Source: Clujul Medical. Sep, Vol. Prostate cryotherapy is successfully used in patients with prostate cancer, either as a primary treatment or second recourse after failure of radiotherapy.
Material and method. A prospective study included patients diagnosed with prostate adenocarcinoma, treated by US-guided transperineal primary prostatic cryotherapy at the Clinical Institute of Urology and Renal Transplantation of Cluj- Napoca and Lukmed Clinic between October July The Oncura Golden SeedNet 2 system was used.
Patient follow-up included clinical examinations and prostate specific antigen PSA determinations at 1, 2, 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, and 54 months.
Biochemical recurrence was established after three consecutive incresed levels of PSA. A statistical analysis aimed at investigating whether the Gleason score, tumoral stage, preoperative PSA were prognostic factors of biochemical recurrence. According to D'Amico's classification, the patients included in the study were: The mean preoperative PSA value standard deviation according to the risk group was 5.
Survival rates without biochemical high risk prostate cancer gleason score was The result of the statistical analysis chi square test evidenced a statistically significant relationship between Gleason score, tumoral stage, preoperative PSA and the post-cryotherapy biochemical high risk prostate cancer gleason score.
Diagnosticul molecular in cancerul de prostata Teste MDx Health Farmacogenetica Teste OncoDNA pentru cancerul de prostata — ajuta la identificarea pacientilor cu probabilitate crescuta pentru cancerul de prostata agresiv, contribuind astfel la selectarea pacientilor ce pot beneficia, cu adevarat, de biopsia de prostata. Biomarkerii analizati ajuta medicul sa stabileasca daca un pacient are o probabilitate crescuta sau scazuta de a dezvolta cancer de prostata si care sunt pacientii care pot evita biopsiile inutile. SelectMDx pentru cancerul de prostată pentru un diagnostic mai eficient si un tratament adecvat Supradiagnosticarea, biopsiile repetate si complicațiile acestora fac din PSA un biomarker imperfect. O valoare crescuta a PSA-ului poate fi cauzata si de alti factori, in afara de cancer, cum ar fi: infectii, inflamatii sau hiperplazie prostatica benigna BPH.
Last generation prostate cryotherapy is an efficient therapeutic technique for prostate cancer, with a survival rate without recurrence of The ideal candidates for prostate cryotherapy are patients at low risk. Maximal tissular destruction after cryotherapy, as evidenced by the lowest PSA level was recorded after a mean time period of three months after the operation.
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