
Kev kho rau Bladder Neck Invasion hauv Prostate Cancer: Phau Ntawv Qhia rau Tsev Kho Mob thiab Kev Kho Mob Cov kab lus no muab cov ntaub ntawv qhia txog kev kho mob zais zis caj dab ntxeem tau prostate kho mob cancer tsev kho mob, suav nrog kev kuaj mob, kev xaiv kho mob, thiab qhov tseem ceeb ntawm kev xaiv qhov chaw kho mob zoo. Peb tshawb nrhiav ntau yam kev kho mob thiab hais txog qhov xav tau ntawm cov phiaj xwm saib xyuas tus kheej raws li tus neeg mob xav tau thiab qhov xwm txheej.
Bladder neck invasion (BNI) nyob rau hauv prostate cancer yog hais txog kev sib kis ntawm cov qog nqaij hlav cancer ntawm lub caj dab prostate mus rau lub zais zis caj dab, qhov chaw uas lub zais zis txuas mus rau lub urethra. Qhov no qhia tau hais tias muaj ntau theem ntawm tus kab mob, yuav tsum muaj kev nruj dua thiab ntau txoj hauv kev rau kev kho mob zais zis caj dab ntxeem tau prostate kev kho mob qog noj ntshav. Kev kuaj pom ntxov thiab kho sai yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig.
Kev kuaj mob feem ntau pib nrog kev kuaj lub qhov quav digital (DRE) thiab kuaj ntshav prostate-specific antigen (PSA). Kev tshawb nrhiav ntxiv, xws li kev kuaj ntshav biopsy, MRI scan, thiab / lossis CT scan, feem ntau tsim nyog los lees paub qhov kev kuaj mob thiab ntsuas qhov kev kis mob qog noj ntshav, suav nrog BNI. Qhov tseeb theem yog qhov tseem ceeb rau kev txiav txim siab qhov tsim nyog kev kho mob zais zis caj dab ntxeem tau prostate kev kho mob qog noj ntshav tswv yim.
Cov tswv yim zoo tshaj plaws, xws li multiparametric MRI (mpMRI) thiab PET scans, tuaj yeem siv los muab cov ntaub ntawv ntxaws ntxiv txog cov qog, suav nrog nws qhov loj me, qhov chaw, thiab muaj peev xwm kis mus rau cov qauv nyob ze. Cov txheej txheem no tuaj yeem pab txiav txim siab txog qhov zoo tshaj plaws ntawm kev kawm kev kho mob zais zis caj dab ntxeem tau prostate kev kho mob qog noj ntshav.
Kev kho mob rau cov qog nqaij hlav cancer nrog BNI sib txawv nyob ntawm ntau yam, suav nrog tus neeg mob tag nrho kev noj qab haus huv, hnub nyoog, theem ntawm mob qog noj ntshav, thiab kev nyiam ntawm tus kheej. Kev sib tham nrog tus kws kho mob oncologist yog qhov tseem ceeb los tsim txoj kev kho tus kheej.
Radical prostatectomy, uas cuam tshuam nrog kev tshem tawm ntawm lub caj pas prostate, yuav raug txiav txim siab hauv qee kis. Qhov luaj li cas ntawm qhov kev phais yuav raug hloov kho raws li qhov kev cuam tshuam. Robotic-assisted laparoscopic prostatectomy (RALP) feem ntau nyiam rau nws qhov kev cuam tshuam tsawg kawg nkaus.
Kev kho hluav taws xob, sab nraud hluav taws xob hluav taws xob (EBRT) lossis brachytherapy (sab hauv hluav taws xob), yog lwm txoj kev kho mob. Feem ntau, qhov no yog ua ke nrog kev kho hormonal (Androgen deprivation therapy lossis ADT).
Hormone therapy aims txo cov theem ntawm testosterone nyob rau hauv lub cev, slowing kev loj hlob ntawm prostate cancer hlwb. Nws nquag siv nrog rau lwm yam kev kho mob rau cov mob qog nqaij hlav prostate, nrog rau cov uas muaj BNI.
Chemotherapy feem ntau yog tshwj tseg rau cov neeg mob uas muaj kab mob metastatic lossis cov uas tsis tau teb rau lwm yam kev kho mob. Nws siv cov tshuaj muaj zog los tua cov qog nqaij hlav cancer thoob plaws hauv lub cev. Cov tshuaj chemotherapy tshwj xeeb nyob ntawm tus neeg mob.
Xaiv lub tsev kho mob muaj koob npe nrog cov kws paub txog kev paub yog qhov tseem ceeb rau kev pom zoo kev kho mob zais zis caj dab ntxeem tau prostate kev kho mob qog noj ntshav qhov tshwm sim. Cov yam tseem ceeb uas yuav tsum xav txog suav nrog lub tsev kho mob cov kws tshaj lij hauv kev kho mob qog noj ntshav prostate, kev paub thiab kev tsim nyog ntawm pab pawg kho mob, cov cuab yeej siv siab siab thiab cov chaw muaj, thiab tag nrho cov kev saib xyuas zoo.
Xav txog kev tshawb fawb hauv tsev kho mob nrog rau cov chaw kho mob qog noj ntshav prostate mob siab rau thiab pab pawg ntau yam. Cov pab pawg no feem ntau muaj cov kws kho mob urologist, kws kho mob hluav taws xob, kws kho mob oncologist, thiab lwm tus kws kho mob tshwj xeeb uas koom tes los tsim cov phiaj xwm kho mob. Cov ntawv pov thawj ntawm cov neeg mob thiab cov qeb hauv tsev kho mob kuj tseem tuaj yeem pab tau rau hauv txoj kev txiav txim siab. Piv txwv li, lub Shandong Baofa Cancer Research Institute muaj kev qhia Kev kho mob qog noj ntshav prostate.
Nws yog ib qho tseem ceeb kom nco ntsoov tias tsis muaj ib qho loj- haum-txhua txoj hauv kev rau kev kho mob zais zis caj dab ntxeem tau prostate kev kho mob qog noj ntshav. Qhov kev kho mob zoo tshaj plaws nyob ntawm tus neeg mob tshwj xeeb thiab yuav tsum tau txiav txim siab hauv kev sab laj nrog tus kws kho mob oncologist. Kev ntsuam xyuas dav dav yuav txiav txim siab ntau yam los tsim ib txoj kev kho kom haum xeeb uas ua rau muaj feem ua tiav.
| Kev kho mob xaiv | Qhov zoo | Qhov tsis zoo |
|---|---|---|
| Kev phais (Radical Prostatectomy) | Muaj peev xwm kho tau, tuaj yeem tshem tawm tag nrho cov qog. | Tej yam tshwm sim xws li incontinence thiab impotence. |
| Kev kho hluav taws xob | Tsawg invasive tshaj qhov kev phais, tuaj yeem tsom cov qog kom meej. | Tej yam tshwm sim xws li mob plab thiab zais zis. |
| Hormone Therapy | Slows qog loj hlob, tuaj yeem txhim kho cov tsos mob. | Kev mob tshwm sim tuaj yeem suav nrog kub kub, qaug zog, thiab txo libido. |
Disclaimer: Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob tsim nyog rau txhua yam kev txhawj xeeb txog kev noj qab haus huv lossis ua ntej txiav txim siab txog koj txoj kev noj qab haus huv lossis kev kho mob.