Kev kho mob qog noj ntshav prostate recurrent

Recurrent prostate cancer yog hais txog mob qog noj ntshav prostate uas rov qab los tom qab kev kho thawj zaug. Txoj kev kho mob rau recurrent mob qog noj ntshav prostate nyob ntawm ntau yam, suav nrog kev kho thawj zaug, qhov chaw ntawm qhov rov tshwm sim, thiab tus neeg mob tag nrho kev noj qab haus huv. Cov kev xaiv no muaj xws li kev kho tshuaj hormones, chemotherapy, kev kho hluav taws xob, kev phais, thiab kev kho mob. Nkag siab txog cov kev kho mob no thiab kev nce qib tsis ntev los no tuaj yeem pab cov neeg mob kom paub txog kev txiav txim siab txog lawv txoj kev saib xyuas.Kev nkag siab txog kev mob qog noj ntshav ProstateRecurrent prostate cancer txhais tau hais tias mob qog noj ntshav tau rov qab los tom qab kev kho mob thawj zaug. Qhov no tuaj yeem tshwm sim hauv cheeb tsam, txhais tau tias nws rov qab los rau hauv lub txaj prostate lossis nyob ze, lossis qhov tshwm sim nyob deb, txhais tau tias nws tau kis mus rau lwm qhov ntawm lub cev, xws li cov pob txha lossis cov qog nqaij hlav.Cov yam ntxwv cuam tshuam txog kev rov tshwm sim ntau yam tuaj yeem cuam tshuam qhov tshwm sim. recurrent mob qog noj ntshav prostate. Cov no suav nrog: Thawj Gleason Score: Cov qhab nia siab dua Gleason ntawm kev kuaj mob yog txuam nrog kev pheej hmoo siab dua. PSA Qib: Cov qib PSA siab dua tom qab kev kho mob thawj zaug tuaj yeem qhia tau tias cov qog nqaij hlav cancer seem. Qib ntawm Cancer: Ntau theem ntawm mob qog noj ntshav ntawm kev kuaj mob ua rau muaj kev pheej hmoo ntau dua. Surgical Margins: Kev phais zoo (cov qog nqaij hlav cancer pom nyob rau ntawm ntug ntawm cov ntaub so ntswg tshem tawm) ua rau muaj kev pheej hmoo ntawm kev rov ua dua hauv zos. recurrent mob qog noj ntshav prostate nyob ntawm ntau yam, suav nrog hom kev kho thawj zaug, qhov chaw thiab qhov chaw ntawm qhov rov tshwm sim, thiab tus neeg mob tag nrho cov kev noj qab haus huv thiab kev nyiam.Hormone Therapy (Androgen Deprivation Therapy - ADT) Hormone therapy, tseem hu ua androgen deprivation therapy (ADT), aims kom txo cov theem ntawm androgens (txiv neej cov tshuaj hormones loj hlob tuaj). ADT tuaj yeem siv los ntawm cov tshuaj lossis, feem ntau, kev phais kom tshem tawm cov qe ntshav (orchiectomy). Cov kev xaiv ADT feem ntau suav nrog: LHRH agonists (piv txwv li, Lupron, Zoladex) LHRH antagonists (piv txwv li, Firmagon) Anti-androgens (piv txwv li, Casodex, Eulexin, Nilandestronate eventually cancer). resistant rau kev kho tshuaj hormone, ua rau castrate-resistant prostate cancer (CRPC). Txawm li cas los xij, muaj cov kev kho mob zoo rau CRPC.Radiation TherapyRadiation therapy siv cov hluav taws xob hluav taws xob siab los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv los kho qhov rov tshwm sim hauv zos hauv lub txaj prostate tom qab kev phais lossis tsom rau cov qog nqaij hlav cancer hauv lwm qhov ntawm lub cev. Sab nrauv Beam Radiation Therapy (EBRT) Brachytherapy (cov noob hluav taws xob cog ncaj qha rau hauv prostate) Lub [Shandong Baofa Cancer Research Institute] (https://baofahospital.com) ntiav cov txheej txheem hluav taws xob siab kom txo qis cov kev mob tshwm sim thaum ua kom muaj txiaj ntsig zoo. Tham nrog peb cov kws tshaj lij rau cov phiaj xwm kho tus kheej.SurgerySurgery yuav yog ib qho kev xaiv rau hauv zos recurrent mob qog noj ntshav prostate tom qab kev kho hluav taws xob. Qhov no feem ntau yog kev tshem tawm prostatectomy (tshem tawm ntawm lub caj pas prostate). Txawm li cas los xij, nws yog cov txheej txheem nyuaj uas muaj peev xwm tshwm sim, yog li nws tseem ceeb heev los tham txog qhov txaus ntshai thiab cov txiaj ntsig nrog tus kws phais.ChemotherapyChemotherapy siv cov tshuaj tua kab mob qog noj ntshav thoob plaws hauv lub cev. Nws yog feem ntau siv rau metastatic recurrent mob qog noj ntshav prostate, tshwj xeeb tshaj yog thaum kev kho tshuaj hormone tsis zoo lawm.Cov tshuaj khomob feem ntau siv rau kev mob qog noj ntshav prostate muaj xws li: Docetaxel (Taxotere) Cabazitaxel (Jevtana) Targeted Therapies Cov hom phiaj kho mob yog cov tshuaj uas tshwj xeeb rau qee yam molecules lossis txoj hauv kev koom nrog hauv kev loj hlob thiab kis mob cancer. Piv txwv li: Olaparib (Lynparza) thiab Rucaparib (Rubraca): PARP inhibitors siv rau cov qog nqaij hlav nrog qee yam kho DNA tsis xws luag (BRCA1/2 kev hloov pauv). Enzalutamide (Xtandi) thiab Apalutamide (Erleada): Ntau lub zog los tiv thaiv androgens siv rau castrate-resistant prostate cancer. Radium-223 (Xofigo): Targets pob txha metastases.Cov tshuaj kho tus kheej, nrog rau kev kuaj genomic, tau dhau los ua qhov tseem ceeb hauv kev txheeb xyuas cov neeg mob uas yuav tau txais txiaj ntsig los ntawm kev kho mob.ImmunotherapyImmunotherapy harnesses lub zog ntawm lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. Sipuleucel-T (Provenge) yog ib qho tshuaj tiv thaiv kab mob uas tau pom zoo rau cov kab mob metastatic castrate-resistant prostate cancer.Monitoring thiab Follow-upAfter kho mob rau recurrent mob qog noj ntshav prostate, kev saib xyuas tsis tu ncua yog qhov tseem ceeb txhawm rau taug qab tus kab mob cov lus teb thiab kuaj pom qhov kev nce qib ntxiv.Qhov no feem ntau suav nrog: PSA kuaj kev kuaj pom (piv txwv li, kuaj pob txha, CT scans, MRI) Kev kuaj lub cevClinical TrialsClinical trials yog cov kev tshawb fawb tshawb fawb uas ntsuas cov kev kho tshiab lossis kev tswj xyuas. recurrent mob qog noj ntshav prostate. Kev koom nrog hauv kev sim tshuaj ntsuam xyuas yuav muab kev nkag mus rau cov kev kho mob txiav thiab pab txhawb kev nkag siab thiab kev kho tus kab mob. Cov neeg mob tuaj yeem tshawb nrhiav cov kev sim tshuaj ntsuam xyuas los ntawm lawv tus kws kho mob oncologist lossis cov peev txheej xws li National Cancer Institute lub vev xaib (cancer.gov).Kev txiav txim siab txog kev ua neej Txawm tias kev kho mob tseem ceeb, kev ua neej nyob kuj tuaj yeem ua lub luag haujlwm txhawb nqa hauv kev tswj hwm. recurrent mob qog noj ntshav prostate. Cov no suav nrog: Noj qab nyob zoo: Nthuav cov txiv hmab txiv ntoo, zaub, whole grains, thiab lean protein. Kev tawm dag zog tsis tu ncua: Teem kom tsawg kawg 150 feeb ntawm kev tawm dag zog me ntsis hauv ib lub lis piam. Kev Tswj Kev Nyuaj Siab: Xyaum cov tswv yim so xws li kev xav lossis yoga. Ua kom lub cev hnyav: Kev rog dhau tuaj yeem ua rau qhov tshwm sim rau mob qog noj ntshav prostate.Kev kho nrog Recurrent Prostate CancerA kev kuaj mob ntawm recurrent mob qog noj ntshav prostate tuaj yeem ua rau muaj kev nyuaj siab. Nws yog ib qho tseem ceeb kom nrhiav kev txhawb nqa los ntawm tsev neeg, phooj ywg, pab pawg txhawb nqa, lossis cov kws kho mob hlwb. Qhib kev sib txuas lus nrog koj pab neeg saib xyuas kev noj qab haus huv kuj tseem ceeb heev rau kev tswj lub cev thiab lub siab lub ntsws ntawm tus kab mob.Lub luag hauj lwm ntawm Shandong Baofa Cancer Research InstituteAt [Shandong Baofa Cancer Research Institute](https://baofahospital.com), peb tau cog lus los muab kev saib xyuas dav dav thiab qib siab rau cov neeg mob. recurrent mob qog noj ntshav prostate. Peb pab neeg ua haujlwm ntau yam ntawm oncologists, kws phais neeg, hluav taws xob oncologists, thiab lwm tus kws kho mob tshwj xeeb ua haujlwm ua ke los tsim cov phiaj xwm kho tus kheej kom haum rau txhua tus neeg mob cov kev xav tau tshwj xeeb. Peb muaj ntau yam kev kho mob, suav nrog kev kho tshuaj hormones, tshuaj khomob, kev kho hluav taws xob, kev kho mob, thiab kev nkag mus rau kev sim tshuaj. Peb kuj muab kev pab txhawb nqa los pab cov neeg mob tswj xyuas lub cev thiab kev xav ntawm kev kho mob qog noj ntshav. Tiv tauj peb niaj hnub no kom paub ntau ntxiv txog peb cov kev pabcuam thiab peb tuaj yeem pab koj taug kev koj li cas recurrent mob qog noj ntshav prostate.Recurrent Prostate Cancer Treatment Nqi Tus nqi kho mob recurrent mob qog noj ntshav prostate tuaj yeem sib txawv heev nyob ntawm cov kev kho mob tshwj xeeb uas siv, qhov chaw kho mob, thiab kev pov hwm kev pov hwm. Cov neeg mob yuav tsum sib tham txog cov nqi uas muaj peev xwm nrog lawv cov kws kho mob thiab cov tuam txhab tuav pov hwm kom nkag siab txog lawv lub luag haujlwm nyiaj txiag.Kev sib piv cov nqi yooj yim (Ceeb toom: Cov duab no yog siv rau kev piav qhia nkaus xwb thiab tsis sawv cev rau tus nqi tiag tiag.) Kev Kho Mob Tus Nqi Them Ib Zaug Ib Zaug Ntawm Cycles Chemotherapy (piv txwv li, $5,000,000) (piv txwv li, LHRH agonist) $500 - $1,500 Kev Kho Mob Radiation Therapy $10,000 - $30,000 (tag nrho cov chav kawm) Ib chav kawm Targeted Therapy (piv txwv li, Olaparib) $10,000 - $15,000 Kev Kho Mob Tsis Txaus Siab: Kev kho mob ib txwm nrog koj tus kws kho mob tham.Cov ntaub ntawv:National Cancer Institute. www.cancer.govAmerican Cancer Society. www.cancer.org