Chapter 091 Benign and Malignant Diseases of the Prostate (Part 1) pps

... Internal Medicine > Chapter 91. Benign and Malignant Diseases of the Prostate Benign and Malignant Diseases of the Prostate: Introduction Benign and malignant changes in the prostate increase ... prospective randomized trials. The paradox of management is that although the disease remains the second leading Chapter 091. Benign and Mal...

Ngày tải lên: 07/07/2014, 02:20

... these Chapter 091. Benign and Malignant Diseases of the Prostate (Part 2) Diagnosis and Treatment by Clinical State The disease continuum—from the appearance of a preneoplastic and invasive ... history of prostate cancer, testing is advised to begin at age 45. The American Urologic Association recommendations are similar, with a proviso that the ri...

Ngày tải lên: 07/07/2014, 02:20

... palpable, and of these, 70% are pathologically organ-confined. The Chapter 091. Benign and Malignant Diseases of the Prostate (Part 3) The PSA criteria used to recommend a diagnostic prostate ... biopsy. Each core of the biopsy is examined for the presence of cancer, and the amount of cancer is quantified based on the length of the tumor...

Ngày tải lên: 07/07/2014, 02:20

... confined to the gland (T2), and those that have extended outside the gland (T3 and T4) (Table 91 -1). DRE alone is inaccurate with respect to the extent of the disease within the gland, the presence ... Chapter 091. Benign and Malignant Diseases of the Prostate (Part 4) Pathology The noninvasive proliferation of epithelial cells within ducts is...

Ngày tải lên: 07/07/2014, 02:20

... Chapter 091. Benign and Malignant Diseases of the Prostate (Part 5) TRUS is the imaging technique most frequently used to assess the primary tumor, but its chief use is directing prostate ... Comparison of outcomes of various forms of therapy is limited by the lack of prospective trials, referral bias, and differences in the outcomes combination...

Ngày tải lên: 07/07/2014, 02:20

... intensity-modulated radiation therapy Chapter 091. Benign and Malignant Diseases of the Prostate (Part 6) Radical Prostatectomy The goal of radical prostatectomy is to excise the cancer completely ... disruption of the vascular supply and not the nerve fibers. Neoadjuvant hormone therapy has also been studied in combination with radiation therapy. The...

Ngày tải lên: 07/07/2014, 02:20

... disease had spread outside of the area of the prostate bed and is unlikely to be controlled with radiation therapy. disease. The practice evolved from studies of predominantly elderly men ... undergone surgery, prostatectomy for patients who had undergone radiation therapy. The decision to recommend radiation therapy after prostatectomy is often made on the basis of...

Ngày tải lên: 07/07/2014, 02:20

... Chapter 091. Benign and Malignant Diseases of the Prostate (Part 8) For patients with a rising PSA after radiation therapy, salvage prostatectomy can be considered if the disease ... hormone and follicle-stimulating hormone followed by a downregulation of receptors in the pituitary gland, which effects a chemical castration. They were approved on the basis...

Ngày tải lên: 07/07/2014, 02:20

... Chapter 091. Benign and Malignant Diseases of the Prostate (Part 9) Antiandrogens Nonsteroidal antiandrogens such as flutamide, bicalutamide, and nilutamide block the binding of androgens ... quality of life. Combined androgen blockade the administration of an antiandrogen plus a GnRH analogue or surgical orchiectomy—was designed to inhibit both testicul...

Ngày tải lên: 07/07/2014, 02:20

... bedtime) act by relaxing the smooth muscle of the bladder neck and increasing peak urinary flow rates. No data show that these agents influence the progression of the disease. Surgical approaches ... removal of the gland via a retropubic, suprapubic, or perineal approach. Also utilized are TULIP (transurethral ultrasound-guided laser-induced prostatectomy), stents, and...

Ngày tải lên: 07/07/2014, 02:20