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.

gleason prostate cancer
Treatment Options for Prostate Cancer: Evaluating the Evidence
Because of differences in tumor differentiation (Gleason score), prostate cancer tumors progress at different rates (Table 1).12 A greater proportion of

Gleason Score: A Significant Biologic Manifestation of Prostate
The Gleason score, the most widespread method of prostate cancer tissue grading used today, is the single most important prognostic factor in PC.1-7 It is

Glossary of Prostate Cancer Related Terms, G - Prostate Cancer
Gleason grade: a widely used method for classifying prostate cancer tissue for the degree of loss of the normal glandular architecture (size,

A Primer on Gleason Grading in Prostate Needle Biopsies
The Gleason grading system, based on prospective study of more than 4000 patients between 1960 and 1975, is the standard method of grading prostate cancer

Gleason Grade - the Pathology Report
Over the age of 80, the patient is more likely to die of other causes than his prostate cancer. Poorly differentiated cancers are described as Gleason

Prostate Cancer
In the case of prostate cancer tissue, the most common system used in the USA to grade the appearance of this tissue is called the Gleason grading system,

Score de Gleason - Prostate Cancer Research Foundation
La mĂ©thode dâ™Ă©valuation la plus souvent utilisĂ©e pour mesurer le degrĂ© dâ™un cancer de la prostate est le système de score de Gleason.

Prostate cancer staging - Wikipedia, the free encyclopedia
Prostate cancer staging is the process by which physicians evaluate the spread of . from the Gleason score and prostate specific antigen (PSA) value.

Prostate Cancer symptoms treatment information cure prevention
AICR answers some of your Frequently Asked Questions regarding prostate cancer symptoms, treatment, information, and research.

Prostate Cancer Treatment - National Cancer Institute
Prostate cancer is a disease in which malignant (cancer) cells form in the the biopsy sample to check for cancer cells and determine the Gleason score.

Shift In Prostate Cancer Gleason Grades From 1989 To 2001
UroToday.com - Since the clinical introduction of PSA testing, there is reason to hypothesize that prostate cancer (CaP) Gleason grades may have shifted due

Prostate Cancer Gleason Score
the gleason score is helpful in classifying the stage and grade of prostate cancer.

Grading | Prostate Cancer Information | UPMC Cancer Centers
The most commonly used prostate cancer grading system, called Gleason grading, evaluates prostate cancer cells on a scale of 1 to 5, based on their pattern

Prostate Cancer: Gleason grade
The vast majority of prostate cancers are Gleason grade 6 -7, or moderate. It is virtually impossible to make a diagnosis of Grades 2 to 4 on needle biopsy.

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Gleason Grading, Understanding it, from the Prostate Cancer
Understanding Gleason Grading, from Prostate Cancer Infolink web site, preserved at Phoenix5.

Gleason Grading of Prostate Cancer Illustrated Phoenix5
An illustration by Gleason of the five grades of prostate cancer cells, to produce the Gleason Score to measure the malignancy of the cancer.

Statistics and prognosis for prostate cancer
This is called the grade of your cancer. In prostate cancer, this is recorded as your Gleason score. A Gleason score of 2, 3 or 4 indicates a low grade

ACS :: How Is Prostate Cancer Diagnosed?
Grading the Prostate Cancer. Almost all pathologists grade prostate cancers according to the Gleason system. This system assigns a Gleason grade,


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