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[ 會員#20903 ] Luisa

关于前列腺癌的确诊问题

病患者男 - 80歲

我爸爸最近出现尿血,到医院做直肠指检发现前列腺有结节,PAS 19ng/ml,疑患前列腺癌但还没确诊。医生给出的建议是:做穿刺检查和收拾切除,或者用内分泌药物治疗。考虑到患者年龄问题,医生更推荐后者。

我的问题是:
1.如果不做穿刺不能确诊,还有没有别的可行诊疗方案?
2.患者心脑肺肾检查都正常,这个年龄还适不适合做穿刺检查?做这个检查有没有什么风险?
PSA of 19ng/ml may or may not be due to cancer of prostate. Ancillary imaging like plain MRI may provide more information if biopsy is declined. Staging should follow after confirmation of prostate cancer. Either radical surgery or radical radiotherapy will do for localised cancer. While radical surgery is good for the physically fit, radical radiotherapy is the alternative for those who refuse or are unfit for surgery. Tumour aggressiveness, patient profile and preference, treatment morbidity will shape the ultimate management plan. If the cancer has spread to other parts of the body, hormonal therapy and other palliative measures become the main stay of treatment.
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