kev kho mob hauv zos advanced prostate kho mob cancer

Kev Xaiv Kev Kho Mob rau Hauv Zos Advanced Prostate Cancer

Kev mob qog noj ntshav hauv zos (LAPC) nthuav qhia cov teeb meem tshwj xeeb hauv kev npaj kho mob. Cov lus qhia dav dav no tshawb txog ntau yam kev kho mob uas muaj, tsom mus rau kev nce qib tshiab thiab pab koj nkag siab txog yam cuam tshuam rau kev txiav txim siab kho mob. Peb yuav npog cov kev phais, kev kho hluav taws xob, kev kho tshuaj hormone, thiab cov kev kho tshiab tshiab. Nco ntsoov, cov ntaub ntawv no yog rau kev kawm nkaus xwb thiab yuav tsum tsis txhob hloov cov lus qhia txog kev kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob oncologist kom txiav txim siab qhov kev ua haujlwm zoo tshaj plaws rau koj qhov xwm txheej tshwj xeeb.

Nkag siab Locally Advanced Prostate Cancer

Defining Locally Advanced Prostate Cancer

Kev kho mob qog noj ntshav prostate hauv zos yuav tsum muaj kev nkag siab meej txog tus kab mob. LAPC tau txhais los ntawm nws qhov: mob qog noj ntshav nyob rau hauv lub caj pas prostate tab sis muaj cov yam ntxwv qhia tias muaj kev pheej hmoo ntau dua ntawm kev kis lossis rov tshwm sim. Cov yam ntxwv no feem ntau suav nrog Gleason cov qhab nia siab, qhov loj ntawm cov qog nqaij hlav, thiab / lossis kev koom tes ntawm cov hlab ntsha hauv lub cev. Cov theem ntawm kev mob qog noj ntshav - feem ntau T3 lossis T4 - kuj qhia nws qhov kev nce qib hauv zos.

Diagnosis thiab Staging

Kev kuaj mob kom raug yog qhov tseem ceeb rau kev ua tau zoo hauv zos advanced prostate kho mob cancer. Qhov no feem ntau suav nrog kev kuaj lub qhov quav digital (DRE), kuaj ntshav prostate-specific antigen (PSA), kuaj ntshav biopsy, thiab kev tshawb fawb duab xws li MRI lossis CT scans. Staging pab txiav txim seb tus kab mob cancer kis tau li cas thiab coj cov tswv yim kho mob.

Txoj Kev Kho Mob Rau Hauv Zos Advanced Prostate Cancer

Kev phais: Radical Prostatectomy

Radical prostatectomy cuam tshuam nrog kev phais tshem tawm ntawm cov qog prostate thiab cov ntaub so ntswg ib puag ncig. Qhov no yog ib txoj kev tseem ceeb uas muaj teeb meem, tab sis nws tuaj yeem yog qhov kev xaiv zoo rau qee tus txiv neej nrog LAPC. Qhov kev vam meej yog nyob ntawm ntau yam nrog rau theem ntawm tus mob qog noj ntshav thiab tus kws phais tus kws tshaj lij. Lub sijhawm rov qab los ntawm kev phais yuav txawv heev.

Radiation Therapy: Sab Nraud Beam Radiation thiab Brachytherapy

Kev kho hluav taws xob yog lwm lub hauv paus ntawm hauv zos advanced prostate kho mob cancer. Sab nrauv kab hluav taws xob kho hluav taws xob (EBRT) siv cov kab hluav taws xob siab los tsom rau cov qog nqaij hlav cancer. Brachytherapy cuam tshuam nrog kev tso cov noob hluav taws xob ncaj qha rau hauv lub caj pas prostate. Ob txoj kev tsom mus tua cov qog nqaij hlav cancer thaum txo qis kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv. Kev xaiv ntawm EBRT thiab brachytherapy, lossis kev sib xyaw ua ke ntawm ob qho tib si, nyob ntawm tus kheej yam.

Hormone Therapy (Androgen Deprivation Therapy - ADT)

Kev kho cov tshuaj hormones, tseem hu ua androgen deprivation therapy (ADT), ua haujlwm los ntawm kev txo cov theem ntawm androgens-txiv neej cov tshuaj hormones-uas roj prostate cancer loj hlob. ADT feem ntau yog siv ua ke nrog lwm yam kev kho mob rau LAPC, ua ntej lossis tom qab phais lossis hluav taws xob, los pab tiv thaiv kev rov tshwm sim dua. Kev mob tshwm sim ntawm ADT tuaj yeem suav nrog kub kub, qhov hnyav nce, thiab txo libido.

Kev Kho Mob Kub Kub thiab Kev Kho Mob

Lub toj roob hauv pes ntawm hauv zos advanced prostate kho mob cancer yog evolving tas li. Cov kev kho tshiab tshiab, xws li kev siv tshuaj tiv thaiv kab mob thiab cov phiaj xwm kho mob, tab tom qhia cov lus cog tseg hauv kev sim tshuaj. Kev koom tes hauv kev sim tshuaj tuaj yeem muab kev nkag mus rau cov kev kho mob siab tshaj plaws thiab pab txhawb kev nce qib hauv kev kho mob qog noj ntshav. Sib tham txog qhov muaj peev xwm ntawm kev sim tshuaj nrog koj tus kws kho mob oncologist.

Xaiv Txoj Kev Npaj Kho Mob Zoo

Xaiv qhov zoo tshaj plaws hauv zos advanced prostate kho mob cancer txoj kev npaj yog ib txoj kev ua tus kheej heev. Koj tus kws kho mob oncologist yuav txiav txim siab ntau yam nrog rau koj qhov kev noj qab haus huv tag nrho, theem thiab tus yam ntxwv ntawm koj tus mob qog noj ntshav, thiab koj tus kheej nyiam. Lawv yuav tham txog cov txiaj ntsig thiab kev pheej hmoo ntawm txhua txoj kev kho mob los pab koj txiav txim siab paub. Qhov no tej zaum yuav koom nrog ntau pab pawg neeg txoj hauv kev, koom nrog cov kws tshaj lij ntawm urologist, kws kho mob hluav taws xob, kws kho mob oncologist, thiab lwm tus kws kho mob tshwj xeeb. Qhib kev sib txuas lus nrog koj pab neeg kho mob yog qhov tseem ceeb nyob rau hauv tag nrho cov txheej txheem.

Kev Tswj Xyuas Lub Sij Hawm Ntev thiab Kev Saib Xyuas Tom Qab

Tom qab kev kho mob rau LAPC, kev teem sij hawm ua raws li niaj zaus yog qhov tseem ceeb rau kev saib xyuas koj txoj kev noj qab haus huv thiab kuaj xyuas txhua yam uas yuav tshwm sim. Cov kev teem caij no tuaj yeem suav nrog kev xeem PSA, kuaj lub cev, thiab kev tshawb fawb pom. Kev hloov pauv kev ua neej, xws li kev noj zaub mov zoo thiab kev tawm dag zog tsis tu ncua, tuaj yeem ua lub luag haujlwm tseem ceeb hauv kev noj qab haus huv mus ntev. Rau kev pab ntxiv thiab kev txhawb nqa, xav txog kev tshawb nrhiav cov koom haum xws li Prostate Cancer Foundation.

Yog xav paub ntxiv thiab kev kho mob siab heev, xav txog kev tiv tauj Shandong Baofa Cancer Research Institute. Lawv muab cov kev tshawb fawb txiav thiab kev saib xyuas rau cov qog nqaij hlav prostate.

^{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 tus kws kho mob kom kuaj xyuas thiab kho txhua yam mob.}