pi rads 4 kev kho mob qog noj ntshav prostate

Nkag siab Pi-RADs 4 thiab Kev Kho Mob Cancer Prostate

Kab lus no muab cov lus qhia dav dav ntawm Prostate Imaging Reporting thiab Data System (PI-RADs) tau qhab nia 4 thiab nws qhov cuam tshuam rau kev kho mob qog noj ntshav prostate. Peb mam li tshawb nrhiav seb qhov qhab nia PI-RADs 4 txhais tau li cas, cov txheej txheem kuaj mob, ntau yam kev kho mob, thiab cov ntsiab lus tseem ceeb los txiav txim siab thaum txiav txim siab kho mob. Kawm paub txog qhov kev nce qib tshiab kawg thiab yuav ua li cas txhawm rau txheeb xyuas qhov nyuaj no.

PI-RAD Score yog dab tsi?

Prostate Imaging Reporting and Data System (PI-RADs) yog ib qho kev ntsuas tus qauv siv los ntsuas qhov tshwm sim ntawm kev mob qog nqaij hlav prostate raws li qhov kev tshawb pom ntawm multiparametric magnetic resonance imaging (mpMRI). Lub kaw lus muab qhab nia ntawm 1 txog 5, nrog rau 1 sawv cev rau qhov qis tshaj qhov yuav mob qog noj ntshav thiab 5 qhov siab tshaj plaws. A pi rads 4 kev kho mob qog noj ntshav prostate Kev sib tham feem ntau tshwm sim thaum tus neeg mob tau txais PI-RADs qhab nia ntawm 4.

Nkag siab txog PI-RADs 4 Score

Qhov qhab nia PI-RADs 4 qhia tau hais tias muaj qhov tshwm sim nruab nrab ntawm kev mob qog noj ntshav prostate. Nws tsis paub tseeb kuaj mob qog noj ntshav tab sis qhia txog lub sijhawm tseem ceeb uas yuav tsum tau tshawb nrhiav ntxiv. Qhov no feem ntau suav nrog biopsy kom tau txais cov qauv ntaub so ntswg rau kev kuaj xyuas microscopic. Kev txiav txim siab mus ua biopsy yog ua nyob rau hauv kev sab laj nrog tus kws kho mob urologist, txiav txim siab rau tus kheej cov teeb meem thiab cov neeg mob nyiam. A piv rad4 tus qhab nia yuav tsum tau ua tib zoo xav txog cov kauj ruam tom ntej.

Cov txheej txheem kuaj mob tom qab PI-RADs 4 Score

Ua raws li PI-RADs 4 cov qhab nia, ib qho kev tsom xam biopsy feem ntau pom zoo. Qhov no suav nrog kev siv cov duab mpMRI los coj cov koob tso rau hauv cov txheej txheem biopsy, ua kom muaj feem ntau ntawm kev kuaj mob qog noj ntshav yog tias muaj. Cov txheej txheem meej no yog qhov tseem ceeb rau kev kuaj mob kom zoo thiab kev npaj kho mob. Cov txiaj ntsig ntawm biopsy yuav txiav txim siab cov kauj ruam tom ntej hauv kev tswj tus neeg mob tus mob. Qhov no yuav qhia rau cov pi rads 4 kev kho mob qog noj ntshav prostate tswv yim mus tom ntej.

Cov Kev Kho Mob rau Prostate Cancer Diagnosed Tom Qab PI-RADs 4 Score

Cov kev kho mob rau cov qog nqaij hlav prostate tau kuaj pom tom qab PI-RADs 4 cov qhab nia sib txawv nyob ntawm ntau yam, suav nrog cov txiaj ntsig ntawm kev kuaj ntshav (Gleason qhab nia, theem, thiab qib qog nqaij hlav), tus neeg mob tag nrho kev noj qab haus huv, thiab kev nyiam ntawm tus kheej. Cov kev kho mob uas muaj xws li:

Active Kev soj ntsuam

Rau cov qog nqaij hlav prostate uas tsis tshua muaj kev pheej hmoo, kev soj ntsuam nquag (tseem hu ua kev tos saib xyuas) yuav yog ib qho kev xaiv. Qhov no suav nrog kev saib xyuas tus mob qog noj ntshav kom zoo yam tsis muaj kev cuam tshuam tam sim ntawd. Kev kuaj xyuas tsis tu ncua thiab kev kuaj PSA pab taug qab kev mob qog noj ntshav. Kev soj ntsuam nquag yog feem ntau xav txog piv rad4 Cov neeg mob uas muaj cov yam ntxwv tsis tshua muaj kev pheej hmoo txiav txim siab los ntawm cov txiaj ntsig biopsy.

Kev kho hluav taws xob

Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws tuaj yeem xa tawm sab nraud (sab nraud kab hluav taws xob kho mob) lossis sab hauv (brachytherapy). Kev kho hluav taws xob tuaj yeem tsim nyog rau kev mob qog noj ntshav hauv zos tom qab a piv rad4 nrhiav pom ntawm mpMRI thiab kev pom zoo los ntawm biopsy.

Kev phais (Prostatectomy)

Kev tshem tawm ntawm cov qog prostate (radical prostatectomy) yog lwm qhov kev xaiv, tshwj xeeb tshaj yog rau cov qog nqaij hlav hauv zos. Cov txheej txheem no feem ntau tau ua nyob rau hauv cov neeg mob uas mob qog noj ntshav tseem ceeb tau lees paub tom qab PI-RADs 4 thiab kev kuaj ntshav tom qab. Qhov no yog ib txoj kev phais loj uas muaj cov kev mob tshwm sim uas tau ua tib zoo tham nrog cov neeg mob xav txog a pi rads 4 kev kho mob qog noj ntshav prostate txoj kev npaj muaj kev phais.

Hormone Therapy

Hormone therapy, tseem hu ua androgen deprivation therapy, lub hom phiaj los txo cov theem ntawm cov txiv neej cov tshuaj hormones uas txhawb kev loj hlob ntawm qog nqaij hlav cancer prostate. Nws feem ntau yog siv rau hauv cov mob qog nqaij hlav prostate siab heev lossis ua ke nrog lwm yam kev kho mob. Txoj kev kho no yuav yog ib feem ntawm a pi rads 4 kev kho mob qog noj ntshav prostate npaj rau kev mob qog noj ntshav lossis mob qog noj ntshav.

Tej yam yuav tsum tau xav txog thaum xaiv ib txoj kev kho mob

Kev xaiv kev kho mob qog noj ntshav prostate tau kuaj pom tom qab PI-RADs 4 tus qhab nia yog qhov kev txiav txim siab tus kheej. Muaj ntau yam tseem ceeb tau coj mus rau hauv tus account, suav nrog:

Nrhiav Koj Qhov Kev Ntsuas

Tau txais PI-RADs 4 qhab nia tuaj yeem cuam tshuam. Nws yog ib qho tseem ceeb los tham txog koj cov kev xaiv nrog tus kws kho mob urologist uas muaj kev paub txog kev kuaj mob qog nqaij hlav prostate thiab kev kho mob. Ib pab neeg ua haujlwm ntau txoj hauv kev, suav nrog urologists, kws kho hluav taws xob, thiab kws kho mob oncologist, feem ntau muab kev saib xyuas zoo tshaj plaws. Nco ntsoov nug cov lus nug, qhia koj cov kev txhawj xeeb, thiab koom nrog kev txiav txim siab txog koj txoj kev noj qab haus huv. Yog xav paub ntxiv thiab kev txhawb nqa, xav txog kev tshawb nrhiav cov peev txheej muaj nyob hauv cov koom haum muaj koob npe xws li American Cancer Society thiab National Cancer Institute.

Rau siab heev thiab tshwj xeeb Kev kho mob qog noj ntshav prostate, xav txog kev tiv tauj Shandong Baofa Cancer Research Institute.

Disclaimer: Cov ntaub ntawv no yog rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kev kho mob.