Caso Cáncer de Próstata

 

Gashs Gáogbr mb Vr÷stata Gash Giîokgh 1

Vagkbotb mb 22 añhs, Larohcsly 166, ghosuita phr bvaiuagk÷o prhstátkga.   Aotbgbmbotbs Aotbgbmbotbs44 pamrb y a`ubih hpbramhs mb gáogbr prhstátkgh. Giîokga44 nkggk÷o 2/1, sko urebogka ok koghotkobogka, gjhrrh nkggkhoai ohrnai, sko ehtbh   Giîokga tbrnkoai, sko sbosagk÷o mb vagkamh koghnpibth.   Bxanbo cîskgh4 cîskgh4 a`mhnbo `iaomh, mbprbsk`ib, komhihrh, bxanbo eboktai e boktai ohrnai. ▤

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Ghosuitar tan`këo phr jkdas gho gáogbr mb nana. 1.  1.  ¸Quë puoths sho mbstaga`ibs mb ia jksthrka giîokga y bxanbo b xanbo cîskgh8  cîskgh8  Aotbgbmbotbs cankikarbs mb rkbseh bo uo pagkbotb askothnátkgh (crbgubotb bo GA mb Vr÷stata). Kokgkar sgrbbokoe a ihs =6 añhs bo pagkbotbs gho aotbgbmbotbs. 0.  0.  ¸Quë bxánbobs ghnpibnbotarkhs shikgktarîao8 shikgktarîao8 ]agth rbgtai y AVB. 7.  7.  Gho bi rbsuitamh, piaotbbo jkp÷tbsks mkaeo÷stkgas y phsk`ibs tratankboths. tratankboths.   Grbgknkboth prhstátkgh `bokeoh. Mbrkvar a ur÷iheh para ghockrnagk÷o mb JV@ y tratankboth ( Mr. sbñaia qub oh sbrîa obgbsarkh mbrkvar gho ihs aotbgbmbotbs ). ]agth rbgtai4 kospbggk÷o rbgtai4 kospbggk÷o pbrkaoai ohrnai, thoh bsckotbrkaoh ohrnai. Vr÷stata4 tanañh E7, supbrckgkb iksa (oh sb ihera paipar bi iînktb supbrkhr pbrh sî ihs iatbraibs), ghoskstbogka `iaoma, ehnhsa. Bxánbobs44 jbnherana ohrnai, grbatkokoa 6.;, eikgbnka ;6, hrkoa ghnpibta ohrnai, RG obeatkvh. Bxánbobs AVB 2.2:, AVB ik`rb 5%. Bgheracîa pëivkga nasguikoa4 nasguikoa4 vhiunbo vbskgai prbnkggkhoai 7:6ni, parbm vbskgai ohrnai, pr÷stata 22 ni, rbskmuh 06 ni, bgheracîa rboai ohrnai.  ohrnai.   =.  =.  ¸Gan`ka su jkphtbsks mkaeo÷stkga8 Mb`kmh ai AVB bibvamh gho uoa craggk÷o ik`rb i k`rb aitbrama (91:%), komk komkga ga rkbseh mb GA mb pr÷stata. Wb mb`b AVB   aotbs mb mbrkvar a ur÷iheh (para ghockrnagk÷o y tratankboth). Iubeh, shikgktar `khpska rbpbtkr bi AVB mb pr÷stata. Gho AVB =-16 skrvb pbmkr AVB ik`rb (para bvktar shikgktum mb `khpska), sh`rb 16 su utkikmam bs nbohr. Roa rbiagk÷o 91:% bs mb rkbseh mb gáogbr mb pr÷stata.

 

 

@khpska prhstátkga4 sb rbgk`bo 3 crasghs gho 0 craenboths gama uoh, btkqubtamhs phr sbxtaotbs. Mkaeohstkgh btkhi÷ekgh mb ambohgargkohna agkoar prhstátkgh Eibasho 7+7 bo nubstras ghrrbsphomkbotbs a `asb y zhoa nbmka mbrbgja, bi tunhr ghrrbsphomb a 36% mb gama nubstra. Wb mkvkmb ia pr÷stata bo sbxtaotbs y sb thna 0 phr gama zhoa, bo thtai sho 10 nubstras. Eibasho bs ia giaskckgagk÷o mb ia arquktbgtura eiaomuiar mb ia pr÷stata.

Giaskckgagk÷o mb rkbseh mb M‛Ankgh.  M‛Ankgh. 

2.  2.  ¸Mkaeo÷stkgh8 Ambohgargkohna agkoar prhstátkgh mb `adh rkbseh (Eibasho 3, KWRV 1) gho 36% mb ia nubstra. Vara vkekiaogka agtkva ia nubstra tkbob qub sbr 9 26%, sko bn`areh, bi mhgthr sbñaia qub tan`këo phmrîa botrar a vkekiaogka agtkva phrqub ia prh`a`kikmam mb nhrkr bs `ada y bi tratankboth bs nuy n÷r`kmh. Giaskckgagk÷o ]ON4 ]1g, ]ON4 ]1g, Ox, Nx.

 

 

Bo ebobrai bi gáogbr mb pr÷stata sb mbnhra : añhs para sbr nbtastáskgh. Bi sgrbbokoe mb gáogbr bs náxknh a ihs 52 añhs (bxpbgtatkva mb vkma nbohr a 16 añhs). 3.  3.  ¸Btapkckgagk÷o8 Bi gáogbr mb pr÷stata subib mksbnkoarsb vîa ikocátkga y ÷sba. Bo pagkbotbs mb `adh rkbseh oh bs obgbsarka ia btapkckgagk÷o. Wb shikgkta gkotkerana ÷sbh (ibskhobs ÷sbh (ibskhobs `iástkgas bo bsqubibth axkai) y ]G mb a`mhnbo y pbivks gho ghotrastb (ghnprhnksh ghotrastb (ghnprhnksh mb eaoeikhs ikocátkghs). Ôitknanbotb ja thnamh rbibvaogka ia PN mb pr÷stata. 5.  5.  Mksgutao phsk`ibs ghnpikgagkhobs y su naobdh. naobdh . Bi tratankboth kmbai sbrîa vkekiaogka agtkva. Aitbroatkvas4   Vrhstatbgthnîa Pamkgai   Pamkhtbrapka bxtbroa/@raquktbrapka An`hs tratankboths sho bqukvaibotbs. Bi sbeuknkboth sb jagb gho AVB. AV B. ▤

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:.  :.  Pbvksar sk ghrrbsphomb a mbrkvagk÷o EBW.  EBW.   Bi EBW oh sb agtkva gho ia shspbgja mb gáogbr, skoh, gho ia ghockrnagk÷o. Gash Giîokgh 0

Jhn`rb, 52 añhs, Larohcsly 36 (cuogkhoaikmam mbtbrkhrama). Ghosuita phr bvaiuagk÷o prhstátkga.   Aotbgbmbotbs Aotbgbmbotbs44 0 KAN aotkeuhs, usuarkh ]AGH, kosuckgkbogka ghoebstkva GC KKK.   Giîokga Giîokga44 CN 5/7, urebogka nkggkhoai +, sko koghotkobogka, iatbogka +, gjhrrh kotbrnktbotb, ehtbh tbrnkoai +, sbosagk÷o mb vagkamh koghnpibth. k oghnpibth.   Bxanbo cîskgh4 cîskgh4 a`mhnbo `iaomh, mbprbsk`ib b komhihrh, vbdkea paipa`ib, bxanbo eboktai ohrnai. ▤ ▤

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1.  1.  ¸Quë puoths sho mbstaga`ibs mb ia jksthrka giîokga y bxanbo cîskgh8 Ghnhr`kikmambs y skothnathiheîa W]RK, rbtbogk÷o mb hrkoa (sk ghotkoua ia vbdkea paipa`ib mbspuës mb hrkoar). Oh tkbob sîothnas mb gáogbr mb pr÷stata mksbnkoamh. 0.  0.  ¸Quë bxánbobs ghnpibnbotarkhs shikgktarîao8 Bgheracîa pbivkaoa (nás knphrtaotb), AVB, bxanbo mb hrkoa, urhguitkvh, botrb htrhs. ]agth rbgtai4 kospbggk÷o rbgtai4 kospbggk÷o pbrkaoai ohrnai, thoh bsckotbrkaoh ohrnai. Vr÷stata tanañh E7, supbrckgkb krrbeuiar, ghoskstbogka `iaoma pbrh gho o÷muih murh paipa`ib mb 1 gn bo `asb mbrbgja, iînktbs obths. 7.  7.  Jkphtbsks Whspbgja mb gáogbr mb pr÷stata. Rrhpatîa h`strugtkva `ada. EBW4 shspbgja mb gáogbr mb pr÷stata ( Mr. grbb qub mb`kbra sbr mb JV@). Mbrkvagk÷o a ur÷iheh para ghockrnagk÷o y tratankboth.

 

 

Ia`hrathrkh4 jbnherana ohrnai, grbatkokoa 1,=, eikgbnka ;6, hrkoa ghnpibta (ibughgkths 0-2, EP 16Ia`hrathrkh4 06, `agtbrkas bsgasas). RG obeatkvh. AVB 02,2:, AVB ik`rb =%. Bgheracîa tkbob rbskmuh nkggkhoai y pr÷stata aunbotama. =.  =.  Jkphtbsks Whspbgja mb gáogbr. AVB ?06 rkbseh aith. ]ratar gho tansuihskoa nkbotras sb mbrkva. 2.  2.  Mkaeo÷stkgh Gáogbr prhstátkgh mb aith rkbseh. Giaskckgagk÷o ]ON ]0` Ox Nx. Bstamkckgagk÷o4 gkotkerana ÷sbh, ]G mb AyV. Gkotkerana ÷sbh4 ÷sbh4 nubstra ibskhobs hstbh`iástkgas bo 7 vërtb`ras suebrbotbs mb nbtástasks. 3.  3.  ]ratankboth Aitbroatkvas   ]brapka mb mbprkvagk÷o4 supibnbotar gho gaigkh y vktankoa vk tankoa M.   Mbearbikx   Aoáihehs IJPJ   Hrqukbgthnîa (jksthrka nëmkga) ▤

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Wbeuknkboth4 AVB a ihs 7 nbsbs iubeh kokgkamh `ihqubh jhrnhoai4 6,7 oe/ni. AVB ai añh mb kokgkamh `ihqubh4 6,= oe/ni. ]bsthstbrhoa thtai 16 oe/ni. Bo pagkbotbs gho nôitkpibs ghnhr`kikmambs, bmam avaozama y sko skothnathiheîa oh jagbr sgrbbokoe.

 

 

 

 

 

 

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