{"id":65543,"date":"2026-10-28T11:53:37","date_gmt":"2026-10-28T10:53:37","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=65543"},"modified":"2026-10-28T11:55:10","modified_gmt":"2026-10-28T10:55:10","slug":"co-se-deje-v-konecnem-stadiu-metastatickeho-karcinomu-prostaty-ve-4-stadiu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=65543","title":{"rendered":"Co se d\u011bje v kone\u010dn\u00e9m st\u00e1diu metastatick\u00e9ho karcinomu prostaty ve 4. st\u00e1diu?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Ray Schilling<br \/>onkolog<br \/>Ontario Cancer Institute, Princess Margaret Hospital, Toronto\/Ont.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PET\/CT v nemocnici Braunschweig<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kone\u010dn\u00e9 st\u00e1dium karcinomu prostaty je podobn\u00e9 kone\u010dn\u00e9mu st\u00e1diu jin\u00fdch typ\u016f rakoviny. V p\u0159\u00edpad\u011b karcinomu prostaty metast\u00e1zy postupuj\u00ed zhruba takto:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kdy\u017e rakovina pronikne prostatick\u00fdm pouzdrem, \u0161\u00ed\u0159\u00ed se do p\u00e1nevn\u00edch lymfatick\u00fdch uzlin. Rakovinn\u00e9 bu\u0148ky pak mohou d\u00e1le r\u016fst pod\u00e9l \u0159et\u011bzce lymfatick\u00fdch uzlin pobl\u00ed\u017e aorty.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kdy\u017e lymfa obsahuj\u00edc\u00ed rakovinn\u00e9 bu\u0148ky vstoup\u00ed do krevn\u00edho ob\u011bhu, mohou se rakovinn\u00e9 bu\u0148ky \u0161\u00ed\u0159it krevn\u00edm \u0159e\u010di\u0161t\u011bm do jak\u00e9hokoli org\u00e1nu v t\u011ble.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mezit\u00edm pokra\u010duje i lok\u00e1ln\u00ed invaze. Rakovina prostaty \u010dasto napad\u00e1 p\u00e1nevn\u00ed kosti, co\u017e je spojeno se zna\u010dnou bolest\u00ed. Mo\u010dovod, kter\u00fd odv\u00e1d\u00ed mo\u010d z ledvin do mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, m\u016f\u017ee b\u00fdt p\u0159eru\u0161en metast\u00e1zami v prostatick\u00e9 oblasti v oblasti h\u0159ebene ky\u010deln\u00ed kosti. To vede k akutn\u00ed hydronefr\u00f3ze. Urolog mus\u00ed co nejrychleji zav\u00e9st kat\u00e9tr, aby ledvinu na t\u00e9to stran\u011b zachoval.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V sou\u010dasn\u00e9 dob\u011b se rakovinn\u00e9 bu\u0148ky roz\u0161\u00ed\u0159ily krevn\u00edm \u0159e\u010di\u0161t\u011bm do v\u0161ech org\u00e1n\u016f. Metast\u00e1zy v j\u00e1trech, plic\u00edch, mozku, ledvin\u00e1ch, kostech a b\u0159i\u0161e vedou do termin\u00e1ln\u00edho st\u00e1dia, kdy t\u011blo ji\u017e nen\u00ed funk\u010dn\u00ed. V\u00fdsledek pak z\u00e1vis\u00ed na tom, kter\u00fd org\u00e1n je nejv\u00edce posti\u017een. To bude nakonec p\u0159\u00ed\u010dinou smrti. Obr\u00e1zek v\u00fd\u0161e ukazuje PET vy\u0161et\u0159en\u00ed pacienta s metast\u00e1zami rakoviny prostaty v cel\u00e9m t\u011ble.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Ray SchillingonkologOntario Cancer Institute, Princess Margaret Hospital, Toronto\/Ont. PET\/CT v nemocnici Braunschweig Kone\u010dn\u00e9 st\u00e1dium karcinomu prostaty je podobn\u00e9 kone\u010dn\u00e9mu st\u00e1diu jin\u00fdch typ\u016f rakoviny. V p\u0159\u00edpad\u011b <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=65543\" title=\"Co se d\u011bje v kone\u010dn\u00e9m st\u00e1diu metastatick\u00e9ho karcinomu prostaty ve 4. st\u00e1diu?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":65548,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-65543","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=65543"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65543\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/65548"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=65543"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=65543"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=65543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}