Prostate cancer นพ.ชัชชัย หอมเกตุ.

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Presentation transcript:

Prostate cancer นพ.ชัชชัย หอมเกตุ

Prostate cancer Small fraction of prostate cancers cause death Grading : Gleason Grading Prostate specific antigen (PSA) > 10 ng/ml

Prostate anatomy Central zone Peripheral zone Transitional zone Glandular 70% of cancer Transitional zone 25% of cancer, 90% hyperplastic nodules

Imaging Diagnosis Staging Imaged guide therapy

Detection Transrectal U/S guided biopsy (TRUS)

Staging TRUS : exception seminal vesicle, neurovascular bundle MRI spectroscopy, dynamic MRI: for local staging CT/MRI : Nodal staging Bonescan, CT,MRI : distant metastasis

MRI spectroscopy

Bone scan

treatment Imaged guide therapy Radiation therapy

Radiotherapy

The end