12 HPB Flashcards

1
Q

Incidencia:

A

Aumenta con la edad.
20% = 40-50
50% = 51-60
mayor de 90% = mayor 80 años

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2
Q

Tamaño de la próstata

A

4 cm —- 2 cm
3 cm

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3
Q

¿Qué es el ápex?

A

Músculo transverso profundo del abdomen

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4
Q

Fascia retroprostática:

A

Denonvilliers

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5
Q

Zonas de la próstata

A
  • Central
  • Periférica
  • Transición (en medio)
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6
Q

Cápsulas:

A

Verdadera
Falsa: de la fascia endopélvica

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7
Q

¿De qué se compone el Estroma?

A

músculo liso

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8
Q

Irrigación:

A

Ilíaca interna:
1. Vesical inferior
2. Prostática
3. Uretrales

Hemorroidal media y pudenda

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9
Q

Drenaje venoso:

A

Plexo dorsal - Plexo prostático - plexo vesica - cava inf

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10
Q

Etiología HPB

A

Proliferación de epitelio del estoma
Incrementan estrógenos

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11
Q

Hormona madre:

Se diferencía

A

Dehidrotestosterona

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12
Q

Síntomas obstructivos urinarios:

A
  • Disminuye calibre de chorro
  • Pujan para micción
  • Goteo terminal
  • Sensación de vaciamineto incompleto
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13
Q

Síntomas irritativos

A

Nicturia
Frecuencia, urgencia de ir al baño

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14
Q

Qué indica Ag prostático elevado

A

Que hay más células, no sabes si malignas o benignas

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15
Q

Gold standar

A

USG trasnrectal

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16
Q

Estudio para ver metástasis o invasión de las cápsulas

A

TAC

17
Q

Para detectar si es maligno, estudio:

A

Biopsia transuretal

18
Q

Tratamiento:

A

Benigno pequeñi: RTUP

Benignp grande o maligno: retirar completa

RTUP: resección transuretral porstática