Adenocarcinom de prostata scor Gleason 10 Raulduke » Secțiunea: Forum medical Tatal meu este in varsta de 76 de ani. Am fost atat la un medic oncolog, cat si la Tatal meu a fost operat de prostata si la biopsie, a iesit aces rezultat.
There is a discrepancy in the Gleason score given on the initial biopsy and prostatectomy specimen, respectively, that affects both patients who can benefit from active surveillance and those who cannot benefit from curative surgical treatment, and for whom therapeutic alternatives must be established.
In this context, our study aimed at analyzing the diagnostic concordance between biopsies and subsequent prostatectomies, in order to establish the accuracy of prostate biopsy in predicting final Gleason score of the prostatectomy specimens.
Material and methods: We analyzed 79 cases of PADK, initially diagnosed by prostate biopsy and subsequently treated by radical prostatectomy.
cancer de prostată
The accuracy degree of the tumoral grading system assigned to the prostate biopsy, compared with the adenocarcinoma de prostata gleason 7 34 prostatectomy, was assessed by calculation of the Cohen's kappa concordance coefficient and calculation of sensitivity, specificity, positive prognostic value and negative prognostic value. Results: 37 cases In prostate biopsies, 32 cases The lowest agreement rate was observed for Gleason score 5, where no case showed a similar score for biopsy and prostatectomy.
Statistical analysis indicated a kappa coefficient of 0. The agreement on ISUP prognostic grade groups between prostate biopsy and radical prostatectomy indicated a slight increase in kappa coefficient Conclusions: Our results demonstrate an increase in the predictive accuracy of prostate biopsy, as a result of the application of prognostic grade group system, which ensure the decrease of overestimating tendency of the old scoring system, ultimately leading to a preliminary characterization of potential lesions in prostatectomy specimens and a more effective treatment stratification of patients.
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Antigenul specific prostatic (PSA)
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Despre nutritie Pentru anumiti barbati, cea mai inteligenta miscare dupa stabilirea diagnosticului poate fi intarzierea tratamentului si urmarirea atenta a evolutiei cancerului. Dupa ce o biopsie a prostatei confirma cancerul, urmatorul pas poate parea evident: administrarea tratamentului cat mai curand posibil, fie prin extirparea in totalitate a glandei prostata prostatectomie radicalafie prin administrarea de radiatii.
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Testele de screening de rutină pentru PSA trebuie începute de la 50 de ani. Biopsia de prostată Biopsia este singura metodă pentru un diagnostic de certitudine şi se face la bărbații cu suspiciune puternică pe baza testului PSA şi a altor factori. Sistemul de grading Gleason Un scor Gleason mai mare înseamnă un cancer de prostată mai agresiv. Împreună cu alți factori ajută la stabilirea unui tratament corect.
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Cancer de prostată
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