Cov Kev Kho Mob rau Cribriform Prostate CancerCribriform prostate cancer yog ib hom mob qog nqaij hlav prostate tshwj xeeb los ntawm cov qog nqaij hlav tshwj xeeb. Nkag siab txog qhov muaj kev kho mob cribriform prostate kev kho mob cancer cov kev xaiv yog qhov tseem ceeb rau kev tswj kom zoo thiab txhim kho cov txiaj ntsig ntawm tus neeg mob. Kab lus no muab cov lus qhia dav dav ntawm cov kev xaiv no, qhia txog lawv cov txiaj ntsig, kev pheej hmoo, thiab kev tsim nyog rau cov neeg mob sib txawv.
Nkag siab txog Cribriform Prostate Cancer
Cribriform prostate cancer yog qhov txawv los ntawm nws cov qauv kev tsim vaj tsev, uas qhia cov khoom sib txuas, cribriform (sieve-like) qog. Qhov no histological feature tuaj yeem cuam tshuam txog kev kuaj mob thiab kev xaiv kho mob. Txawm hais tias cov txheej txheem tseeb tseem tab tom tshawb nrhiav, kev tshawb fawb qhia tias tus qauv no yuav cuam tshuam nrog tus cwj pwm qog nqaij hlav ntau dua hauv qee kis. Kev kuaj mob kom raug los ntawm kev kuaj ntshav biopsy thiab Gleason cov qhab nia yog qhov tseem ceeb hauv kev txiav txim siab qhov kev ua haujlwm tsim nyog. Kev tshawb nrhiav ntxiv, xws li MRI scans, yuav raug siv los ntsuas qhov mob qog noj ntshav.
Kev kuaj mob thiab theem ntawm Cribriform Prostate Cancer
Kev kuaj pom tseeb ntawm cribriform prostate cancer yog nyob ntawm qhov kev kuaj mob prostate. Tus kws kho mob tshuaj xyuas cov qauv ntaub so ntswg nyob rau hauv lub microscope los ntsuam xyuas lub glandular architecture, txheeb xyuas cov yam ntxwv cribriform, thiab txiav txim siab Gleason qhab nia. Gleason qhab nia pab qib kev mob qog noj ntshav, cuam tshuam rau kev txiav txim siab kho mob. Staging suav nrog kev txiav txim siab txog qhov kis mob qog noj ntshav uas siv cov txheej txheem kuaj pom zoo li MRI, CT scans, thiab kuaj pob txha. Cov theem qhia txog txoj kev kho mob thiab kev kwv yees.
Txoj Kev Kho Mob Cribriform Prostate Cancer
Cov
kev kho mob cribriform prostate kev kho mob cancer cov kev xaiv rau cribriform prostate cancer tsom iav uas siv rau lwm yam qog nqaij hlav prostate tab sis raug kho raws li Gleason qhab nia, theem, thiab tus neeg mob kev noj qab haus huv tag nrho. Cov kev kho mob tseem ceeb muaj xws li:
1. Kev soj ntsuam nquag
Rau cov neeg mob uas tsis tshua muaj kev pheej hmoo mob qog noj ntshav prostate (cov qhab nia qis Gleason thiab cov kab mob hauv cheeb tsam), kev soj ntsuam nquag yog qhov kev xaiv siv tau. Qhov no suav nrog kev saib xyuas tsis tu ncua los ntawm kev xeem PSA, kuaj lub qhov quav digital, thiab kev kuaj biopsies txhawm rau txheeb xyuas cov kev hloov pauv hauv kev mob qog noj ntshav. Kev soj ntsuam xyuas kom tsis txhob muaj kev ntxhov siab tam sim ntawd, txo cov kev mob tshwm sim tsawg kawg nkaus. Txawm li cas los xij, nws yuav tsum tau ua tib zoo saib xyuas thiab ceev faj.
2. Kev phais (Radical Prostatectomy)
Radical prostatectomy, kev phais tshem tawm ntawm lub caj pas prostate, yog ib qho kev xaiv kho mob rau cov mob qog nqaij hlav hauv cheeb tsam prostate. Cov txheej txheem no tuaj yeem ua tau los ntawm kev siv cov txheej txheem phais sib txawv, suav nrog kev siv tshuab laparoscopic prostatectomy (RALP) lossis kev phais qhib. Qhov kev xaiv ntawm cov txheej txheem yog nyob ntawm ntau yam, nrog rau tus kws kho mob qhov kev txawj ntse thiab tus neeg mob tus yam ntxwv. Tej yam tshwm sim muaj xws li urinary incontinence thiab erectile kawg. Lub sij hawm rov qab sib txawv nyob ntawm seb hom kev phais tau ua.
3. Kev kho hluav taws xob
Kev kho hluav taws xob, kev kho hluav taws xob sab nraud (EBRT) lossis brachytherapy (sab hauv hluav taws xob), tuaj yeem tsom thiab rhuav tshem cov qog nqaij hlav cancer. EBRT xa hluav taws xob los ntawm lwm qhov chaw, thaum brachytherapy cuam tshuam nrog kev tso cov noob hluav taws xob ncaj qha rau hauv lub caj pas prostate. Qhov kev xaiv ntawm EBRT thiab brachytherapy yog nyob ntawm cov yam ntxwv xws li qog qhov chaw, qhov loj me, thiab kev noj qab haus huv tag nrho. Cov kev mob tshwm sim ntawm kev kho hluav taws xob tuaj yeem suav nrog teeb meem tso zis thiab plab hnyuv, qaug zog, thiab khaus tawv nqaij.
4. Hormone Therapy (Androgen Deprivation Therapy)
Kev kho tshuaj hormone, tseem hu ua androgen deprivation therapy (ADT), yog siv los txo cov qib testosterone, qeeb lossis nres kev loj hlob ntawm cov qog nqaij hlav qog nqaij hlav prostate. Qhov kev kho mob no feem ntau yog siv rau kev mob qog noj ntshav siab lossis metastatic cribriform prostate. ADT feem ntau ua ke nrog lwm yam kev kho mob, xws li kev kho hluav taws xob lossis tshuaj khomob. Kev mob tshwm sim ntawm ADT tuaj yeem suav nrog kub kub, txo libido, hnyav nce, thiab pob txha.
5. Tshuaj kho mob
Chemotherapy yog ib qho kev kho mob uas siv tshuaj tua kab mob qog noj ntshav thoob plaws hauv lub cev. Nws feem ntau yog siv rau metastatic cribriform prostate mob qog noj ntshav uas tau ua tiav txawm tias muaj lwm yam kev kho mob. Muaj ntau yam kev kho tshuaj khomob muaj nyob, thiab kev xaiv nyob ntawm tus neeg mob tus yam ntxwv thiab theem kab mob. Cov kev mob tshwm sim tuaj yeem muaj xws li xeev siab, ntuav, plaub hau poob, qaug zog, thiab txo cov ntshav cell.
Xaiv txoj kev kho mob
Kev xaiv qhov zoo tshaj plaws
kev kho mob cribriform prostate kev kho mob cancer nyob ntawm ntau yam. Cov no suav nrog Gleason qhab nia, theem ntawm tus mob qog noj ntshav, tus neeg mob lub hnub nyoog, kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej. Ib pab neeg ua haujlwm ntau txoj hauv kev, suav nrog urologists, oncologists, radiologists, thiab lwm tus kws tshaj lij, yog qhov tseem ceeb rau kev npaj kho tus kheej. Qhib kev sib txuas lus nrog pab neeg saib xyuas kev noj qab haus huv yog qhov tseem ceeb los xyuas kom tus neeg mob paub meej thiab koom nrog hauv kev txiav txim siab. Yog xav paub ntxiv thiab kev txhawb nqa, koj tuaj yeem tiv tauj rau
Shandong Baofa Cancer Research Institute.
Cov lus sib piv ntawm Kev Xaiv Kev Kho Mob
| Kev kho mob xaiv | Kev tsim nyog | Qhov zoo | Qhov tsis zoo |
| Active Kev soj ntsuam | Tsawg-kev pheej hmoo, kab mob hauv zos | Zam kev kho mob tam sim ntawd, txo cov kev mob tshwm sim | Yuav tsum tau saib xyuas ze, muaj peev xwm rau ncua kev cuam tshuam |
| Radical Prostatectomy ntawm lub ntsej muag | Kab mob hauv zos | Muaj peev xwm kho tau | Muaj peev xwm rau urinary incontinence thiab erectile kawg |
| Kev kho hluav taws xob | Cov kab mob hauv zos lossis hauv cheeb tsam siab heev | Siv tau los tswj kev loj hlob ntawm qog noj ntshav | Muaj peev xwm rau cov teeb meem urinary thiab plab hnyuv, qaug zog |
| Hormone Therapy | Advanced los yog kab mob metastatic | Ua rau qeeb lossis nres mob qog noj ntshav | Muaj peev xwm rau kub flashes, txo libido, osteoporosis |
| Tshuaj kho mob | Kab mob metastatic | Kev kho mob los tua cov qog nqaij hlav cancer | Muaj peev xwm rau xeev siab, ntuav, plaub hau poob, qaug zog |
Disclaimer: Cov ntaub ntawv no yog siv rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob kom kuaj xyuas thiab kho txhua yam mob. Cov ntaub ntawv nthuav tawm no yog raws li kev tshawb fawb tam sim no thiab tej zaum yuav raug hloov pauv. Cov lus pom zoo rau kev kho mob tshwj xeeb yog nyob ntawm tus neeg mob yam xwm txheej thiab yuav tsum tau txiav txim siab los ntawm tus kws kho mob.References: (Cov tshooj no yuav suav nrog cov ntawv sau rau cov ntaub ntawv kho mob thiab cov koom haum txhawb nqa cov ntaub ntawv hauv kab lus.)