I-Prostate Cancer Grading and Gleason Scores

Uma wena noma ilungu lomndeni litholakala ukuthi unesifo somdlavuza we-prostate kubalulekile ukuqonda ukukhishwa komdlavuza we-prostate kanye nezikolo ze-Gleason. Okokuqala, ake sibheke umdlavuza we-prostate ngokwawo.

Iyini i-prostate Cancer?

Umdlavuza we-prostate uqala ku-prostate - ingcosana encane eyenza uketshezi lwesisu . Ngenye yezinhlobo ezivame kakhulu zomdlavuza emadodeni.

Umdlavuza we-prostate uvame ukukhula ngokuhamba kwesikhathi futhi ekuqaleni ngokuvamile uhlala ngaphakathi kwe-prostate gland, lapho kungase kungabangeli ukulimala okukhulu. Nakuba ezinye izinhlobo zesifo somdlavuza we-prostate zikhula kancane futhi zingadinga ukwelashwa okuncane noma akukho, ezinye izinhlobo zinonya futhi zingasakazeka ngokushesha.

Umdlavuza we-prostate obanjwe kusenesikhathi unethuba elingcono lokwelashwa okuphumelelayo.

Izimpawu

Umdlavuza we-prostate ohamba phambili ungabangela izimpawu nezimpawu ezifana nalezi:

Yini I-Cancer "Yokubamba"?

Ngemuva kokuba i-biopsy ithathwe futhi kutholakala umdlavuza we-prostate , "ibanga" lomdlavuza wakho lizonqunywa. Lokhu kwenziwa ngokuhlola amangqamuzana omdlavuza ngaphansi kwe-microscope ukunquma ukuthi zingavamile kanjani amangqamuzana omdlavuza. Uma zingavamile, cishe umdlavuza kufanele ube nobudlova noma usakaze ngokushesha ngaphandle kwe-prostate.

Ibanga lomdlavuza wakho luyingxenye ebalulekile yolwazi odokotela bakho ukuba babe nesinqumo lapho ukwelashwa okufanele. Isilinganiso esivame kakhulu sokufakwa komdlavuza we-prostate yisilinganiso seGleason.

Kuyini Score Gleason?

Lapho amangqamuzana avela ku-prostate ahlolwe ngaphansi kwe-microscope, isifo sofuba sizobona izinhlobo eziningi zamaseli ezivela emangqamuzaneni avamile, angenamandla okuya emangqamuzana angavamile, anonya.

Udokotela wezilwane unquma ukuthi yiluphi uhlobo lweseli oluvame kakhulu, futhi yiluphi uhlobo oluvame kakhulu.

Ngamunye walezi zinhlobo ezimbili zeseli unikezwa amaphuzu kusuka ku-1 ukuya ku-5. Izinombolo eziphakeme kule nqubo zisho okungaphezu kokuvamile, amangqamuzana omdlavuza onolaka.

Ngenxa yokuthi izinhlobo ezimbili ezivame kakhulu zamangqamuzana omdlavuza zikhonjiswe ku-prostate, isiqephu se-Gleason siyinhlanganisela yalezi zinhlobo ezimbili zamaseli.

Isibonelo, uma uhlobo lweselula oluvame kakhulu luyi-3 (ngesilinganiso esingu-1 ukuya ku-5) kanti uhlobo lwesibili oluvame kakhulu luyi-4, khona-ke izinga le-Gleason libikwa njenge-7 noma ngezinye izikhathi njenge "3 + 4."

Ngokufanayo, uma uhlobo lweselula oluvame kakhulu olutholakala luhlobo lwesi-3 nolwesibili oluvame kakhulu luyi-2, isiqephu sakho se-Gleason singu-5 noma "3 + 2."

Ngokuyinhloko, isilinganiso sakho se-Gleason esiphezulu, ingumdlavuza onobudlova futhi ngcono ukubikezela kwakho.

> Imithombo:

Allsbrook Jr WC, Mangold KA, Yang X, et al. Uhlelo lwe-Gleason lokubamba: ukubuka konke. J Urologic Indlela 10: 141-157, 1999.

Gleason DF. Ukufakwa kwe-Histology komdlavuza wesicathulo: umbono. I-Hum Path 23: 273-279, 1992.

I-Mayo Clinic, i-Prostate Cancer.