What Every Man Should Know About Prostate Cancer Treatment Options

By Olive Pate


Cancer is a disease caused by abnormal cell growth. Sometimes cancerous cells form in tissues making up the prostate, which is a male reproductive gland located in the lower abdominal area. Statistics show that 20 percent of adult males in the United States will develop this disease but it is usually not life threatening, especially with early diagnosis and treatment. Men diagnosed with this condition need to find out more about effective prostate cancer treatment options.

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.

Physicians will typically take a watchful approach when a screening test indicates cancerous cells in an older man who is not having symptoms. This means no treatments unless and until the patient develops symptoms. If the disease progresses, the physician relies on regular testing to monitor the patient. The test results will let the physician know if the disease is getting worse or starting to spread to other areas.

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 inhibits growth of diseased cells. Patients receive injections of various chemicals directly into the organ, the cerebrospinal fluid, the veins, or the muscles. In some cases, the patient takes the drugs orally.

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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