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Prostate Cancer Treatment Options: Selecting What Is Best

Saturday, July 10, 2010 4:47:00 PM Posted by Cancer Centers

Being diagnosed with prostate cancer nowadays is by no means a death sentence however it is imperative that you get treatment without delay. There are a number of prostate cancer treatment options available and the best one for you will depend on your individual case. You need to speak with your oncologist and decide what you want to achieve from your prostate cancer treatment so that the right course of treatment can be selected for you.

You might want to consider taking a family member with you to your consultation so that they can ask any questions that you might forget because of the stress associated with the situation.

Ask your oncologist if he/she has any leaflets about the various prostate cancer treatments because as you go back over your conversation at a later date you will undoubtedly forget important aspects that require consideration. Also ask your oncologist to explain the different prostate cancer treatment options to you in easy terms. Medical jargon can be overwhelming and confusing to a stressed mind so try to make things as easy as possible.

Simply put there are three major forms of prostate cancer treatment; surgery, radiation and chemotherapy. Hormone therapy is also often used as a complimentary therapy and any combination of the three main treatments can be used together or in conjunction with hormone therapy. The type of prostate cancer treatment that you receive will depend to a large extent on the cancer itself and how far it has progressed.

When the initial cancer spreads to the surrounding tissues and then to other sites in the body, the type of prostate cancer treatment used will become more palliative than curative i.e. the treatment will slow down the growth of the cancer and help control the side effects rather than actually curing the disease.

In addition factors such as your age, general health and what you want to achieve from the treatment will also be taken into consideration. The elderly may suffer from surgery much more than they would suffer with prostate cancer and so they may choose to do nothing except slow down the growth and spread of the disease. Younger men however may want to get rid of the cancer entirely and so opt for surgery and then probably radiation therapy to kill any remaining cancerous cells.

There are a lot of things to consider when you choose your form of prostate cancer treatment and the decision should not be rushed. Prostate cancer is one of the slow growing cancers and so a few weeks of deliberation will, in most cases, have no major effect on the size of your cancer or the symptoms experienced.

New Prostate Cancer Treatment Options
The most common therapies for prostate cancer are surgical removal of the entire prostate gland, radiation treatment, and hormonal therapy. All of these are highly effective, however, they can often lead to serious side effects that can downgrade quality of life by making erections difficult to achieve and causing loss of nightly urinary control. Fortunately, there are a few new treatments in the works that show promise.

One is an actual cancer vaccine called Provenge, which has shown an increase in survival times of men with prostate cancer as compared to a placebo in controlled studies. The company that makes it, Dendreon, has sought FDA approval, and although the FDA has agreed that it appears to be a safe and effective drug, they have taken a long time in approving it, asking for more clinical trials.

The drug aims to teach the body's immune system how to find and fight cancer cells without hurting normal cells, and so far appears to do just that. If and when Provenge is approved it could be an excellent treatment option for all prostate cancer patients.

Another treatment in the works is a gene therapy called Ad5-TRAIL, which is a deactivated human cold virus (called an adenovirus) that carries the gene treatment to the area of the prostate cancer. The third new treatment in the works is a form of cryosurgery colloquially known as "male lumpectomy" but officially called focal cryosurgery. Cryosurgery has been around for awhile, and consists of the surgeon injecting cold argon into the prostate gland destroying the cells. It has always had a better recovery rate than surgeries involving cutting, and less side effects as well.

The new focal version of cryotherapy adds new accuracy with even less chance of such side effects as impotence and urinary incontinence. The procedure has successfully treated 95% of those with prostate cancer in trials, and 80% walk away with no impotence or incontinence, a blessing for those faced with prostate cancer. The treatment is also outpatient, so patients don't have to face an extended hospital stay, however, it is generally only aimed at early stage prostate cancer as it consists of destroying only a small tumor confined to the prostate gland.

This treatment is currently only performed at a few places outside of research centers, such as Duke University Medical Center in North Carolina. While current prostate cancer treatment is effective and many illnesses are caught on time and treated successfully, there is room for improvement due to the serious side effects of erectile dysfunction and bladder control problems that are so common. Fortunately, some of these new therapies show hopeful promise for those with prostate cancer.


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