看板 Anti-Cancer 關於我們 聯絡資訊
家父70歲,PSA:29.29, 切片報告顯示格里森4+4, 1.切片報告看不太了解,想請問這能夠推估大概第幾期嗎?好讓自己心裡有個底 PATH. DX.: 1. Prostate, left, punch biopsy --- Adenocarcinoma, Gleason's score: 4+4=8, Grade group 4 (3/6. 5%). 2. Prostate, right, punch biopsy -- No malignancy. Ancillary study for diagnosis: 1: Immunohistochemistry stains for HMWCK (loss of basal cells) and alpha-methylac yl-CoA racemase (+) done in section A. 2. Immunohistochemistry stains for HMWCK (highlight preserved basal cells) and al pha-methylacyl-CoA racemase (-) done in section B. Gross description: The specimen consists of 1) 6 strips of gray white soft tis sue, up to 1.7x0.1x0.1 cm, labeled as "left". All for section: B. 2) 6 strips of gray white soft tissue, up to 1.9x0.1x0.1 cm, labeled as "right". All for section: A. Microscopic description: 1. Section shows focal prostate t umor with ill-defined glands exhibiting poorly-formed glandular lumina, and ci rcumscribed cribriform glands. 2. Section shows prostate tissue with variably glandular hyperplasia. No evidence of malignancy is seen: Note: This case has been peer reviewed by two doctors. 2.醫師說切片完要再等一個月才能做MRI,想請問這一個月我們能做什麼? 3.看切片報告時,有打一隻荷爾蒙針。想請問這是表示不太樂觀的意思嗎?(因為查網路 都是說荷爾蒙療法屬於最後一線才使用) 4.彰基的陳俊吉醫師不知道有沒有人看過,因目前苦惱於不知道要找那個醫師 感謝各位癌友及家屬,第一次遇到親人罹癌真的不知道該怎麼辦 -- ※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 111.252.17.236 (臺灣) ※ 文章網址: https://www.ptt.cc/bbs/Anti-Cancer/M.1780059524.A.006.html
peterch:https://i.imgur.com/3335TsK.png 05/29 21:23
peterch:https://i.imgur.com/1khVE8S.png 05/29 21:23
peterch:https://i.imgur.com/mSyQWRm.png 05/29 21:23
peterch:https://i.imgur.com/ZXe97Hl.png 05/29 21:23
peterch:https://i.imgur.com/yBQBZA1.png 05/29 21:24
peterch:https://i.imgur.com/V25Tohm.png 05/29 21:24
peterch: 以上是ai的分析 第幾期不是用切片判斷而是用其他影像判 05/29 21:25
peterch: 斷轉移範圍有多少 05/29 21:25
peterch: 荷蘭蒙針並不是最後療法 他是最根本最初的療法 不管任何 05/29 21:28
peterch: 治療方法都一定會搭配荷爾蒙針劑 05/29 21:28
peterch: 這一個月就乖乖打針 有時間可諮詢第二意見 配合治療 另 05/29 21:29
peterch: 可作骨骼掃描看有無轉移骨骼 05/29 21:29
mystery7631: PSA 29 不高,但切片8分不樂觀,荷爾蒙先壓一下 05/30 19:26
mystery7631: 切片8分很可能切下來實際是9分,大概療程就是達文西 05/30 19:29
mystery7631: 切掉,放射治療33-38次,配合一代二代荷爾蒙,十年以 05/30 19:29
mystery7631: 上存活樂觀,最好照一下F-18 PET/CT看需不需照SBRT 05/30 19:29
mystery7631: 骨骼掃描在這階段可能什麼轉移也找不到 05/30 19:30
mystery7631: 另外治療費用30萬左右,格里森8分以上醫生常會建議加 05/30 19:35
mystery7631: 二代荷爾蒙一起,一個月大概5-6萬,錢的部分要準備好 05/30 19:35
mystery7631: ,預後差很多,加油~ 05/30 19:35
marspaul: 荷爾蒙針是用來阻斷癌細胞生長,這個月就保持正常作息 05/30 22:14
nolyab: 感謝樓上前輩及醫師,今天到中榮排了正子攝影及MRI,稍微 06/01 18:38
nolyab: 有些進展了~ 06/01 18:38
wbt77hsy: PSA29跟GS4+4是目前主要高危險因子 耐心等待影像學分期 06/02 16:54
futureq: 切片目的是確診癌症 (確診後可以辦重大傷病領補助) 06/06 11:49
futureq: 攝護腺癌一般是股轉移 要做股頭的照影 06/06 11:52
futureq: 如果幸運沒轉移 就要切除癌症部位 ... 06/06 11:53
futureq: 轉移就賀爾蒙+基因比對 (看看五年存活率) 06/06 11:54