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Prostate cancer นพ.ชัชชัย หอมเกตุ
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Prostate cancer Small fraction of prostate cancers cause death
Grading : Gleason Grading Prostate specific antigen (PSA) > 10 ng/ml
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Prostate anatomy Central zone Peripheral zone Transitional zone
Glandular 70% of cancer Transitional zone 25% of cancer, 90% hyperplastic nodules
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Imaging Diagnosis Staging Imaged guide therapy
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Detection Transrectal U/S guided biopsy (TRUS)
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Staging TRUS : exception seminal vesicle, neurovascular bundle
MRI spectroscopy, dynamic MRI: for local staging CT/MRI : Nodal staging Bonescan, CT,MRI : distant metastasis
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MRI spectroscopy
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Bone scan
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treatment Imaged guide therapy Radiation therapy
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Radiotherapy
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The end
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