Prostate cancer grows relatively slowly. Localized cancer to
If localized prostate cancer found in men 65 years old, and as such he can stay, and the man dies, having cancer, but not from him. This happens to many thousands of men. And the more difficult treatment decision-making. But if the cancer is outside the prostate, it is invincible: it can not be cured. If metastases in the bones, life expectancy — about three years.
Unfortunately, early metastasis may appear before the tumor can find on digital rectal examination.
For tumors that are bounded by the prostate, you can choose either a radical prostatectomy (removal of the prostate), or radiation therapy. Radiation therapy is also used for cancer spread beyond the prostate. It is important to take into account the age, overall health, the stage of cancer, possible side effects and, finally, the patient's desire.
In cases where the body is able to withstand the surgery is without risk treatment choice — prostatectomy. After all, if not eliminate the disease radically and it will go beyond the prostate, it does not stop. The lack of complete resection of cancer — side effects: possible urinary incontinence and impotence. The operation itself is serious enough, and the body should be in good shape to move it.
Advantage radiotherapy that it is not an operation. The downside, especially in patients younger — failure to control cancer forever. Studies have shown that after application radiotherapy biopsy in a few years can again produce a positive result. These same studies have shown that after 10 years after Radiotherapy likelihood of maintaining a normal PSA level is 10%. After surgery, it is 70%.
Radical removal — the best option:
- enough for the young and healthy men with prostate cancer is limited to the boundaries and potentially curable;
- for patients whose tumor has moved beyond the prostate, but the doctors will be able to remove the tumor completely.
Radical prostatectomy surgery with little success to those who had been subjected to radiation therapy and, in the opinion of many urologists, surgery after radiation treatment is unacceptable. Radiation therapy can be used after surgery.
All the patients in addition to prostatectomy or radiation therapy appoint special anticancer drugs that block the action of testosterone. Apply them usually long.