Chii chinonzi Prostate Cancer Stages
Izvo "danho" rekenza yeprostate rinoreva kuti yakakura zvakadini kana kupararira mumuviri wose.
Zvirongwa zviviri zvitsvene zvinotsanangura maitiro emukenza weprotate. I "TNM" system ndiyo inowanzoshandiswa, asi nzira yeJewett inoshandiswa nevamwe vanachiremba. Zvose izvi zvinotsanangurwa pasi apa.
Chii Chinonzi TDM Stage Yako?
Iyo TNM system yekutsanangura kenza yeprostate inoshandisa matsamba "T," "N," uye "M" kuratidza "Kutamba," "Nodes," uye "Metastasis."
Izvi zvinotevera kuparara kwechinhu chimwe nechimwe muhurongwa urwu zvinoreva.
Primary Primary Tumor (T)
- TX: Chirwere chikuru chakanga chisina kana chakanga chisingazoongororwa.
- T0: Hapana humwe humwe uchapupu hwomukaka mukuru.
- T1: Chirwere chacho hachina kuwanikwa nekuongorora kana nekushandiswa kwekufungidzira (kufanana ne- ultrasound kana kuti MRI scan ), asi yakangowanikwa panguva yebhiopsy kana chirwere .
--T1a: Chirwere chinowanikwa mu 5% kana pasi pezvisikwa zvakatorwa.
- T1b: Chirwere ichi chinowanikwa mune zvinopfuura 5% zvezvinyama zvakatorwa.
--T1c: Chirwere ichi chakawanikwa netsingiri biopsy mushure mePSA yakakwirira yepamusoro.
- T2: Chirwere ichi chinowanikwa mukati me prostate pachako.
--T2a: Chirwere ichi chinowanika mu50% kana pasi peimwe yebibe.
- T2b: Chirwere ichi chinowanika mune makumi mashanu kubva kune 50% eine lobe.
--T2c: Chirwere ichi chinowanikwa mune zvose zviri zviviri.
- T3: Chirwere chacho chakawedzera kuburikidza ne capsule inopoteredza prostate.
--T3a: Chirwere chacho chaenda bedzi nekodsuse pasina kupinda seminal vesicles .
- T3b: Chirwere ichi chakapinda mumasina vesicles.
T4: Tsvina yakapinda masimba kana mishonga iri pedo neprostate kunze kweiyo seminal vesicles. Izvi zvinosanganisira mutsara wechipfuva, rectum, uye rusvingo rwepelvic pamwe chete nezvimwe zvivako.
Nodes (N)
- NX: Lymph nodes dzakanga dzisiri kana dzisingagoni kuongororwa.
- N0: Nodhi hadziratidzi uchapupu hwekenza.
- N1: Nodhi dzinoratidza uchapupu hwekenza.
Metastasis (M)
- MX: Kuvapo kwemasastases kwakanga kusina kana kukwanisa kuongororwa.
- M0: Hapana humwe uchapupu hwemasiteriasis kure.
- M1: Kune uchapupu hwemasitasisitiri ari kure.
- --M1a: Kansa inowanikwa mumakirinikodhi kure ne prostate.
- --M1b: Kanzera yakabatwa mufupa.
- --M1c: Kanzera yakawanikwa mune imwe nzvimbo yemuviri.
Iwe Jewett Nhamba Yayo Inorevei?
Yewett system inoshandisa matsamba A kuburikidza neD kuratidza mapoka ekutanga mapoka. A ndiyo isina kunyanya kufambiswa uye D ndiyo yakanyanyisa kupfuura. Pakati peboka rimwe nerimwe rekutanga, kunezve kumwe kuparara kwezvikamu.
Izvi zvinotevera kuparara kwechinhu chimwe nechimwe muhurongwa urwu zvinoreva.
Stage A
Muchikamu cheA, chiremba chikuru hachikwanisi kuonekwa nekuongorora uye chinongowanikwa zvakangoitika panguva yekuvhiyiwa.
Chikamu B
Muchikamu cheB, chirwere chinogona kuwanikwa nekuongorora (kana kuongorora mumuviri kana kuongorora kwePSA ) asi kunongowanikwa mu prostate pachako.
Nhanho C
Muchikamu C, chirwere ichi chinongowanikwa munzvimbo yakakomberedza prostate asi yakapfuurira kuburikidza ne capsule iyo inofukidza prostate uye inogonawo kupinda seminal vesicles.
Chikamu D
Muchikamu cheD, kenza yakagadziriswa kana kupararira kure neprostate .
- --Substage A1: Mucheche wakanyatsosiyaniswa (zvinoreva kuti masero emukenza anowanzoonekwa muchioneka pasi pe microscope) uye anongova chikamu chiduku cheprostate.
- --Substage A2: Mucheche unofanirwa kana kuti hauna kusiyaniswa zvakasiyana (zvinoreva kuti masero emukenza anotaridzika asingaoneki pasi pe microscope) uye anowanika munzvimbo dzinopfuura imwe mukati me prostate.
- --Substage B0: Mucheche haugoni kuiswa (akafunga) nechiremba, asi anowanikwa nekuda kwePSA yakakwirira.
- --Substage B1: Nyeredzi imwechete kana bump chete inowanikwa mune rimwe rebe re prostate.
- --Substage B2: Inopfuura chikamu chimwechete chekenza inowanikwa mune rimwe lobe kana kuti zvose zviri zviviri zveprostate.
- --Substage C1: Muchirwere wakapararira kuburikidza ne capsule iyo ine prostate.
- --Substage C2: Muchirwere wakapararira kuburikidza ne capsule iyo ine prostate uye yatanga kudzivisa kuputika kwemuti kubva pachiganda kana kuti ureters (iyo micheka midzi inotakura urini kubva pamutsvo kusvika kumucheka).
- --Substage D0: Chirwere chinowanikwa mu prostate chete nekuongorora uye nekufungidzirwa kwekuongorora (semashonga e-ultrasound kana MRI), asi kuongororwa kweropa kunoramba kuchiratidza huwandu hwakawanda hwevamwe enzyme dzinoreva kuti kenza yakapararira.
- --Substage D1: Chirwere chakapararira chete kune lymph nodes pedyo ne prostate.
- --Substage D2: Muchirwere wakapararira kumakirini emakiromita kure, kumapfupa, kana kune dzimwe nhengo.
- --Substage D3: Chirwere chakapararira sezvinongoitwa mu Substage D2, asi kenza yakadzoka shure kwekurapa kwakakodzera.
Kunobva:
> Kumar V, Abbas A, Fausto N. Robbins Pathologic Basis of Disease 7th Edition. 2004.