In an interview with CURE, Dr. David A. Taub highlighted Prostate Most cancers Consciousness Month by outlining present therapy choices for sufferers with prostate most cancers.
Prostate most cancers is acknowledged each September, in line with the American Affiliation for Most cancers Analysis web site. As one of the crucial widespread sort of identified most cancers in males in the USA, it is usually the second main reason behind most cancers deaths in males, after lung most cancers.
Taub is a urologist and the director of urologic oncology at Eugene M. & Christine E. Lynn Most cancers Institute at Boca Raton Regional Hospital, a part of Baptist Well being.
Transcript
What therapy choices presently exist for sufferers with prostate most cancers, and the way do medical doctors resolve which method is greatest for every affected person?
There are 4 primary methods to deal with prostate most cancers. The primary is lively surveillance. A variety of prostate most cancers that we diagnose is slower rising and decrease quantity. Research out of England or Europe have proven that a few of these earlier-stage and non-aggressive cancers may be current for 10 or 15 years with out inflicting any improve in dying or issues. So, watching the most cancers and surveilling it’s an possibility. We do this by checking the PSA (prostate particular antigen) on a extra common foundation, about twice a yr, and checking the MRI just a little extra often, in addition to repeating biopsies to verify nothing is progressing. Lively surveillance is the mainstay for low-risk prostate most cancers.
Then there are extra intermediate or aggressive cancers that require both surgical procedure — we do robotic surgical procedure, which is the mainstay of prostate most cancers therapy — or radiation. There are a large number of radiation remedies, together with IMRT (Depth-Modulated Radiation Remedy), proton radiation remedy, and MRI Linac (Linear Accelerator). There is a plethora of radiation choices.
The final possibility is focal remedy. We have been utilizing focal remedy for various kinds of cancers. For example, after I deal with kidney most cancers, we’ll take away the a part of the kidney with the tumor however not the entire kidney. For breast most cancers, girls typically get a lumpectomy slightly than a radical mastectomy. Prostate most cancers has been lagging just a little bit, however some analysis has proven that we are able to get good illness management with fewer negative effects if we concentrate on treating simply the world the place the most cancers is and leaving the remainder of the prostate alone. We are able to do this with one thing known as HIFU, which is high-intensity centered ultrasound. We are able to additionally do it with cryoablation (freezing that space), or with one thing known as NanoKnife, which is irreversible electroporation.
There is a bunch of them, and so we attempt to match the appropriate modality with the appropriate affected person.
Transcript has been edited for readability and conciseness.
Reference
- “September is Prostate Most cancers Consciousness Month,” by the American Affiliation for Most cancers Analysis. https://www.aacr.org/patients-caregivers/awareness-months/prostate-cancer-awareness-month/
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