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Современный подход к проблеме рака предстательной железы - PowerPoint PPT Presentation


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Современный подход к проблеме рака предстательной железы. Подберезский П. В. Могилевский областной онкологический диспансер 2008. 421. Структура онкоурологической заболеваемости в РБ, 2007. Диагноз. Доступные инструменты стадирования и прогноза. ПРИ Сывороточный ПСА

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Современный подход к проблеме рака предстательной железы

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. . 2008


421


, 2007





  • -\

  • 565 T2

  • 52%

  • 31% (T3)

  • 17%

  • 36 T3a

  • 19%

  • 36% -

  • 45% -

  • 52%

  • 81%

  • AUA-2008




  • ,



  • 48

  • 3

  • 6

  • 7

  • 6

  • ,


  • (0,15 / ), . .


= 4-10 /


:


(% - %f-PSA)


D

  • D = (/)/ , 3

  • D > 0.15 // 3


(PSA-Veloity) <4 \


  • (t-) > 4 /

  • ( V)> 0.75 //

  • ( D) > 0,15 // 3

  • (%f-) < 15%



60-85% 49-79%


+ + , ?


56-72%



  • :


  • :


10 (50-69 )

29/11/2006


:


:


:


:


:



: (2006-2008)


  • 2003 220900 ,

  • 2 6 ???


: , 2007


1995-2006 ( )


:

  • 62%

  • (!)


( -) 1980 7%

,


Prostate Cancer Incidence rates in the US, 1975-2004,

SEER 9 data


Prostate Cancer Mortality rates in the US, 1969-2004


:

  • 1985-1995 62% ( Roberts at al., 1998)

  • 2 ( De Antony, Crawford,1998)



  • 50-70 , ;

  • , ;

  • 50 , ;

  • 40 .


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