Medical Treatments for Prostate Cancer

There are many different medical treatments for prostate cancer that involve the clinical care of a healthcare professional. These treatments include expectant therapy, surgery, radiation therapy, hormone therapy, and chemotherapy. Expectant therapy is to carefully observe and monitor the prostate cancer. Because prostate cancer cells often spread very slowly, many older men who have the disease may not need more extensive treatment. However, expectant therapy usually includes routine physician examinations, including digital rectal exams and PSA tests. The different types of surgery for prostate cancer are radical prostatectomy - an open-surgery procedure in which the entire prostate gland and surrounding tissue are removed. Transurethral resection of the prostate (TURP) - surgery to remove part of the prostate gland that surrounds the urethra. Cryosurgery - this procedure involves killing the cancer cells by freezing them with a small metal tool placed in the tumor. Side effects of prostate cancer surgery include incontinence and impotence. Incontinence is the inability to control urine and may result in dribbling of urine, especially immediately after surgery. Normal control usually returns within weeks or months after surgery. Impotence is the inability to achieve an erection. For a month, or so, after surgery, most men are not able to get an erection. Eventually, approximately 40 to 60 percent of men will be able to get an erection sufficient for sexual intercourse, but without ejaculation of semen, since removal of the prostate gland prevents that process.

Radiation therapy uses high energy rays to kill or shrink cancer cells, and to decrease their ability to divide. Radiation is often used to treat prostate cancer that is still confined to the prostate gland, or has spread only to nearby tissue. If the disease is advanced, radiation may be used to reduce the size of the tumor and to provide relief from symptoms. Possible side effects of radiation for prostate cancer may include diarrhea, with or without blood in the stool, and colitis, problems associated with urination, a degree of impotence (inability to get an erection), which may occur within two years of radiation therapy.

The goal of hormone therapy is to lower the level of male hormones in the body, particularly testosterone. Hormone therapy does not cure the cancer, and is often used to treat persons whose cancer has spread or recurred after treatment. Produced mainly in the testicles, testosterone causes prostate cancer cells to grow. Thus, reduced testosterone levels can make the prostate cancer shrink and become less active. Most studies show that hormone therapy works better if it is started early. Chemotherapy is the use of powerful, anti-cancer medications to kill cancer cells.. Hospitalization may be needed to monitor treatment and chemotherapy's side effects. Common side effects of chemotherapy include: nausea and vomiting, hair loss, anemia, reduced ability of blood to clot, mouth sores, increased likelihood of developing infections, fatigue. Most side effects disappear once treatment is stopped.

free psa prostate cancer
FREE PSA CONCENTRATION TO DETECT PROSTATE CANCER - Journal Watch
Can free PSA measurements help identify prostate cancer in men with serum PSA levels below 4.0 ng/ml, which is the range usually considered normal?

Cost-Effectiveness of Percent Free PSA for Prostate Cancer
Strategy 2 (TRUS-Bx) would be more cost-effective if the cost of percent free PSA increased to EUR 21.64 or if prostate cancer prevalence increased to 26%.

PSA and Free PSA - Prostate Cancer - MedHelp
PSA and Free PSA. Answered by. Ash Tewari, MD, M.Ch. - Prostate Cancer. Weill Medical College of Cornell University. This forum is for quesitons about:

Prostate Cancer, PSA, Prostate PSA
Since the overlap in total PSA levels is substantial among men with BPH and prostate cancer, use of % free PSA may help distinguish those with BPH from

PSA & Prostate Cancer
The red line, corresponding to prostate cancer patients, has a sharp peak at 10%. Most patients with prostate cancer have a free PSA less than 15%.

Free PSA Testing Improves Prostate Cancer Detection
High-risk men should be screened with percent-free PSA even if total PSA and digital rectal examination are normal; about half with low percent-free PSA

Initial Sextant Biopsy (Unknown % Free PSA) - Prostate Cancer
In order to provide you with an estimate of your individual probability of prostate cancer on biopsy, please provide us with the following information:

Percent Free PSA in Prostate Cancer Screening - Journal Watch
While physicians continue to debate the merits of prostate-specific antigen (PSA) screening, many patients are requesting and receiving this test.

JAMA -- Abstract: Evaluation of percentage of free serum prostate
OBJECTIVE--To evaluate measurement of percentage of free prostate-specific antigen (PSA) in serum to improve the specificity of prostate cancer screening in

PSA | Prostate Cancer Information | UPMC Cancer Centers
A low percentage of free PSA (25 percent or less) means a greater likelihood of prostate cancer than higher percentages of free PSA.

Prostate cancer - Wikipedia, the free encyclopedia
The risk of prostate cancer increases with increasing PSA levels. . The Kattan score represents the likelihood of remaining free of disease at a given

Using PSA Intelligently to Manage Prostate Cancer, Part 2
Conversely, free PSA comprises a lower proportion of total PSA (and complexed PSA a higher proportion of the total) in men with prostate cancer.6 The FDA

ACS :: Can Prostate Cancer Be Found Early?
A lower percent-free PSA means that your likelihood of having prostate cancer is higher and you should probably have a biopsy.

Prostate Cancer Detection
Why a High Total PSA Level Usually Doesnâ™t Mean Prostate Cancer percentage of free PSA to total PSA, the more likely it is that the prostate condition

Prostate Cancer
Tests for prostate-specific antigen (PSA) and free PSA offered by Beckman Coulter play a vital role in providing safe and effective prostate cancer

Finding prostate cancer: percent free PSA test may spare you a biopsy
Use this chart to learn how the free PSA (PSA-f) test can be added to the regular PSA test and digital rectal exam to distinguish prostate cancer from more

The Prostate-Specific Antigen (PSA) Test: Q & A - National Cancer
Free PSA may help tell what kind of prostate problem a man has. With benign prostate conditions (such as BPH), there is more free PSA, while cancer produces

Prostate Cancer Tests Vary in Specificity, Sensitivity
In the past several years, a new blood test called free PSA is being used to A: Yours is a complicated but important question since prostate cancer is


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