Hormone Therapy For Prostate Cancer
Hormone therapy is used when the tumor has already spread beyond the prostate gland or has metastasized. Male sex hormones regulate the growth of the prostate as well as the division of tumor cells. The principle of treatment is to block the action of the specific male sex hormones, thereby inhibiting the growth of the tumor cells. Although hormone treatment reduces symptoms caused by prostate cancer in most cases, it has not been proven to cure cancer or prolong the life of patients diagnosed with prostate cancer.
Few cases of prostate cancers are not amenable to hormone treatment at all , and a large number of tumors that have initially responded well to hormone treatment become hormone-independent a few years after the treatment start.
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Which Treatment Methods For Prostate Cancer Are Out There
The conventional treatment regimens for prostate cancer include surgery , radiation therapy, and certain types of chemotherapy.
If the disease is detected at the early stages, then one of the most common and effective methods of treatment is surgery.
External radiation therapy destroys prostate cancer cells but may affect the surrounding healthy tissues. Internal radiation therapy, i.e. brachytherapy, has a local therapeutic effect on the tumor. When the disease is detected at the early stage and the tumor is low-aggressive, the technique is effective and can stop the development of prostate cancer.
Lutetium-177 PSMA therapy for prostate cancer has demonstrated good results in prostate cancer patients, including those with tumors that are resistant to other types of treatment. Clinical trials conducted in different countries confirm that Lutetium-177 PSMA therapy is an effective, well-tolerated, and safe method of treatment.
The choice of the most appropriate treatment option should be based on a careful analysis of possible advantages and disadvantages, which are determined by the patients age, general health condition, and personal preferences.
What Are The Types Of Prostate Cancer
The most common type of prostate cancer, diagnosed in nearly all cases, is prostatic adenocarcinomas. All other prostate cancer types comprise an estimated 1-5% of cases. Prostatic adenocarcinoma develops in the glandular epithelial cells that line the prostate and can be categorized into two subtypes:
- Acinar adenocarcinoma Most prostate cancers are diagnosed as acinar adenocarcinomas. It produces elevated PSA levels and, since the cells grow in the back of the prostate near the rectum, the cancerous cells can sometimes be felt during a digital rectal exam, making this subtype easier to detect.
- Prostatic ductal adenocarcinoma A rarer, more aggressive form of prostatic adenocarcinoma, this subtype develops in the cells lining the tubes and ducts of the prostate gland. Its harder to detect and often develops alongside acinar adenocarcinoma.
Other, less common types of prostate cancer include urothelial cancer, neuroendocrine tumors, small cell carcinoma, squamous cell carcinoma and soft-tissue prostate cancer.
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Ucla Medical Center Los Angeles
One of the specialties at Jonsson Comprehensive Cancer Center is skin cancer, including prevention, detection, treatment, and rehabilitation. The center has both inpatient and outpatient services, which include bone marrow biopsies, transfusion, and chemotherapy, all under one roof. Want more info on skin cancer? Check out these silent signs of skin cancer youre probably ignoring or this list of the biggest myths you likely believe about the disease.
Questions To Ask When Searching For The Best Prostate Cancer Care
Men diagnosed with prostate cancer face some difficult choices. Should they proceed with surgery or radiation, and if so, what kind? If theyre low risk and the cancer is not likely to spread, do they have the patience for active surveillance? And in the midst of all these questions, theres this one: Which doctor or hospital delivers the best care?
The short answer is no one knows, at least not by any objective measure. But experts are beginning to agree about what matters for prostate cancer patients. Weve collected some of those measures in the list below. They may help you assess the quality of a urologist or oncologist as you seek the best care.
Many doctors will tell you they dont have answers to these questions. Even those who do wont know if they are above or below a national average, because there is no such thing yet. But if you ask, youll get a sense of how your doctor thinks about quality and about your desire to make an informed decision. And maybe youll learn about what matters most to you.
Heres the list:
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Treating Patients Through Every Step
The Prostate Cancer Program at Hackensack University Medical Centers Department of Urology has earned the Gold Seal of Approval® by The Joint Commission, signifying the highest quality patient care and a devotion to patient safety.
Our Prostate Cancer Program features a multidisciplinary team of urologic oncologists, medical and radiation oncologists from John Theurer Cancer Center, uroradiologists with expertise in advanced prostate imaging techniques, and specially trained pathologists with experience in molecular analysis and biomarkers. Our team works closely with you to develop an individualized treatment plan designed to cure your cancer while preserving your quality of life.
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Is Robotic Assisted Minimally Invasive Safer
Minimally-invasive radical prostatectomy proves safer than traditional open surgeryresulting in fewer post-surgical complications, fewer blood transfusions, and shorter hospital stays, according to the results of a study published in European Urology.
Prostatectomy may be performed using traditional open surgery, in which the surgeon makes a single, long incision, or through a laparoscopic procedure , in which several small incisions are made. During laparoscopy, the surgeon inserts a small video camera through one of the incisions in order to see inside the abdomen. In a variant of laparoscopic surgery known as robotic-assisted laparoscopic surgery, the surgeon sits at a console near the operating table and performs the surgery by controlling robotic arms that hold the surgical instruments.
This study evaluated data from 78,232 men over age 65 who underwent prostate removal between 2003 and 2007. What makes this study unique, however, is that it included the data from 100% of Medicare patients in the United Statesresulting in a comprehensive body of data that reflects results from both large and small communities from every region of the country. The large sample size enabled researchers to detect statistically significant differences in outcomes between the two methods that smaller studies might not have captured.
Men with prostate cancer are encouraged to speak with their physician to safely evaluate the risks and benefits of the different surgical procedures.
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World’s Best Specialized Hospitals 2021
In our nine decades, Newsweek has covered all aspects of health carescientific challenges, economic disruption, the occasional medical miracle and most of all, what these developments mean for our readers. As part of that commitment, we’ve partnered with Statista Inc., the global market research and consumer data firm, to rank the world’s best hospitals.
Now we’re expanding that expertise by looking at specialties. After the publication of the first part in September, in which we awarded the best hospitals for cardiology, oncology and endocrinology, we conclude this year’s ranking with the best hospitals for neurology, gastroenterology and orthopedics. Each list includes a ranking of the 50 best global hospitals, while ranks 51 to 100/200 are sorted alphabetically. If you or a loved one needs specialized care in one of those areas, as millions of us do, you want to know which hospitals or medical centers have state-of-the-art facilities and the most knowledgeable, accomplished physicians.
Where will you have access to the best diagnosticians, highest level of care and most effective treatments? We’re proud to offer our readers these independent, authoritative and reliable Newsweek/Statista rankings.
Hospitals which are not accessible to the public and/or are very small were excluded from the ranking since they were very unlikely to receive enough recommendations to make the final list.
What About People Visiting
If you are sick or have been exposed to COVID-19, we ask that you not come to Beverly Hills Cancer Center. We ask that you find someone who isnt sick to join your loved one at their appointments.
To protect all patients, we may limit the number of people who can visit someone staying in the hospital. Please check with your care team.
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University Of Virginia Medical Center Charlottesville
Recently honored on the 100 Great Oncology Programs list by Beckers Hospital Review, the UVA Cancer Center is known for innovative treatment and a commitment to research. Their stem cell transplant program is especially high ranking, earning the top accreditation in the country for treating patients with high-risk blood disorders. Speaking of which, heres why everyone should know their blood type.
Houston Methodist Hospital Houston
The mission of the Cancer Center at Houston Methodist Hospital says it all: to bring the latest cancer treatments and therapies to patients as quickly as possible. You can choose from one of the centers nine specialty programs , where youll receive a highly customized treatment plan from an interdisciplinary team.
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Choosing To Stop Treatment Or Choosing No Treatment At All
For some people, when treatments have been tried and are no longer controlling the cancer, it could be time to weigh the benefits and risks of continuing to try new treatments. Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.
Some people, especially if the cancer is advanced, might not want to be treated at all. There are many reasons you might decide not to get cancer treatment, but its important to talk to your doctors and you make that decision. Remember that even if you choose not to treat the cancer, you can still get supportive care to help with pain or other symptoms.
What Should I Do If I Have Cancer
Some people with cancer might have a higher risk of getting COVID-19 or having a serious infection from it. Do your best to follow the steps listed above to protect yourself. Ask your doctor or nurse if they have special recommendations based on your health or type of treatment.
- You have a fever higher than 100.3 degrees F.
- You feel short of breath.
- You develop a cough, runny nose, or congestion.
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Surgery For Prostate Cancer
During surgery for prostate cancer treatment , the entire prostate gland with its capsule and seminal vesicles is removed. Surgery is usually performed under general anesthesia. It is an open operation during which an incision is made in the middle line from the navel to the pubic bone.
In recent years the less traumatic endoscopic radical prostatectomy has been implemented in the clinical practice, during which the prostate is removed with thin instruments that are inserted through several small incisions under visual control. Both types of surgery require a well-trained urologist and experienced medical staff. That is why these operations are only performed in large European hospitals. While the wounds are healing, the man is not recommended to urinate on his own, so a catheter inserted through the urethra is left in the bladder for 7-10 days. The next day after removing the catheter the man is allowed to leave the hospital.
Possible side effects of surgery are erectile dysfunction and urinary incontinence.
What To Expect From Prostate Cancer Treatment
Your treatment for prostate cancer will depend on several factors, including the cancers characteristics and the effectiveness of the treatment. Your doctor at a Dignity Health Southern California hospital will also consider your personal preference to provide you with the most personalized treatment. Sometimes, more than one type of treatment is combined for the best results. Schedule an appointment to learn more about each type of treatment, its side effects, benefits, and risks.
Doctors at Dignity Health combine knowledge, expertise, and humankindness to treat prostate cancer in Southern California.
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Diagnosis And Imaging Services For Prostate Cancer
At UT Southwestern, our dedication to precision starts with prompt and accurate diagnosis. Our highly accurate diagnostic techniques include:
- Digital rectal examinations
- TRUS/MRI-guided biopsy
- Ultrasound-guided biopsy
If a patient is diagnosed with prostate cancer, our physicians will develop a unique plan of care. Because the disease usually grows slowly, we might recommend a watch-and-wait approach, also known as active surveillance, which involves close monitoring without treatment.
For patients who do require treatment, we offer advanced techniques that include medical therapies, radiation therapy, and surgery.
Our urologists and radiologists work together to provide additional options for men with suspected or confirmed prostate cancer, including MRI-guided transurethral ultrasound ablation of the prostate .
Types Of Prostate Cancer
AdenocarcinomaAlmost all cases of prostate cancer begin in the gland cells that make the prostate fluid. This type of cancer is called adenocarcinoma. Other kinds of cancer can also start in the prostate. This includes small cell carcinoma, transitional cell carcinoma, and sarcoma. But these types of cancer are rare. Most men with prostate cancer have adenocarcinoma.
Other types of growth that may affect the prostate include:
Benign prostatic hyperplasia As a man ages, the prostate can grow larger. BPH is a common condition. While not prostate cancer, it can cause the prostate to press on the urethra. Pressure on the urethra causes urination issues and can be treated.
Prostatic intraepithelial neoplasia This abnormal non-cancerous prostate growth may be found with a prostate biopsy. PIN can be low-grade or high-grade. Low-grade PIN is more common as men grow older. Men who have high-grade PIN have a chance that cancer is somewhere else in the prostate.
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Innovations In Prostate Cancer Care: Patient Webinar
Whether you have recently been diagnosed or have been living with a prostate cancer diagnosis, hear from our multi-disciplinary team of experts about how they work with patients to choose the most appropriate, personalized treatment for each situation. Treatment may include surgery, radiation, active surveillance, hormone therapy, or a new ablation technique called TULSA. Watch to learn more.
University Of Michigan Hospitals
The University of Michigan Rogel Cancer Center recognizes that medical treatment is just one small part of the cancer journey. Thats why they have such a robust Patient & Family Support Services Program thats included in every patients plan. Designed to help both patients and their families navigate what can be a very difficult process from start to finish, the program helps create strategies for coping with potential stresses, whether its supporting someone in chemo or finding lodging during treatment.
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The Stages Of Treatment
Because the stage of your cancer is the most influential factor in how your treatment will progress, weve divided the rest of this article into segments based on the stage of your cancer:
Stage 1 prostate cancer is the least advanced stage. This means your cancer is small and hasnt advanced past your prostate.
In this stage, PSA and Grade Group levels are low. Over 99% of people with prostate cancer caught in this stage survive the effects of cancer for at least 5 years. This means that you can still die of other causes, but you have a less than 1% chance of dying of prostate cancer complications.
for stage 1 prostate cancer usually consists of some combination of active surveillance, surgery, or radiation therapy. You may also be eligible for clinical trials that offer newer treatment techniques.
Top 10 Cancer Hospitals In The United States
Shereen Lehman, MS, is a healthcare journalist and fact checker. She has co-authored two books for the popular Dummies Series .
Choosing where to go for your cancer care can be overwhelming. Naturally, you want the best care possible. Each year, U.S. News & World Report releases its annual list of the top 50 hospitals in the United States. In addition to the list of overall best patient care and research, the publication highlights facilities that specialize in certain medical fields, including oncology . Almost 4,700 U.S. hospitals are considered in the rankings.
Of those topping the list of best cancer hospitals, several have met the standard of care required by the National Cancer Institute to receive the official Comprehensive Cancer Center designation. Today, there are only 71 hospitals to have received such status.
If you or a loved one has been diagnosed with cancer, there are many reasons you may want to get care from a comprehensive cancer center rather than a local oncology practice or clinic.
It may be that the disease is an uncommon form of cancer, for instance, or one that is resistant to standard therapies. You may also be seeking a second opinion from someone who is a leader in their field, especially for cancers that are rarer or harder to treat.
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Some Side Effects Of Radical Prostatectomy Reduced If Surgeon Performs Many Procedures
The risk of some side effects caused by a radical prostatectomy appear to be reduced if a patient is treated at a high-volume hospital and by a surgeon who performs a high volume of procedures annually
Recently, investigators from the Health Outcomes Research Group, Memorial Sloan-Kettering Cancer Center and the Applied Research Branch of the National Cancer Institute evaluated data from the Surveillance, Epidemiology, and End Results -Medicare database to evaluate the incidence of postoperative complications and death in relation to the volume of patients treated at a hospital or the volume of procedures performed by a surgeon. Four separate categories were evaluated: postoperative complications, including life-threatening events during the 30 days after surgery involving cardiac, respiratory, vascular, renal or bleeding events, shock or the need for reoperation late urinary complications including bladder obstructions, fistulas, strictures, pelvic abscess or early incontinence that occurred 31 to 365 days after surgery postoperative death and long-term incontinence lasting over one year following surgery.
This data appears to indicate that patients undergoing a radical prostatectomy may have a reduced risk for developing some side effects if treated in a high-volume hospital and by a surgeon who performs a large number of prostatectomies annually.