前列腺癌15例治疗回顾

Retrospective Treatment of 15 Patients with Prostate Cancer

目的:探讨基层医院前列腺癌的诊断与治疗。方法:分析15例前列腺癌诊疗过程临床资料。结果:13例患者排尿梗阻及尿道刺激症状明显改善,术后PSA降至正常水平,1例失去随访,1例PSA反复波动正接受放射治疗。结论:基层医院要重视前列腺癌的早期诊断。对高危前列腺癌患者,应按照前列腺癌诊断治疗指南,综合应用内分泌治疗、根治性手术、放射治疗、根治性经尿道前列腺切除等治疗方法。

Objective： To identify the key of the diagnosis and treatment of Prostate cancer in basic level hospital. Method： We performed a retrospective case analysis of 15 patients with Prostate cancer. Results： 13 patients had significant improvements in urinary obstruction and urethral irritation; So far the prostate-specific antigen （PSA） level was back to normal level after surgery, 1 patient was loss of follow- up and 1 patient had unstable PSA level that is under radiation therapy. Conclusion： The basic level hos- pital should pay enough attention to prostate cancer. In accordance with guidelines of the prostate cancer diagnosis and treatment, Combination of endocrine therapy, radical surgery, radical prostatectomy, radio- therapy and radical transurethral resection of the prostate should be applied in high-risk patients with prostate cancer.