Mesothelioma Cancer Treatment:
In prostate cancer treatment, different types of doctors. Including medical oncologists, surgeons, and radiation oncologists. Often work together to develop a holistic treatment plan that combines different types of treatments to treat cancer. This is called a multidisciplinary team.
The cancer care team includes a variety of other health care professionals. Such as palliative care specialists, physician assistants, senior nurses, oncology nurses, social workers, pharmacists, counselors, dieticians, physiotherapists, and more.
A description of the most common treatment options for prostate cancer is given below. Treatment options and recommendations depend on several factors. Including the type and stage of cancer, possible side effects, and patient preferences and overall health. Your care plan may also include prostate cancer treatment for symptoms and side effects, which are an important part of cancer care.
Take some time to understand your treatment plan, if you are not sure, ask questions. Discuss with your doctor the goals of each treatment, the likelihood of treatment. What you can expect when receiving treatment, and possible side effects of urine, bowel, sex, and hormones.
Men should also discuss with their doctor how various treatment options affect recurrence, survival, and quality of life. In addition, the success of any treatment often depends on the skills and expertise of the doctor or surgeon. So it is important to find a doctor with experience in treating prostate cancer.
These types of conversations with your doctor are called co-decisions. Co-decision refers to the choice of a doctor. And a person with cancer to choose a treatment that meets their healthcare goals. Co-decision is especially important for prostate cancer because there are many treatment options. Learn more about how to make treatment decisions.
Because most prostate cancers are found in the early stages of slow growth. There is usually no need to rush to make treatment decisions. In the meantime, it’s important to discuss the risks and benefits of all your treatment options with your doctor and when to start treatment. This discussion should also address the current state of cancer, such as:
- Is the PSA level elevated or stable?
- Whether cancer has spread to the bones
- Your health history
- Any other medical conditions you may have
Although your prostate cancer treatment recommendations will depend on these factors. There are some general steps in the treatment of early and locally advanced prostate cancer. Treatment options for advanced and metastatic prostate cancer will be described later in this section.
Early prostate cancer (stage I and II).
Early prostate cancer usually grows very slowly. And can take years to cause any symptoms or other health problems if it has ever happened. Therefore, proactive monitoring may be recommended. Radiation therapy (external or brachytherapy) or surgery, as well as clinical trials, may also be recommended.
For men with a higher Gleason score, cancer may grow faster, so radical prostatectomy and radiation therapy are usually appropriate. Your doctor will consider your age and general health before recommending a treatment plan.
ASCO, the American College of Urology, the American Society of Radiation Oncology, and the Society of Urological Oncology recommend that patients with high-risk early-stage prostate cancer who have not yet spread to other parts of the body should undergo radical prostatectomy or androgen radiation therapy-deprivation therapy (ADT) as a standard treatment option.
Locally advanced prostate cancer (stage III).
Patients with locally advanced prostate cancer who are not undergoing surgery should not receive systemic treatment with ADT or chemotherapy prior to surgery. Patients with locally advanced prostate cancer who choose to receive radiation therapy should receive ADT as a standard of care.
Giving 24 months of ADT is widely considered to be the minimum time required to control the disease, but 18 months may be sufficient. Auxiliary or remedial radiation therapy is a treatment given after radical prostatectomy.
Regardless of the Gleason score and margin status (positive or negative), it is the standard treatment for men with extra-prostatic spread (pT3a or pT3b, see “stage and grade”). Having a positive edge means that cancer cells are found in the edges of the tissue removed during surgery surrounding the prostate.
Having a good edge does not necessarily mean that cancer is forgotten during surgery. You need to discuss the importance of this discovery with your doctor. The role of adjuvant radiotherapy in men with small cancers in lymph nodes is still under investigation.
For older men who are not expected to live for a long time. And who do not cause symptoms of prostate cancer? For older men with other more serious illnesses, consider waiting.