前列腺癌.ppt

Carcinoma of the prostate前列腺癌前列腺癌Men:prostate cancerwomen:breast cancerlThe most commonly diagnosed cancer in malelThe second leading cause of death after lung cancer in male lBoth hormone dependent in their early stagesRisk factorslDefinitive risk factorsAgeFamily historyRacelProbable risk factorsDietary FatHormonesDiagnosislDigital Rectal Examination(DRE)lProstate-Specific AntigenlTransrectal Ultrasound(TRUS)lTransrectal Ultrasound-Directed Prostate BiopsySextant biopsy Hodge(1989)Transrectal ultrasound(TRUS)guided systematic sextant biopsy biplane probe with guideTHANK YOUSUCCESS2024/5/8 周三10可编辑Stagingl lWhitmore-JewettWhitmore-JewettA(clinically unapparent tumor)A(clinically unapparent tumor)B(palpable tumor confined within the B(palpable tumor confined within the prostate)prostate)C(extending through prostate capsule)C(extending through prostate capsule)D(involving lymph node or distant metastasis)D(involving lymph node or distant metastasis)l lTNM TNM (International Union Against Cancer)(International Union Against Cancer)TreatmentlSurgical treatment(Radical prostatectomy)lRadiotherapylHormonal treatmentSurgical castrationMedical castrationAndrogen BlockadeMaximal Androgen BlockadeIntermittent Androgen BlockadelChemotherapy THANK YOU!THANK YOUSUCCESS2024/5/8 周三19可编辑