1. Prostate cancer
นพ.ชัชชัย หอมเกตุ

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

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

4. Imaging
Diagnosis
Staging
Imaged guide therapy

5. Detection
Transrectal U/S guided biopsy
(TRUS)

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

7. MRI spectroscopy

8. Bone scan

9. treatment
Imaged guide therapy
Radiation therapy

10. Radiotherapy

11. The end