MRIフュージョン経会陰前立腺生検 - 前立腺癌検出のソリューション

MRI-fusion transperineal prostate biopsy — advanced imaging-guided technique for prostate cancer detection | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

本日、「MRI融合経会陰前立腺生検」と呼ばれる新しい手順について詳しく見ていきます。前立腺がんは、世界中の男性において2番目に多い固形のがんです。以前は、前立腺がんが疑われる場合、「経直腸的ランダム前立腺生検」と呼ばれる生検手順が行われていました。しかし、この手順は精度が低く、生検針が直腸壁を貫通して前立腺組織に到達する際に、便による汚染で感染しやすいという問題がありました。これが、新技術が考案された理由です。この新技術は、[… ]を仮想的に支援し、その利点を活かしています。

リコピン: 前立腺がんの予防にはどのくらい摂取する必要がありますか?

Lycopene — dietary intake recommendations and role in prostate cancer prevention research | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

トマト、ニンジン、スイカ、パパイヤに豊富に含まれる抗酸化物質であるリコピンは、前立腺がん予防のサプリメントとして、一般の人々の間で広く話題になっています。このトピックでは、この魔法のような抗酸化物質について詳しく説明します。リコピンに関するQ&A Q:リコピンとは何ですか? A:カロテノイドとして知られる植物に見られる色素です。カロテノイドは、黄色、オレンジ色、赤色などの色を生成します。 Q:前立腺がんの予防に科学的に役立ちますか? A:はい、ただし1日あたり少なくとも9mg摂取した場合に限ります。 Q:1日あたり9mg以上摂取した場合の前立腺がんリスク低減率はどれくらいですか? A:2.1% の前立腺がんリスク低減 Q:1日あたりのリコピン含有量はどれくらいですか[...]

6前立腺がん予防に関する修正可能な危険因子

Prostate cancer prevention — six modifiable lifestyle and dietary risk factors | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Whereas the patients at my office asking lots on prostate cancer prevention so in this topic, I will show you the 6 modifiable risk factors prostate cancer prevention strategy that you may consider and try to make it possible for your own. But in the meantime, you must know that prostate cancer also mainly related with ethnicity and family history which cannot be modified. Here we go! (The reference was from World Journal of Oncology 2019) Evidence-based prostate cancer prevention Prostate cancer is one of the most common malignancies in males and is commonly detected at routine health checkups. Prostate cancer prevention strategy is an important tool in patient education […]

事前の前立腺癌患者のアンドロゲン除去療法

Androgen deprivation therapy (ADT) — hormonal treatment in advanced and metastatic prostate cancer | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

In this topic, we will remain focusing on androgen deprivation therapy (ADT) in advanced prostate cancer patients. Testosterone plays a major role in prostate cancer aggressiveness; therefore, we try in every way to suppress this hormone to control disease progression. In the past, the only way to perform androgen deprivation therapy was a bilateral orchiectomy (surgical testicular removal), which dramatically suppressed testosterone by removing the primary production organ. However, confirmed reports showed that patients who underwent orchiectomy sometimes confronted psychological trauma from this irreversible procedure. Currently, modern medical ADT has been developed. These preparations come as subcutaneous or intramuscular injections with intervals ranging from 1 month to 1 year. Regular […]

MRI前立腺結果の解釈

MRI prostate result interpretation — PI-RADS scoring and clinical decision-making | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

Due to the medical concern and health promotion program very actively in now a day, lots of gentlemen more likely suspicious on prostate cancer will refer seeing me at the Urology office. In the past, when we suspected prostate cancer, we only have one method to recommend them; we always introduce them to do prostate tissue biopsy procedure though. Since then, not all the patients get the positive prostate cancer result from the biopsy! It took us really upset for someone who doesn’t have prostate cancer instead of receiving an unnecessary biopsy and consequently suffering very unfair with these complications. Currently, MRI prostate is the essential tool to clarify the […]

前立腺癌の検出におけるMRI:それから何か利益を得ますか?

前立腺がんにおけるMRI — 検出、病期分類、生検ガイドにおける多パラメータMRIの役割 | バンコク病院泌尿器科医 Soarawee Weerasopone医師

ソアラウィー・ウィーラソポン、バンコク病院本院泌尿器科、バンコク・サミティベート・シリラチャ病院、チョンブリ LINE連絡先 本日はMRI前立腺についてお話しします。前立腺がんに関していつも冒頭でお伝えしているように、この病気は攻撃性が限定的である可能性が高いです。患者さんの病態は、健康診断プログラムのPSA(前立腺特異抗原)値の上昇から始まり、泌尿器科クリニックで確定組織生検のメリット・デメリットについて相談し、前立腺がんの診断に至ります。疑問は、すべて前立腺がん患者が評価と診断を行う必要があるかということです。 [...]

PSA(前立腺がん)スクリーニングテストを行うべきでしょうか?

PSA screening — prostate-specific antigen testing for early detection of prostate cancer | Dr. Soarawee Weerasopone, urologist at Bangkok Hospital

A common consulting in my urology office involves patients referred with an elevated PSA value from routine screening, using a cutoff of 4.0 ng/mL. This frequently causes significant psychological distress, and I spend considerable time explaining what it actually means. Let me give you an updated perspective on PSA screening. What is PSA? PSA stands for Prostate Specific Antigen – an enzyme produced exclusively by the prostate gland. Its function is to liquefy semen after ejaculation. PSA is normally present in high concentration in prostatic tissue and very low in the bloodstream. When prostate tissue is disrupted – by benign prostatic hyperplasia, infection, or even minor manipulation – PSA leaks […]

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