Gleason grading sisitimu

Kenza yeprostate inoonekwa mushure mebhiopsy. Imwe kana yakawanda sampuli yemasuru inotorwa kubva kuprostate uye inoongororwa pasi peiyo microscope.

Iyo Gleason grading system inoreva kusanzwisisika kwako maseru ekenza yeprostate anotaridzika uye kuti ingangoita sei kenza kufambira mberi nekupararira. Chikamu chepasi cheGleason chinoreva kuti gomarara rinononoka kukura uye kwete zvehasha.

Nhanho yekutanga yekumisikidza iyo Gleason giredhi ndeyekutarisa iyo Gleason mamaki.

1. Kana uchitarisa masero ari pasi peiyo microscope, chiremba anopa nhamba (kana giredhi) kumasero ekenza yeprostate pakati pe1 ne5.
2. Iri giredhi rakavakirwa pamaitiro asina kujairika maseru anoonekwa. Giredhi 1 zvinoreva kuti masero anotaridzika kunge akafanana neakajairika maseru eprostate. Giredhi 5 zvinoreva kuti masero anotaridzika zvakanyanya akasiyana neakajairika maseru eprostate.
3. Makenza mazhinji eprostate ane masero akasiyana mamakisi. Saka mamaki maviri akajairika anoshandiswa.
4. Iyo Gleason mamaki inotsanangurwa nekuwedzera iwo maviri akajairika mamaki. Semuenzaniso, iro rakajairika giredhi remasero mune sampu sampuro inogona kunge iri giredhi 3 maseru, ichiteverwa negiredhi rechina maseru. Chikamu cheGleason chemuenzaniso uyu chingave chinomwe.

Nhamba dzepamusoro dzinoratidza gomarara rinokurumidza kukura iro rinonyanya kupararira.

Parizvino mamaki akaderera anopihwa bundu iri giredhi 3. Magiredhi pazasi e3 anoratidza zvakajairika kusvika padyo nemasero akajairwa. Makenza mazhinji ane Gleason mamakisi (huwandu hwamakadhi maviri akajairika) pakati pe6 (Gleason mamakisi e3 + 3) uye 7 (Gleason mamakisi e3 + 4 kana 4 + 3).

Dzimwe nguva, zvinogona kuve zvakaoma kufungidzira kuti vanhu vanozoita zvakadii zvichibva pane zvavo Gleason zvikoro chete.

• Semuenzaniso, bundu rako rinogona kupihwa mamakisi eGleason e7 kana iwo maviri akajairika mamakisi aive matatu ne4 Iwo manomwe anogona kuuya nekuwedzera 3 + 4 kana kubva pakuwedzera 4 + 3.
• Pakazara, mumwe munhu ane Gleason mamakisi e7 anouya nekuwedzera 3 + 4 anonzwikwa kuva nekenza isinganyanye kukunda pane mumwe munhu ane Gleason mamaki e7 anouya nekuwedzera 4 + 3. Ndiko nekuti munhu ane 4 + 3 = 7 giredhi ine yakawanda giredhi 4 maseru kupfuura giredhi 3 maseru. Giredhi rechina masero akajairika uye anowanzo kwarira kupararira kupfuura giredhi 3 maseru.

Iyo nyowani 5 Giredhi Boka Sisitimu ichangobva kugadzirwa. Iyi sisitimu inzira iri nani yekutsanangura kuti kenza ichaita sei uye kupindura kurapwa.

• Bhuku reboka 1: Gleason chikamu 6 kana pasi (kenza yepasi-giredhi)
• Giredhi boka 2: Gleason mamaki 3 + 4 = 7 (yepakati-giredhi kenza)
• Giredhi boka 3: Gleason mamaki 4 + 3 = 7 (yepakati-giredhi kenza)
• Bhuku reboka 4: Gleason chikamu 8 (kenza yepamusoro-grade)
• Bhuku reboka 5: Gleason chikamu 9 kusvika ku10 (kenza yepamusoro-grade)

Boka repasi rinoratidza mukana uri nani wekubudirira kurapwa pane rakakwira boka. Boka repamusoro rinoreva kuti mamwe maseru ekenza anotaridzika akasiyana nemasero akajairwa. Boka repamusoro zvakare rinoreva kuti zvinowanzoita kuti bundu ripararire zvine hukasha.

Kubata kunobatsira iwe nachiremba wako kuona nzira dzekurapa, pamwe ne:

• Chikamu checancer, icho chinoratidza kuti kenza yapararira zvakadii
• PSA bvunzo mhedzisiro
• Hutano hwako hwese
• Chido chako chekuvhiyiwa, radiation, kana mahormone mishonga, kana pasina kurapwa zvachose

Kenza yeprostate - Gleason; Adenocarcinoma prostate - Gleason; Gleason giredhi; Chikamu cheGleason; Gleason boka; Kenza yeprostate - 5 giredhi boka

Bostwick DG, Cheng L. Neoplasms yeprostate. Mune: Cheng L, MacLennan GT, Bostwick DG, eds. Urologic Nzira Yokuvhiya Pathology. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 9.

Epstein JI. Pathology yeprostatic neoplasia.Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 151.

National Cancer Institute webhusaiti. Prostate cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq#_2097_toc. Yakagadziridzwa Chikunguru 22, 2020. Yakasvika Nyamavhuvhu 10, 2020.

• Kenza yeprostate