Types of Treatment for Prostate
Cancer
Cancer has many types depending on the body where
they grow. There’re types of cancer that does not
require special treatment because of slow growth and
classified as dangerous cancer, while others can be very
dangerous due to the rapid growth that can threaten
person's life. Therefore, we must know the types and
methods to treat cancer.
Prostate cancer is a type of cancer that occurs in
most men. To be able to treat it is through several ways
and the doctors is people who has to decide which method
is right for their patients because the disease need to
be examined about the grade, stage, health conditions,
and age. Ironically, over time, methods of treatment and
prediction of physicians will increasingly uncertain.
This is because the side effects and feelings of
patients may affect patient survival.
Several methods of treatment for prostate cancer such
as surgery, hormonal therapy, waiting for the right
moment, or radiation therapy may be combined for
patients. If the cancer is diagnosed early, they may be
required to take medication. Therefore, the role of
doctors is needed in this area, because the side effects
of these medications can affect sexual performance for
the time or the worst is forever.
In many instances of local prostate cancer, it can be
eliminated by two main treatments. They are (1)
radiotherapy, including interstitial beam radiotherapy
and external radiotherapy, and (2) surgery to remove
radical prostatectomy / vesical vesicle and prostate.
However this is very unfortunate for older patients who
have the possibility of other diseases, treatment is
only effective for patients with life expectancy for
more than 10 years. In addition to that chemotherapy /
hormone therapy may you choose because this method is
more effective than radiotherapy to treat patients with
metastatic prostate cancer.
Surgery for Radical Prostatectomy
This method involves removal of tissues surrounding
the prostate and its overall, pelvic lymph nodes and
seminal vesicles. Radical prostatectomy is called to be
the best treatment, if prostate cancer spreads only in
the prostate gland. So that to prevent further
development should be taken a way to remove the entire
prostate and its surrounding tissues. Surgery is highly
recommended to those who have a life expectancy of more
than 10 years and have organ disease.
Radiation therapy
Radiation therapy or radiotherapy is a treatment
method with a variety of ways such as placing a
radioactive material by injection into the flow of the
body or the use of X-rays. Radiation treatment is used
for many purposes, such as for treating prostate cancer.
For this case is as a treatment for recurrent prostate
cancer, treatment of pain or any consequences arising
prostate cancer on the body parts.
Between of external beam radiotherapy and radical
prostatectomy have similar curative indications, that is
patient must have a cancerous organ with a life
expectancy of at least 10 years. Typically, patients
will be given 7-week course of radiotherapy and if it
compared to radical prostatectomy, it has a degree of
erectile dysfunction and incontinence are less than
radical prostatectomy. However, for conventional
external radiotherapy, it has side effects such as
intestinal complications and symptoms of urinary
irritation.
Hormonal therapy
Hormonal therapy is selected if prostate cancer has
in further developed and spread to surrounding body
parts. This therapy aims to prevent cancer growth and
reduce the resulting symptoms through medication or
surgery to reduce testosterone and prostate tumors that
supports the case. The operation to reduce testosterone
is bilateral orchiectomy which is by removal of the
testes. While the other to suppress the production of
testosterone through chemical castration (LH-RH
injection analog synthesis) every 3-4 months, the cancer
cells from growing element will be eliminated. All
effects of male hormone that supports prostate cancer
cells can be eliminated with the use of drugs in the
hormonal therapy.
In addition to preventing the growth of prostate
cancer, hormonal therapy also give side effects such as
anemia, osteoporosis, vomiting, nausea, erectile
dysfunction, and chest swell. Some experts also
suggested that the duration of patient survival can be
improved if the treatment that taken is a combination of
hormonal treatment with radiation.
Chemotherapy
Chemotherapy is a treatment to destroy cancer cells by
several drugs. They kill the cancer cells are growing rapidly through the
bloodstream to spread throughout the body. Because these drugs affect healthy
cells as well, these are required a frequency and dose of physicians to control
the risks posed to healthy cells. Lately, these treatments are often used by
patients with cancer that has spread beyond the prostate gland. Therefore
patients with advanced prostate cancer are prefer to choose chemotherapy rather
than hormone therapy to improve survival and reduce pain.
Chemotherapy can give side effects vary depending on the type
and duration of treatment or dose of medication. Prednisone and docetaxel are a
regimen that most widely used today. The side effects include changes in taste,
diarrhea, fatigue, decreased blood cell counts, nausea, increased risk of
infection, and vomiting.
Watchful waiting
This is a delay method for treatment. It takes a strategy
point of view to have it. Generally, those with watchful waiting was a diligent
examination of good health and compliance through the measurement of PSA
and clinical examination as well which supported and based on the development of
prostate cancer that has slowed down naturally. Meanwhile, older patients with
local cancer or the advanced one will be delayed for the treatment and to avoid
the lack of tumor staging can be traversed by repeated biopsy.
Active Surveillance
For men who have prostate cancer with low
risk of death, namely cancer with moderate or small grade and with small volume
is highly recommended to choose active surveillance. In active surveillance,
patients received periodic checks for DRE, prostate biopsy,serial PSA and transrectal ultrasound. This one is different
from watchful waiting because if the disease shows signs of change or grow more
aggressive, then the patient may choose a treatment to cure the disease. This is
a method for maintaining quality of life of patients when the cancer was dormant
or growing slowly.
Even now there is still controversy about how to prevent
prostate cancer, so many doctors who said that a healthy lifestyle to prevent
the disease is still difficult to find. Healthy lifestyle includes the physical
exercise, proper amount of nutrition, the consumption of vegetables and fruits,
and healthy foods. Therefore, the best way is to visit a doctor regularly and
try not to be overweight (having a normal body weight).
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