Prostate mob cancer

Prostate cancer yog mob qog nqaij hlav hauv lub qog prostate. Lub taub kua xoo yog ib qho qauv me me uas lub txiv duaj txiv ntoo uas tsim ua ib feem ntawm tus txiv neej lub cev hloov. Nws qhwv ib ncig ntawm qhov zis, lub raj uas tso zis tawm ntawm lub cev.

Prostate cancer yog qhov feem ntau ua rau tuag los ntawm kev mob qog nqaij hlav rau cov txiv neej uas muaj hnub nyoog tshaj 75 xyoo.

Cov neeg uas muaj kev pheej hmoo siab muaj xws li:

• Cov neeg Asmeskas haiv neeg, uas tseem muaj feem yuav txhim kho tus mob qog noj ntshav txhua lub hnub nyoog
• Cov txiv neej siab dua 60 xyoo
• Tus txiv neej uas muaj txiv los yog tij laug muaj tus mob prostate

Lwm tus neeg muaj kev pheej hmoo suav nrog:

• Tus txiv neej uas tau nyob ib puag ncig Agent Orange
• Cov txiv neej noj zaub mov muaj roj ntau, tshwj xeeb tshaj yog cov tsiaj rog
• Rog cov txiv neej

Prostate cancer yog qhov tsawg dua rau cov neeg uas tsis noj nqaij (neeg tsis noj nqaij).

Ib qho teeb meem tshwm sim hauv yuav luag txhua tus txiv neej vim lawv loj dua yog qhov mob prostate. Qhov no yog hu ua benign prostatic hyperplasia, lossis BPH. Nws tsis tsa koj kev phom sij ntawm prostate cancer. Tab sis, nws tuaj yeem nce ntxiv koj cov kev kuaj ntshav prostate-antigen (PSA).

Nrog rau cov kab mob khees xaws ntxov, feem ntau tsis muaj tsos mob tshwm sim.

PSA kuaj ntshav tuaj yeem kuaj tus txiv neej mob qog nqaij hlav cancer. Feem ntau, PSA qib nce ua ntej muaj cov tsos mob.

Cov kev mob tshwm sim hauv qab no tuaj yeem tshwm sim nrog kev mob qog nqaij hlav prostate vim nws loj dua hauv prostate. Cov tsos mob no kuj tuaj yeem yog los ntawm lwm cov teeb meem prostate:

• Ncua lossis qeeb ua tso zis mob
• Dribbling lossis tso quav zis, ntau zaus tom qab tso zis
• Qeeb qeeb tso zis
• Straining thaum tso zis, lossis tsis tuaj yeem tso zis tag nrho
• Cov ntshav hauv cov zis lossis phev

Thaum mob qog kis, yuav mob pob txha lossis mob, feem ntau yog mob txha nraub qaum thiab mob pob txha.

Kev kuaj xyuas digital ntawm lub qhov ncauj tsis zoo yuav yog tib lub npe ntawm prostate cancer.

Yuav tsum tau txiav ib lub cev nqaij mus kuaj yog tias koj muaj mob qog nqaij hlav cancer. Txoj kev kuaj me me yog ib txoj kev ua kom tshem ib qhov qauv ntawm cov nqaij hauv lub prostate. Cov qauv yog xa mus rau hauv tsev kuaj sim. Nws yuav tau ua nyob hauv koj tus kws kho mob lub chaw haujlwm.

Koj tus kws kho mob yuav pom zoo kom kuaj li no yog:

• Koj muaj qib PSA siab
• Txoj kev xoo duab digital tawm ntawm lub qhov tawv lossis tsis ncaj

Qhov tshuaj ntsuam me me tau qhia yog siv qhov uas hu ua Gleason qib thiab tus qhab nia Gleason.

Qeb Gleason qhia koj sai npaum li cas tus kabmob yuav kis tau. Nws qib qog hlav ntawm 1 txog 5. Koj yuav muaj qib sib txawv ntawm cov qog nqaij hlav hauv ib qhov qauv coj los kuaj. Ob qho qhab nia feem ntau tau ntxiv ua ke. Qhov no muab koj cov qhab nia Gleason. Qhov siab dua koj tus qhab nia Gleason, qhov ntau yuav mob cancer yuav kis tau ntau dua li cov prostate:

• Cov qhab nia 2 txog 6: Qes Qis prostate cancer.
• Qeb 7: Qib Nruab Nrab- (lossis hauv nruab nrab) kev mob qog noj ntshav. Feem ntau cov qog nqaij hlav prostate poob rau hauv pab pawg no.
• Cov qhab nia 8 txog 10: Qib Siab Mob Ntshav Siab.

Lwm qhov muab qhab nia, Qib 5 Qib Pawg ua haujlwm zoo dua ntawm kev piav qhia tias mob qog yuav ua li cas thiab teb rau kev kho mob:

• Qib pab 1: Gleason tau qhab nia 6 lossis qis dua (mob qog nqaij hlav qis)
• Qib pab 2: Gleason tau qhab nia 3 + 4 = 7 (mob qog mis nruab nrab)
• Qib pab 3: Gleason tau qhab nia 4 + 3 = 7 (mob qog mis nruab nrab)
• Qeb pab 4: Gleason qhab nia 8 (mob cancer ntshav siab)
• Qeb pab 5: Gleason tau qhab nia 9 txog 10 (mob ntshav siab)

Cov pab pawg tsawg dua qhia tau hais tias muaj txoj hauv kev zoo rau kev kho kom zoo tshaj li pab pawg siab dua. Ib pab pawg siab dua txhais tau tias ntau dua ntawm cov kabmob kheesxaws txawv dua li cov qib hlwb. Ib pab pawg siab dua kuj txhais tau hais tias nws yog qhov yuav ua rau cov qog yuav kis tau mob hnyav.

Cov kev kuaj mob hauv qab no tuaj yeem ua tau los txiav txim siab seb tus mob cancer puas tau kis:

• Iav scan
• Cov pob txha scan
• MRI scan

Kev kuaj ntshav PSA tseem yuav raug siv los saib xyuas koj tus mob qog nqaij hlav tom qab kho.

Kev kho mob nyob ntawm ntau yam, nrog rau koj cov qhab nia Gleason thiab koj li kev noj qab haus huv tag nrho. Koj tus kws kho mob yuav sab laj txog koj cov kev kho mob nrog koj.

Yog hais tias mob cancer tsis kis mus rau sab hauv lub prostate caj pas, txoj kev kho ntau hom muaj xws li:

• Kev Phais Mob (radical prostatectomy)
• Kev siv hluav taws xob, nrog rau kev kho brachytherapy thiab kev kho mob

Yog tias koj laus dua, koj tus kws kho mob yuav pom zoo kom saib xyuas tus kabmob yooj yim nrog PSA kuaj thiab kuaj me.

Kev kho qog yog siv rau kev mob qog nqaij hlav uas tau kis tshaj qhov prostate. Nws pab txhawm rau txo cov tsos mob thiab tiv thaiv kev loj hlob ntxiv thiab kis mob cancer. Tab sis nws tsis kho tus mob cancer.

Yog tias prostate cancer kis mus ntxiv txawm tias tom qab siv tshuaj los kho, phais, lossis hluav taws xob tau sim, kev kho yuav muaj xws li:

• Kws khomob
• Kev Siv Tshuaj Tiv Thaiv (tshuaj kho kom lub cev tiv thaiv kab mob txhawm rau tua thiab tua cov qog nqaij hlav cancer)

Kev phais mob, kho hluav taws xob, thiab tshuaj tua qog yuav cuam tshuam koj cov kev sib deev. Cov teeb meem tso zis tawm yog tau tom qab phais thiab hluav taws xob. Sib tham txog koj cov kev txhawj xeeb nrog koj tus kws kho mob.

Tom qab kho kho tus mob prostate, koj yuav tau saib kom ze kom ntseeg tau tias tus kabmob tsis kis mus. Qhov no suav nrog kev tshuaj xyuas tas li, suav nrog PSA kuaj ntshav (feem ntau txhua 3 lub hlis txog 1 xyoos).

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog ib pab pawg neeg mob qog nqaij hlav prostate. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Koj tseem zoo npaum li cas yog nyob ntawm seb tus mob qog nthuav tawm sab nraud ntawm lub qog prostate thiab seb cov qog nqaij hlav ntshav tsis zoo li cas (Gleason qhab nias) thaum koj kuaj pom.

Ib txoj kev kho mob yog muaj yog tias tus kabmob tsis kis mus. Kev kho tus kheej tuaj yeem txhim kho kev muaj sia nyob, txawm hais tias ib txoj kev kho tsis tau.

Sib tham txog qhov zoo thiab qhov tsis zoo ntawm kev soj ntsuam PSA nrog koj tus kws kho mob.

Tham nrog koj tus kws kho mob txog txoj kev ua tau los txo koj cov kev pheej hmoo ntawm prostate cancer. Cov no suav nrog kev ntsuas kev ua neej, xws li kev noj haus thiab qoj ib ce.

Tsis muaj tshuaj pom zoo los ntawm FDA rau kev tiv thaiv mob qog ntshav prostate.

Kab Mob Cancer - prostate; Txaij - prostate; Prostate nqaij hlav; Gleason tau

• Pelvic radiation - paug
• Prostate brachytherapy - kev tshem tawm
• Kev siv hluav taws xob kho - cov lus nug kom nug koj tus kws kho mob
• Tshaj dhau prostatectomy - tawm

• Txiv neej deev aatomy
• Cov txiv neej tso zis
• BPH
• Prostate mob cancer
• PSA kuaj ntshav
• Prostatectomy - Series
• Cov phais mob ntu ntu ntawm prostate (TURP) - Series

American Urological Association lub vev xaib. PSA kuaj rau kev tiv thaiv ua ntej kev ua haujlwm thiab kev tswj hwm tom qab ntawm kev mob qog nqaij hlav prostate: 2013 Kev Kho Dua ntawm 2009 Daim Ntawv Tshaj Tawm Zoo Tshaj www.auanet.org/guidelines/prostate-specific-antigen-(psa)-best-practice-statement. Nkag mus xyuas Lub Kaum Ob Hlis 5, 2019.

American Urological Association lub vev xaib. Kev ntxov paub txog tus mob qog nqaij hlav prostate (2018): kev taw qhia hauv chaw kho mob. www.auanet.org/guidelines/prostate-cancer-early-detection-guideline. Nkag mus siv Lub Yim Hli 22, 2019.

Lub koom haum Cancer National website. Kev kho mob Prostate cancer (PDQ) cov kev tshaj lij kho mob. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Hloov kho Cuaj hlis 20, 2019. Nkag mus Lub Kaum Ob Hlis 5, 2019.

Lub Tebchaws National Comprehensive Cancer Network lub vev xaib. NCCN kev soj ntsuam kev coj ua hauv oncology (Cov txheej txheem NCCN): mob prostate. Version 4.2019. www.nccn.org/professionals/physician_gls/pdf/prostate.pdf. Hloov kho Lub Yim Hli 19, 2019. Nkag mus Lub Cuaj Hlis 4, 2019.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Prostate mob cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 81.

Stephenson AJ, Klein EA. Kev mob kis, kev lom zem, thiab kev tiv thaiv tus mob prostate. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 107.

Kev Pabcuam Tiv Thaiv Asmeskas Pab Pawg Ua Haujlwm, Grossman DC, Curry SJ, li al. Kev soj ntsuam rau tus neeg mob qog nqaij hlav prostate: Asmeskas Cov Kev Pabcuam Tiv Thaiv Pab Pawg Sib Tsoo lus pom zoo. JAMACov. 2018; 319 (18): 1901-1913. PMID: 29801017 www.ncbi.nlm.nih.gov/pubmed/29801017.