovered by accident. In this powerful deep dive, we unpack what makes it so difficult to detect early, how it’s staged, and what today’s most effective surgical and supportive strategies look like.

    🎯 What you’ll learn:

    • Why gallbladder cancer is often found incidentally
    • The key role of staging and how the TNM system works
    • What radical cholecystectomy actually involves and why it matters
    • How treatment is shifting from aggressive to smarter, targeted surgery
    • When chemotherapy is used—and what side effects to expect
    • The critical impact of palliative care and bile duct support
    • Essential nutritional strategies during treatment
    • The evolving philosophy of personalized, multimodal cancer care

    Whether you're navigating a diagnosis or want to stay informed, this episode delivers clarity, compassion, and insight into one of medicine's most quietly complex cancers.

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    12 分