What Every Man Should Know About Prostate Cancer Treatment Options

By Olive Pate


Cancer is a serious disease caused by the uncontrolled and abnormal growth of cells. One of the most common cancers in adult American males is prostate cancer. The prostate is a male reproductive gland that produces fluid and secretes it when a man ejaculates. Men who develop this disease need to know about the prostate cancer treatment options currently available.

Physicians will select one of several treatments based on multiple factors, including the patient's age and the stage of the disease. Whether the patient has other problems with his health or whether the condition has returned after earlier diagnosis will also affect the decision making process. Patients should also weigh any expected side effects against the prognosis.

If a screening test reveals this condition in older men who are not experiencing symptoms, the physician will monitor the patient closely without treatment until the condition changes. Waiting for symptoms to show before treating is known as watchful waiting. Active surveillance is monitoring a patient with regular testing. Test results alert the patient and his physician if the disease starts to get worse or spread.

Some patients are treated with minimally invasive techniques while others require surgery. Blocking the actions of various male hormones is sometimes effective for slowing or stopping the growth of cancerous tissue. An extreme form of hormone therapy involves removing the testicles, which are responsible for producing the majority of the body's supply of testosterone. Oral medications may be prescribed to inhibit the action of certain androgens.

If the disease has not yet spread from the gland, surgical removal of all or part of the gland is an option. The surgeon may remove nearby lymph nodes, seminal vesicles, and tissue surrounding the prostate at the same time. Various surgical techniques are used depending on the procedure's scope and goal.

Radiation may be used to kill the cancerous cells or retard their growth. Radiation may be delivered to the gland from an external machine. Some radiation machines use a 3-D image of the tumor to conform the radiation beams into a shape that matches the tumor. Internal radiation therapy is a technique physicians use to implant radioactive seeds directly into the affected tissue through a needle. If the disease has spread to the bones, the physician injects the patient with radium-223, a radioactive substance that seeks out cancer cells in bone and kills them.

Chemotherapy is a treatment method that patients may receive orally or through injections. Chemical cocktails inhibit new growth and kill diseased tissue. Physicians may inject the chemicals into muscles, veins, or the cerebral spinal fluid.

Other methods are being studied in clinical trials. Cryotherapy utilizes freezing temperatures to destroy diseased cells. Another treatment showing some promise is high-intensity focused ultrasound delivered via an endorectal probe. Proton beam radiation therapy is a type of external radiation therapy that bombards tumors with a proton stream to destroy them. Patients and their physicians will decide what best fits the individual's physical condition and lifestyle.




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