Qhov Tseem Ceeb Qhov txawv - Prostate Cancer vs Testicular Cancer
mob qog noj ntshav prostate thiab qog nqaij hlav qog nqaij hlav yog ob yam kab mob cuam tshuam rau txiv neej txoj kev loj hlob. Qhov sib txawv tseem ceeb ntawm cov qog nqaij hlav prostate thiab qog nqaij hlav cancer yog tias lawv tshwm sim hauv ob qhov chaw sib txawv. Raws li lawv lub npe hais, mob qog noj ntshav prostate yog ib qho mob qog noj ntshav uas tshwm sim hauv lub caj pas prostate thaum qog nqaij hlav qog nqaij hlav yog qhov mob qog nqaij hlav hauv lub qog. Txawm hais tias nws nyuaj rau ntseeg, testis kuj ua raws li lub caj pas tsim cov tshuaj hormones tseem ceeb xws li testosterone.
Prostate Cancer yog dab tsi?
mob qog noj ntshav Prostate yog qhov mob qog noj ntshav thib rau hauv ntiaj teb. Nws suav txog 7% ntawm tag nrho cov qog nqaij hlav hauv cov txiv neej. Nrog rau cov hnub nyoog dhau los, qhov tshwm sim ntawm kev hloov pauv tsis zoo hauv prostate nce. Txawm hais tias nyob ib ncig ntawm 80% ntawm cov txiv neej muaj malignant foci hauv lawv cov prostate thaum muaj hnub nyoog yim caum, feem ntau ntawm cov no nyob twj ywm. Adenocancer yog hom kab mob histological.
Pathogenesis
Kev nce qib hnub nyoog, haiv neeg, thiab tsev neeg keeb kwm yog qhov ua rau mob qog noj ntshav prostate. Thawj cov txheeb ze ntawm cov txiv neej muaj mob qog noj ntshav prostate muaj ob zaug qhov kev pheej hmoo piv rau cov pej xeem. Cov tshuaj hormonal kuj tseem ua lub luag haujlwm hauv pathogenesis.
Tshuaj Kho Mob
- Cov tsos mob tso zis qis
- Mob nraub qaum thiab pob txha
- poob qis
- Anemia
Daim duab 01: Prostate Cancer
Diagnosis
Kev kuaj mob ntawm tus kab mob feem ntau yog ua thaum kuaj lub qhov quav digital rau qee qhov teeb meem uas tus kws kho mob yuam kev txheeb xyuas qhov muaj lub qog tsis zoo. Hauv qee cov neeg mob tom qab prostatectomy tom qab benign prostatic o, histological kuaj ntawm cov qauv qhia pom muaj kev hloov pauv hauv prostate. Hauv qee lub tebchaws, kev kuaj mob qog noj ntshav prostate yog ua los ntawm kev ntsuas cov ntshav ntshav Prostate Specific Antigen (PSA) qib.
Kev tshawb nrhiav
Transrectal ultrasounds (TRUS) ntawm prostate thiab ncua sampling prostatic biopsy yog cov kev tshawb fawb tseem ceeb ua tiav. Cov no yog siv los txheeb xyuas qhov luaj li cas ntawm cov qog thiab cov qog nqaij hlav. Ua ntej pib kev kho mob, nws yog ib qho tseem ceeb kom muaj kev kuaj mob histological. Cov qib ntshav PSA feem ntau yog nce siab (>16 ng / ml) yog tias muaj metastases, tab sis tuaj yeem ua tau zoo li qub. Extraprostatic extensions tuaj yeem kuaj pom los ntawm endorectal coil MRI. Cov kab mob urinary sab saud tuaj yeem tshawb xyuas los ntawm ultrasonography kom pom cov pov thawj ntawm dilatation. Osteosclerotic lesions tuaj yeem txheeb xyuas ntawm X-ray yog tias muaj cov pob txha metastases.
Kev tswj hwm
Yog tias mob qog noj ntshav nyob hauv ib cheeb tsam, kev tswj xyuas tuaj yeem ua tau los ntawm kev kho mob (radical prostatectomy), sab nraud kab hluav taws xob kho mob lossis kev cog hniav brachytherapy, uas tej zaum yuav muaj kev phiv tsis zoo xws li incontinence thiab kev sib deev dysfunction. Rau cov neeg laus uas xav zam kev phais, siv xov tooj cua. Yuav tsum muaj kev sib txuas lus zoo ntawm tus kws kho mob thiab tus neeg mob rau lub hom phiaj ntawm kev xaiv hom kev kho mob uas tsim nyog tshaj plaws. Lub tswv yim ntawm kev saib xyuas tuaj yeem siv rau hauv cov neeg mob uas muaj mob qog noj ntshav hauv zos.
YEndocrine Therapy
mob qog noj ntshav prostate yog ib hom tshuaj hormone-rhiab heev. Prostate cancer cov ntaub so ntswg muaj peev xwm cuab circulatory androgens rau kev saib xyuas ntawm cov ntaub so ntswg androgen.
Cov ntaub so ntswg mob qog noj ntshav tuaj yeem tshem tawm ntawm androgens los ntawm kev muab cov tshuaj hauv qab no.
- GnRH agonists
- Androgen receptor blockers
- Androgen synthesis inhibitors
- Corticosteroids thiab estrogens
Testicular Cancer yog dab tsi?
Cov kab mob qog nqaij hlav qog nqaij hlav yog mob qog noj ntshav tshaj plaws ntawm cov txiv neej hnub nyoog 15-35 xyoo. Seminoma thiab nonseminoma yog 2 hom histological tseem ceeb. Non-seminomas muaj cov ntsiab lus paub tab thiab tsis paub tab thiab cov ntsiab lus paub tab pom hauv cov qog no hu ua teratomas. Muaj qee zaus, kab mob qog nqaij hlav tuaj yeem tshwm sim hauv cov chaw gonadal ntxiv xws li pituitary, mediastinum, thiab retroperitoneum.
Tshuaj Kho Mob
- Mob qog nqaij hlav
- Pab mob plab
- Gynecomastia
Kev tshawb nrhiav
- Ultrasound lossis MRI scanning
- Kev soj ntsuam ntawm cov qog qog ntshav muaj xws li alpha-fetoprotein, beta-tib neeg chorionic gonadotrophin thiab lactate dehydrogenase
- CT or MRI
Daim duab 02: Testes
Kev tswj hwm
Seminomas
Radiosensitivity thiab chemosensitivity ntawm seminoma yog siab heev. Seminomas cuam tshuam nrog cov qib LDH nce qib, qhov tsis tshua muaj siab ntawm β- tib neeg chorionic gonadotrophin qib thiab qib AFP ib txwm. Theem 1 kab mob uas txwv rau gonad, muaj 10-30% kev pheej hmoo ntawm kev rov tshwm sim tom qab phais tsis muaj lwm yam kev kho mob. Adjuvant therapy nrog rau cov kws khomob lossis kev kho mob hluav taws xob rau cov qog nqaij hlav para-aortic yog qhov zoo dua vim tias nws ua rau kom muaj sia nyob li ntawm 95% ntawm tus kabmob thaum ntxov. Carboplatin yog cov tshuaj ntawm kev xaiv vim qhov yooj yim ntawm kev tswj hwm thiab kev cuam tshuam tsawg kawg nkaus.
tsis-seminomas
Qhov kev pheej hmoo ntawm kev rov qab los sib txawv nyob ntawm seb qhov xwm txheej tshwm sim xws li kev sib txawv ntawm histological, muaj cov ntsiab lus embryonal thiab qhov twg ntawm lub zos thiab vascular ntxeem tau.
Qhov txawv ntawm Prostate Cancer thiab Testicular Cancer yog dab tsi?
Prostate Cancer vs Testicular Cancer |
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| Prostate cancer tshwm sim hauv prostate. | Testicular cancer tshwm sim hauv testis. |
| Kev sib kis qeeb qeeb. | Kev sib kis sai sai. |
| Daim Ntawv Tsis Txaus Siab | |
| Ntawm no qee zaum yuav nyob twj ywm. | Tsis muaj daim ntawv dormant. |
| xov xwm | |
| Feem ntau, muaj cov tshuaj hormones siab heev. | Xov tooj cua rhiab heev thiab chemosensitivity siab heev. |
Summary – Prostate Cancer vs Testicular Cancer
Cov qog nqaij hlav qog nqaij hlav yog cov qog nqaij hlav qog nqaij hlav prostate. Lawv muaj ib tug zoo heev prognosis. Tsis zoo li cov qog nqaij hlav prostate, cov qog nqaij hlav qog nqaij hlav uas yog cov qog nqaij hlav uas tshwm sim hauv cov qog nqaij hlav muaj qhov tsis zoo thiab lawv kis tau sai vim qhov kev loj hlob ntawm cov kab mob loj. Qhov no yog qhov sib txawv tseem ceeb ntawm cov qog nqaij hlav prostate thiab qog nqaij hlav cancer.
Download PDF Version ntawm Prostate Cancer vs Testicular Cancer
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li cov ntawv sau tseg. Thov download PDF version ntawm no Qhov txawv ntawm Prostate Cancer thiab Testicular Cancer.
