曼谷前列腺癌筛查与诊断

曼谷前列腺癌筛查与诊断

曼谷医院总部提供准确、早期前列腺癌筛查——专家PSA解读、多参数MRI和MRI融合靶向活检。.

Medically reviewed by Dr. Soarawee Weerasopone, MD — Board-Certified Urologist · Research Scholar & Clinical Observer, Scott Department of Urology, Baylor College of Medicine

为何前列腺癌筛查至关重要

前列腺癌是男性最常见的癌症之一，但在其早期、最易治愈的阶段，它通常会引起 没有任何症状. 这正是筛查如此有价值的原因：它可以在疾病症状出现很久之前就将其检测出来，此时治疗效果最好，创伤也最小。.

现代筛查也比以往更智能。如今，不再是盲目地对所有PSA升高的患者都进行活检，而是将PSA解读与MRI相结合，以决定谁真正需要活检——从而避免不必要的检查，同时及早发现重要的癌症。. PSA结果高=""=""=""=""=""=""=""=""="">

谁应该考虑筛查？

• 50岁及以上男性，作为常规健康筛查的一部分
• 45岁及以上有前列腺癌家族史的男性
• 患有尿路症状或前列腺检查异常的男性
• 任何希望讨论个人风险以及筛查的利弊的人

如果发现癌症：治疗选择

并非所有前列腺癌都需要立即治疗——正确的治疗方案取决于癌症的风险、您的年龄和您的优先事项。.

主动监测

对于低风险癌症，通过 PSA、MRI 和活检密切监测可以安全地避免或延迟治疗——使许多男性免受手术或放疗副作用的痛苦，直到（或者除非）真正需要时。.

机器人前列腺切除术

对于适合治疗的局部肿瘤，达芬奇机器人手术采用神经保留技术切除前列腺，旨在优化控尿能力和勃起功能恢复。. 了解机器人前列腺切除术

放疗及其他疗法

根据癌症的分期和您的整体健康状况，通常会在多学科团队的环境下考虑放疗、激素疗法和其他治疗方案，以获得最佳疗效。对于晚期疾病，, 雄激素剥夺疗法 (ADT) 起着核心作用。.

浏览所有前列腺癌患者指南 →

常见问题解答

Q1: Who should get prostate cancer screening?

Screening is generally considered for men from age 50, or from 45 for those with a family history or other risk factors. The decision is individual — it is worth discussing your personal risk and the benefits and limitations of PSA testing with a urologist.

Q2: Does a high PSA mean I have prostate cancer?

Not necessarily. PSA can rise for benign reasons such as an enlarged prostate (BPH), infection, or recent activity. A raised PSA is a signal to investigate further — often with an MRI — not an automatic diagnosis of cancer.

Q3: What is an MRI-fusion prostate biopsy?

It is a targeted biopsy that merges a prior MRI with live ultrasound so the urologist can sample suspicious areas precisely. Performed through the perineum (transperineal), it improves accuracy and carries a very low risk of infection compared with older methods.

Q4: Does prostate cancer always need immediate treatment?

No. Many low-risk prostate cancers grow very slowly and can be safely monitored with active surveillance, avoiding or delaying treatment and its side effects. Treatment is recommended when the cancer’s risk level warrants it.

Q5: Can prostate cancer be cured?

When detected early and confined to the prostate, prostate cancer is highly treatable and often curable with surgery or radiation. This is precisely why timely screening and accurate diagnosis are so important.

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国际患者可享受在线视频问诊。.