Treatment FAQ

how do people decide on prostate cancer treatment

by Vicky Hackett Published 2 years ago Updated 1 year ago
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Choosing the best treatment for localized or locally advanced prostate cancer is generally based on age, the stage and grade of the cancer, the patient's general health, and an evaluation of the risks and benefits of each therapy option.

Medication

Choosing the best treatment for localized or locally advanced prostate cancer is generally based on age, the stage and grade of the cancer, the patient’s general health, and an evaluation of the risks and benefits of each therapy option.

Procedures

If you have early-stage prostate cancer, there are many factors such as your age and general health, and the likelihood that the cancer will cause problems for you to consider before deciding what to do. You should also think about the possible side effects of treatment and how likely they are to bother you.

Therapy

n Know your health history. Your doctor or nurse will want to know about your health history. This history includes your family history, whether you have already had prostate surgery, and whether you have any other illness, such as diabetes or heart problems. nTalk about your treatment choices.

Self-care

You can also change your mind and decide to have treatment at any time. Active surveillance can be used for men with early-stage prostate cancer because the cancer often grows so slowly that it may not cause problems during a man’s lifetime.

Nutrition

How do I choose the best treatment for prostate cancer?

What should I do if I have early-stage prostate cancer?

What questions should I ask my doctor about prostate cancer?

Can I change my mind about prostate cancer treatment?

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Do all prostate cancers need to be treated?

Not every man with prostate cancer needs to be treated right away. If you have early-stage prostate cancer, there are many factors such as your age and general health, and the likelihood that the cancer will cause problems for you to consider before deciding what to do.

Is surgery the best option for prostate cancer?

Both radiation and surgery are equally effective treatments to cure prostate cancer." The choice of which treatment is best is up to individual patients and their care teams, Dr. King says. "Make sure you talk with a surgeon and a radiation oncologist before you make your decision.

What happens if you decide not to treat prostate cancer?

Most cases of diagnosed prostate cancer, however, if left untreated, will grow and possibly spread outside of the prostate to local tissues or distantly to other sites in the body. The first sites of spread are typically to the nearby tissues.

What is the most common treatment for early-stage prostate cancer?

Radiation and surgery are the main treatments for early-stage prostate cancer. But other options include: Cryosurgery. This treatment uses very cold gas to freeze and kill cancer cells.

Is it better to have prostate surgery or radiation?

With either treatment, the chance of your cancer spreading is low. Both treatments have side effects, such as bladder, bowel, and erection problems. Radiation therapy is more likely to cause bowel problems. Surgery is more likely to cause leaking urine or erection problems.

What is an alarming PSA level?

PSA levels under 4 ng/ml are generally considered normal, while levels over 4 ng/ml are considered abnormal. PSA levels between 4 and 10 ng/ml indicate a risk of prostate cancer higher than normal. When the PSA level is above 10 ng/ml, risk of prostate cancer is much higher.

What is the safest treatment for prostate cancer?

Radiation therapy is a good choice for many men with early-stage prostate cancer. It is also the best treatment for older men or those who have other health problems. There are different types of radiation therapy: External beam radiation.

How long does the average person live with prostate cancer?

Survival for all stages of prostate cancer more than 95 out of 100 (more than 95%) will survive their cancer for 1 year or more. more than 85 out of 100 (more than 85%) will survive their cancer for 5 years or more. almost 80 out of 100 (almost 80%) will survive their cancer for 10 years or more.

Can prostate cancer go into remission without treatment?

Speaking about all types of cancer, Joel Dunnington, MD, who recently retired as professor of diagnostic radiology at MD Anderson Cancer Center In Houston: "There are some spontaneous remissions. But these are very rare without treatment.

When is a prostatectomy recommended?

The primary indication for radical prostatectomy should be to cure prostate cancer. Therefore, the ideal candidate for radical prostatectomy is the person with disease that is pathologically confined to the prostate and who, if untreated, would suffer morbidity or mortality from the malignancy.

What is the newest treatment for prostate cancer?

The treatment, called 177Lu-PSMA-617, uses a molecule that selectively seeks out and attaches to a specific protein on the cancer cell surface called PSMA (prostate-specific membrane antigen). The technology delivers radiation that damages DNA and destroys the cancer cell.

What is normal PSA by age?

'Normal' PSA Levels By Age ChartAge Range (years)Baseline Age-Adjusted PSA Levels ng/mL40 to 490 to 2.550 to 590 to 3.560 to 690 to 4.570+0 to 6.5Oct 27, 2020

Which Treatments Are Used For Prostate Cancer?

Depending on each case, treatment options for men with prostate cancer might include: 1. Watchful waiting or active surveillance 2. Surgery 3. Radi...

Which Doctors Treat Prostate Cancer?

The main types of doctors who treat prostate cancer include: 1. Urologists: surgeons who treat diseases of the urinary system and male reproductive...

Making Treatment Decisions

It’s important to discuss all of your treatment options, including their goals and possible side effects, with your doctors to help make the decisi...

Help Getting Through Treatment

Your cancer care team will be your first source of information and support, but there are other resources for help when you need it. Hospital- or c...

What is the best way to monitor prostate cancer?

Closely monitoring the prostate cancer by performing prostate specific antigen (PSA) and digital rectal exam (DRE) tests and prostate biopsies regularly , and treating the cancer only if it grows or causes symptoms. Surgery.

What is the procedure to remove prostate cancer?

Surgery. A prostatectomy is an operation where doctors remove the prostate. Radical prostatectomy removes the prostate as well as the surrounding tissue. Radiation therapy. Using high-energy rays (similar to X-rays) to kill the cancer. There are two types of radiation therapy—. External radiation therapy.

How does ultrasound help with cancer?

High-intensity focused ultrasound. This therapy directs high-energy sound waves (ultrasound) at the cancer to kill cancer cells.

What are the treatment options for prostate cancer?

Depending on each case, treatment options for men with prostate cancer might include: Observation or Active Surveillance for Prostate Cancer. Surgery for Prostate Cancer. Radiation Therapy for Prostate Cancer. Cryotherapy for Prostate Cancer. Hormone Therapy for Prostate Cancer. Chemotherapy for Prostate Cancer.

What are the things to consider when making a decision about cancer treatment?

Some important things to consider include: The stage and grade of your cancer. Your age and expected life span.

Why is communicating with your cancer team important?

Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life. Different types of programs and support services may be helpful, and can be an important part of your care.

Why are clinical trials important?

Clinical trials are one way to get state-of-the art cancer treatment. In some cases they may be the only way to get access to newer treatments. They are also the best way for doctors to learn better methods to treat cancer. Still, they're not right for everyone.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

What is the name of the doctor who treats cancer?

Urologist: A surgeons who treat diseases of the urinary system and male reproductive system (including the prostate) Radiation oncologist: A doctor who treats cancer with radiation therapy. Medical oncologist: A doctor who treats cancer with medicines such as chemotherapy, hormone therapy, and immunotherapy.

What is the treatment for prostate cancer?

For patients whose cancer appears more aggressive, combination treatment may be recommended. For example, radiation therapy may be combined with hormone therapy, and surgery may be followed by radiation, sometimes with the addition of hormone therapy.

What are the risk groups for prostate cancer?

There are 3 general risk groups based on the PSA, DRE, and biopsy, which can further be subdivided to better personalize treatment for each patient.

How to treat prostate cancer?

Talk to your surgeon beforehand to see if they think they'll be able to protect the nerves around your prostate to prevent these side effects. Radiation therapy. This treatment uses high-energy beams (similar to X-rays) to kill the cancer. It's often a choice for older men and for those with other health problems.

What to do if prostate cancer spreads?

If it starts to grow or spread, you can explore other treatments. Surgery. It’s an option if you're healthy and your cancer hasn't spread.

Why do we need hormone therapy?

The purpose of hormone therapy is to slow the cancer ’s growth and increase survival while maximizing quality of life. Hormone treatment is often used after surgery for better results, as well as in men who don't want to have any other type of treatment or who have advanced prostate cancer. Cryotherapy.

Does prostate cancer stop or slow down growth?

The vaccine is custom-made for you. Scientists don’t know if it stops or slows down the cancer’s growth, but it does seem to help men live longer with prostate cancer. Bone-directed treatment. If the cancer reaches your bones, drugs called bisphosphonates can help ease pain and prevent breaks.

Can a doctor remove a prostate gland?

It’s an option if you're healthy and your cancer hasn't spread. There are several types. Your doctor may remove only your prostate gland. Or they might take it and the tissue around it. The most common side effects from an operation are problems controlling your urine and trouble getting and keeping an erection.

Can prostate cancer affect your mental health?

A prostate cancer diagnosis can change the way you look at yourself, your body, and your life. This is not unusual. Support from family, friends, and loved ones can help you reg ain your mental balance, but some people can benefit from mental health support.

Does androgen deprivation therapy cure cancer?

It is also used if cancer remains or comes back after treatment with surgery or radiation. It does not cure cancer.

Side Effects

It's important to think about your quality of life as you weigh your options. Ask your doctor about the risks and benefits of each treatment you're considering. Learn about the possible short- and long-term side effects of the medications.

Cost

Always feel free to talk about the expense of treatment with your doctor. If they don't bring it up first, you might want to say something along the lines of: "I'm worried about the cost of my cancer treatment. Can we talk about my concerns?"

Family History of Cancer

Does prostate cancer run in your family? If so, that might influence the treatment plan that you and your doctor choose.

Schedule of Treatment

Think about how the treatment you choose affects your daily routine. Ask yourself questions like:

Additional Health Problems

How well you handle a particular treatment depends on your overall health. The average age at diagnosis of prostate cancer in the U.S. is about 66. And men with advanced prostate cancer are about 10 years older when they get diagnosed, Kohli says.

Your Personal Support Network

During your treatment, it's important to get caregivers to help out. That doesn't always mean someone you hire. Family and friends can be a huge help. Also ask your doctor about local organizations that offer low-cost or free home care or other services.

Can you treat cancer on your husband?

The doctors are giving you the best treatment options right for your husband. No matter which treatment you choose, they are all good and effective treatments specific for your husband's cancer and health status. Your choice is about the potential side effects of treatment.

Does a prostrate shot slow down cancer?

The shot slowed down the progression of the cancer by shutting off the production of testosterone. It also shrinks the prostrate to make radiation easier and kills any stray cancer cells in your system. It's not a picnic but is necessary. When I was doing my treatment I heard about the 5 treatment option.

What is the best treatment for prostate cancer?

Active surveillance, surgery, and radiation therapy are the standard therapy choices for men with early-stage prostate cancer (see Types of Treatment, starting on page 8). Each has benefits (how treatments can help) and risks (problems treatment may cause). There is seldom just one right treatment choice.

What is the purpose of the prostate cancer booklet?

Its purpose is to help you learn about early-stage prostate cancer, different treatments, and the benefits and risks of each type of treatment. Most men will need more information than this booklet gives them to make a decision about treatment. For a list of groups that provide more information and support, please see the Ways to Learn More section on page 32. Also, see that section if you have prostate cancer that has spread beyond the prostate or that has returned after treatment.

How long does it take for a prostate cancer to grow?

Early-stage prostate cancer means that cancer cells are found only in your prostate. Compared with many other cancers, prostate cancer grows slowly. This means that it can take 10 to 30 years before a prostate tumor gets big enough to cause symptoms or for doctors to find it. Most men who have prostate cancer will die of something other than prostate cancer.

Can you choose prostate cancer treatment?

As a man with early-stage prostate cancer, you will be able to choose which kind of treatment is best for you . And while it is good to have choices, this fact can make the decision hard to make. Yet, each choice has benefits (how treatment can help) and risks (problems treatment may cause).

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