What Men Need To 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.

Many factors will determine how the physician chooses to treat a patient with this disease. The patient's overall health, as well as age, may affect the healthcare professional's decision. The physician factors in whether the diagnosis is new or the disease is recurring. The physician will inform the patient about all the possible and expected side effects of each treatment.

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.

Treatments can involve anything from oral medication to major surgery, depending on the disease's stage and the extent of the growth. Testosterone and other male hormones can promote growth, so hormone therapy can be an effective treatment for some men. Prescription medications are available to inhibit the action or production of certain hormones. Removal of the testicles eliminates the body's main source of testosterone.

Partial or complete surgical removal of the diseased gland may be an option if the disease has not had time to spread to other organs. Depending on the progress of the disease, surgeons will remove gland tissue, the seminal vesicles, lymph nodes, or any combination to remove as many diseased cells as possible.

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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