Gleason muab qhov system

Qhov mob qog nqaij hlav tom qab kuaj me me. Ib lossis ntau dua cov nqaij mos tau coj los ntawm prostate thiab kuaj hauv lub tshuab tsom.

Gleason muab cov txheej txheem hais txog kev txawv txav li cas ntawm koj lub qog ntshav qog nqaij hlav thiab saib yuav ua li cas tus kabmob yuav nce thiab kis mus. Qeb dua Gleason txhais tau tias tus kabmob qeeb qeeb zuj zus thiab tsis txhoj puab heev.

Thawj kauj ruam hauv kev txiav txim siab Gleason qib yog txiav txim siab tus qhab nia Gleason.

1. Thaum saib cov cell hauv lub tshuab tsom kab mob, tus kws kho mob muab ib tus lej (lossis qib) rau cov qog nqaij hlav prostate ntawm 1 txog 5.
2. Qeb no tau nce raws qhov txawv txav ntawm cov keeb. Qeb 1 txhais tau tias cov cell yuav luag zoo li cov qog ua ntshav. Qeb 5 txhais tau tias cov qog ua kom pom txawv ntawm cov prostate hlwb.
3. Feem ntau cov qog ntshav qog nqaij hlav tuaj yeem muaj cov qe ntshav qib sib txawv. Yog li ob lub tshooj ntau tshaj plaws tau siv.
4. Tus qhab nias Gleason yog txiav txim siab los ntawm ntxiv ob qib uas nquag pom tshaj plaws. Piv txwv, cov qeb ntawm cov feem ntau ntawm cov cell hauv ib cov qauv ntawm daim ntaub yuav yog qib 3 hlwb, tom qab ntawd los ntawm qib 4 hlwb. Tus qhab nia Gleason rau qhov qauv no yog 7.

Cov lej ntau dua qhia tias tus kabmob loj hlob sai dua uas feem ntau yuav kis tau.

Tam sim no tus qhab nias qis tshaj plaws uas tau muab rau ua qog yog qib 3. Qeb hauv qab 3 qhia qhov ib txwm nyob ze rau cov hlwb ib txwm. Feem ntau cov qog nqaij hlav tau muaj Gleason tau qhab nia (tag nrho ntawm ob qib feem ntau) ntawm 6 (Gleason cov qhab nia ntawm 3 + 3) thiab 7 (Gleason cov qhab nia ntawm 3 + 4 lossis 4 + 3).

Qee zaum, nws yuav nyuaj rau kwv yees tau zoo npaum li cas tib neeg yuav ua raws li lawv cov qhab nia Gleason ib leeg.

• Piv txwv li, koj cov qog yuav raug muab Gleason tus qhab nia 7 yog tias ob qhov feem ntau qib yog 3 thiab 4. Qhov 7 yuav yog los ntawm ntxiv 3 + 4 lossis ntxiv rau 4 + 3.
• Tshaj tag nrho, ib tug neeg tau tus Gleason qhov qhab nia 7 uas los ntawm ntxiv 3 + 4 yog xav tias muaj tsawg tus mob qog nqaij hlav tsawg dua li ib tug neeg tau tus Gleason ntawm 7 uas yog los ntawm kev ntxiv 4 + 3. Qhov ntawd yog vim tus neeg muaj 4 + 3. = 7 qib muaj qib kawm ntau qib 4 hlob dua qib 3 hlwb. Qib 4 hlwb muaj ntau dua qhov tsis zoo thiab feem ntau sib kis dua qib 3 hlwb.

Tsis ntev los no tau tsim ib qib tshiab 5 Pawg Cov Pab Pawg tau tsim. Txoj kab ke no yog txoj hauv kev zoo dua los piav qhia txog tias mob qog yuav coj tus cwj pwm 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.

Kev muab qhab nia pab koj thiab koj tus kws kho mob txiav txim siab txog kev kho mob, nrog rau:

• Theem ntawm mob qog nqaij hlav, uas qhia pom tias mob cancer kis ntau npaum li cas
• PSA qhov tshwm sim sim
• Koj txoj kev noj qab haus huv tag nrho
• Koj txoj kev xav kom muaj kev phais mob, hluav taws xob, lossis tshuaj hormones, lossis tsis muaj kev kho txhua yam

Prostate cancer - Gleason; Adenocarcinoma prostate - Gleason; Gleason qib; Gleason tau; Gleason pab pawg; Prostate cancer - 5 qib pab pawg

Bostwick DG, Cheng L. Neoplasms ntawm prostate. Hauv: Cheng L, MacLennan GT, Bostwick DG, eds. Urologic phais PathologyCov. 4 tug ed. Philadelphia, PA: Elsevier; 2020: cha 9.

Epstein JI. Pathology ntawm prostatic neoplasia.Hauv: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein UrologyCov. 12th ed. Philadelphia, PA: Elsevier; 2021: chap 151.

Lub koom haum Cancer National website. Kev kho mob Prostate cancer (PDQ) - kev tshaj lij kho mob. www.cancer.gov/types/prostate/hp/prostate-nyuj-pdq#_2097_toc. Hloov kho thaum Lub Xya Hli 22, 2020. Nkag mus rau Lub Yim Hli 10, 2020.

• Prostate Cancer