PROSTATE CANCER

Suffering from sporadic prostate cancer how do I am suffering from prostate hyperplasia, recently accepted the transurethral resection of prostate. After resection of the prostate tissue...

Prostate cancer in several categories Prostate cancer can be divided into the following four categories. (1) latent prostate cancer: is not in his prostate disease signs and sy...

I am suffering from prostate hyperplasia, recently accepted the transurethral resection of prostate. After resection of the prostate tissue, the pathological examination revealed cancerous lesions, it allows me great mental burden. Whether this will be the development of cancer, the treatment needs to be done further? — Hebei readers afternoon LI

A: The current benign prostate disease (mainly BPH) for the diagnosis, after resection of the prostate biopsy of the prostate cancer found that the accident, called sporadic cancer. This type of prostate cancer incidence rate of about 3% to 10%.

Most of the focal type of sporadic cancer, tumor size small, well-differentiated cells, slow growth, which would in the long-term latent state, a disease progression and metastasis limited opportunities, the prognosis is good. If the diffuse type, tumor size, cell differentiation bad is easy in disease progression and metastasis, about 1 / 3 can evolve into clinical prostate cancer (clinical cancer). The so-called clinical cancer means of a prostate cancer, or auxiliary (digital rectal examination and transrectal ultrasound and serum prostate-specific antigen determination, etc.) for suspected cancer and the pathologic examination of prostate needle biopsy confirmed prostate cancer. Sporadic cancer often progress to clinical cancer suggested that local recurrence or metastasis, and poor prognosis.

Sporadic in prostate cancer patients after resection whether further treatment is needed, various perspectives vary. The general limitations of the opinion that the tumor resection specimens pathological differentiation good, can do further treatment, the patients does not affect the natural life, but should conduct periodic follow-up observation to the early detection of possible progress in the situation. The number of foci in diffuse or three more, tumor resection of the entire organization, or more than 5% is less than 5% but poor differentiation of tumor cells, has been done despite the proliferation of prostate removal, but may have a certain percentage of residual tumor, it should adopt a more positive treatment.

Patients are usually under the age of systemic conditions may be radical prostatectomy, radiotherapy, endocrine therapy. Sporadic right now widely used in cancer treatment, with bilateral testicular (OVX), plus low-dose estrogen (diethylstilbestrol), endocrine therapy. If castration alone or with anti - androgen drug treatment, long-term effects of not ideal, the two combined to good effect. For ages were relatively light, comparatively good general condition, cancer confined to the prostate capsule sporadic cancer patients should seek early radical operation, which could effectively prevent the transfer of long-term effects are relatively good. Radiotherapy for sporadic cancer treatment efficacy is not very sure that the treatment is gradually being replaced by potential endocrine therapy, which is an auxiliary treatment.

Sporadic cancer for timely progress in the dynamic observation of serum prostate-specific antigen (PSA) changes is a very valuable follow-up measures. PSA is prostate-specific markers, although sporadic cancer diagnosis is not very specific, but can be used for monitoring sporadic cancer prognosis. If the prostate after long-term follow-up, PSA values were within normal levels (normal is 0 ~ PSA), and without any clinical symptoms, other auxiliary inspection found no positive that the disease does not progress. The clinical worsening trend was, it showed abnormal PSA, particularly for the diagnosis of benign prostatic hyperplasia and prostate trip after six months PSA significant increase, indicating poor prognosis. After a pair of abnormal PSA should do transrectal ultrasound-guided puncture needle biopsy of the prostate screening to detect possible residual tumor, and based on biopsy results for the next step.

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