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How To Slow Prostate Cancer

Talk To Your Cancer Care Team

Progress in prostate cancer appears to slow

Your team is an important source of advice. Some men may benefit from having a low-risk tumor treated right away, even if they might have side effects. Discuss your treatment options and quality-of-life issues with your team.

This report is for you to use when talking with your health-care provider. It is not a substitute for medical advice and treatment. Use of this report is at your own risk.

04/2014

Looking For More Of An Introduction

If you would like more of an introduction, explore these related items. Please note that these links will take you to other sections on Cancer.Net:

The next section in this guide is Statistics. It helps explain the number of people who are diagnosed with prostate cancer and general survival rates. Use the menu to choose a different section to read in this guide.

ON THIS PAGE: You will find information about the number of people who are diagnosed with prostate cancer each year. You will also read general information on surviving the disease. Remember, survival rates depend on several factors. Use the menu to see other pages.

Statistics adapted from the American Cancer Societyâs publication, Cancer Facts & Figures 2021, and the ACS website .

Us Preventive Services Task Force Issues New Prostate Cancer Screening Guidelines

Prostate cancer is usually though not always a very slow-growing cancer that takes a long time to start affecting the body.

Most often, it only causes symptoms when it grows to pinch the urethra or invade the sphincter or other body parts.

In fact, some men with prostate cancer don’t show any signs or symptoms of their illness, the CDC notes.

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How Does Equelle Work

Hormone-free Equelle, a non-prescription dietary supplement with naturally derived S-equol, provides menopause symptom relief by helping to reduce the frequency of hot flashes, supporting sleep quality, reducing vaginal irritation, soreness and itching, and alleviating mood swings. S-equol works by mimicking some of the actions of estrogen by preferentially binding to estrogen receptor betahelping to alleviate hot flash frequency and other symptoms associated with depleting estrogen levels during menopause.

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What Will Happen After Treatment

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Youll be glad when treatment is over. But its hard not to worry about cancer coming back. When cancer comes back it is called a recurrence. Even when cancer never comes back, people still worry about it. For years after treatment ends, you will see your cancer doctor. At first, your visits may be every few months. Then, the longer youre cancer-free, the less often the visits are needed.

Be sure to go to all follow-up visits. Your doctors will ask about your symptoms, examine you, and might order blood tests and maybe other tests to see if the cancer has come back.

Having cancer and dealing with treatment can be hard, but it can also be a time to look at your life in new ways. You might be thinking about how to improve your health. Call us at 1-800-227-2345 or talk to your doctor to find out what you can do to feel better.

You cant change the fact that you have cancer. What you can change is how you live the rest of your life, making healthy choices and feeling as good as you can.

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How Is Prostate Cancer Diagnosed

Screenings are the most effective way to catch prostate cancer early. If you are at average cancer risk, youll probably have your first prostate screening at age 55. Your healthcare provider may start testing earlier if you have a family history of the disease or are Black. Screening is generally stopped after age 70, but may be continued in certain circumstances.

Screening tests for prostate cancer include:

  • Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum and feels the prostate gland, which sits in front of the rectum. Bumps or hard areas could indicate cancer.
  • Prostate-specific antigen blood test: The prostate gland makes a protein called protein-specific antigen . Elevated PSA levels may indicate cancer. Levels also rise if you have BPH or prostatitis.
  • Biopsy: A needle biopsy to sample tissue for cancer cells is the only sure way to diagnose prostate cancer. During an MRI-guided prostate biopsy, magnetic resonance imaging technology provides detailed images of the prostate.

Prostate Cancer: Where Can You Find A Helping Hand

This is your one-stop source for information on prostate cancer. You can easily search for support groups, doctors, and clinical trials. And, your donation to the PCF funds prostate cancer research, with 84 cents of every dollar going toward their research mission.

PCRI focuses on improving the lives of prostate cancer patients and caregivers. We love that you can take a prostate cancer staging quiz to find out more about your prognosis. To take it, youll need to know the results of your PSA, biopsy, digital rectal exam, bone scan, and CT scan.

The American Cancer Society is considered the go-to source for reliable cancer information. Their site offers news releases, clinical trial opportunities, online support groups, and more. We especially like their Understanding Health Insurance page, which navigates you through the often complex process of utilizing health insurance for cancer treatments.

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What Types Of Treatments Are Used For Prostate Cancer

If youre diagnosed with prostate cancer, your doctor will help to develop a treatment plan thats right for your individual situation. Its possible that a combination of different treatment options may be used.

They may recommend something called expectant management if your cancer doesnt cause symptoms. During this time, they may monitor your cancer using a variety of tests. Treatment will begin when you develop symptoms or when test results find the cancer is growing.

Other potential treatment options can include:

  • Surgery. If you only have cancer in your prostate, your doctor may suggest surgery to remove the tumor or your prostate.
  • Radiation therapy. In radiation therapy, high energy radiation is used to kill cancer cells.
  • Cryotherapy. During cryotherapy, a special probe is used to freeze and kill cells in your prostate, including cancer cells.
  • Hormone therapy. This treatment focuses on blocking hormones that can encourage cancer growth.
  • Chemotherapy.Chemotherapy drugs can kill cancer cells or slow down their growth.
  • Immunotherapy.Immunotherapy harnesses your immune system to help treat prostate cancer. A type of immunotherapy called sipuleucel-T may be used to treat some types of prostate cancer.
  • Targeted therapy. Targeted therapy blocks the activity of certain proteins on or in cancer cells. Drugs called PARP inhibitors may be used to treat some types of prostate cancer.

Current Psa Screening Recommendations

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PSA-based screening refers to testing healthy men without symptoms.

Until recently, physician societies disagreed on screening recommendations, but with the publication of the U.S. Preventive Services Task Force Guideline in May 2018, all the major physician groups are broadly in agreement, including the American College of Physicians , the American Cancer Society , American Urological Association , and American Society of Clinical Oncology :

  • They advise supporting men so that they make informed decisions about screening that reflect their personal preferences and values.
  • Routine screening is not recommended in men between ages 40 and 54 of average risk.
  • For men ages 55 to 69 years, the U.S. Preventive Services Task Force concluded with moderate certainty that the net benefit of PSA-based screening is small for some men, making the decision up to the judgment of the physician and the values of the patient.”
  • For men 70 years and older, they recommend against routine screening because the expected harms are thought to outweigh the benefits.
  • Your doctor should not screen you unless you express a preference for it.
  • A discussion of the benefits and harms of screening should include a family history of prostate cancer, race or ethnicity, any medical conditions that affect your overall health and lifespan, and your values about risk and benefit.
  • If you have less than a 10-year life expectancy, screening is not recommended.

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Treating Prostate Cancer That Has Spread To The Bones

Doctors are studying the use ofradiofrequency ablation to help control pain in men whose prostate cancer has spread to one or more areas in the bones. During RFA, the doctor uses a CT scan or ultrasound to guide a small metal probe into the area of the tumor. A high-frequency current is passed through the probe to heat and destroy the tumor. RFA has been used for many years to treat tumors in other organs such as the liver, but its use in treating bone pain is still fairly new. Still, early results are promising.

Gleason Prostate Cancer Score

1960s as a way to measure how aggressive your prostate cancer may be.

A pathologist determines your Gleason score by looking at a biopsy of your prostate tissue under a microscope. They grade the cells in the biopsy on a scale of 1 to 5. Grade 1 cells are healthy prostate, whereas grade 5 cells are highly mutated and dont resemble healthy cells at all.

The pathologist will calculate your Gleason score by adding together the number of the most prevalent type of cell in the sample and the second most prevalent type of cell.

For example, if the most common cell grade in your sample is 4 and the second most common is 4, you would have a score of 8.

A Gleason score of 6 is considered low-grade cancer, 7 is intermediate, and 8 to 10 is high-grade cancer.

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Active Surveillance May Help Your Quality Of Life

With this approach, you have regular checkups, including a PSA test and rectal exam. Youll get a prostate biopsy if needed. You can start treatment at any time if the cancer starts to grow.

Active surveillance is a good choice for many men with low-risk prostate cancer, because they can avoid the side effects of treatment. This is an especially important choice if you are older or in poor health.

Questions To Ask Your Health Care Provider About Cam

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When considering complementary and alternative therapies, patients should ask their health care provider the following questions:

  • What side effects can be expected?
  • What are the risks related to this therapy?
  • What benefits can be expected from this therapy?
  • Do the known benefits outweigh the risks?
  • Will the therapy affect conventional treatment?
  • Is this therapy part of a clinical trial?
  • If so, who is the sponsor of the trial?
  • Will the therapy be covered by health insurance?

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How Prostate Cancer Is Treated

In cancer care, different types of doctorsincluding medical oncologists, surgeons, and radiation oncologistsoften work together to create an overall treatment plan that may combine different types of treatments to treat the cancer. This is called a multidisciplinary team. Cancer care teams include a variety of other health care professionals, such as palliative care experts, physician assistants, nurse practitioners, oncology nurses, social workers, pharmacists, counselors, dietitians, physical therapists, and others.

The common types of treatments used for prostate cancer are described below. Your care plan may also include treatment for symptoms and side effects, an important part of cancer care.

Treatment options and recommendations depend on several factors, including the type and stage of cancer, possible side effects, and the patients preferences and overall health.

Cancer treatment can affect older adults in different ways. More information on the specific effects of surgery, chemotherapy, and radiation therapy on older patients can be found another section of this website.

Because most prostate cancers are found in the early stages when they are growing slowly, you usually do not have to rush to make treatment decisions. During this time, it is important to talk with your doctor about the risks and benefits of all your treatment options and when treatment should begin. This discussion should also address the current state of the cancer:

Soy: Questions And Answers

  • What is soy?

    The soybean plant has been grown in Asia for food for hundreds of years. The soybean can be made into products, such as soy milk, miso, tofu, soy flour, and oil.

    Soy foods contain phytochemicals that may have health benefits. Isoflavones are the most widely studied compounds in soy. Major isoflavones in the soybean include genistein, daidzein, and glycitein.

    Isoflavones are phytoestrogens that attach to estrogen receptors found in prostate cancercells. Genistein may affect some processes inside prostate cancer cells that are involved in the growth and spread of cancer.

  • How is soy given or taken?

    Soy may be eaten in food or taken in dietary supplements.

  • Have any laboratory or animal studies been done using soy?

    For information on laboratory and animal studies done using soy, see the Laboratory/Animal/Preclinical Studies section of the health professional version of Prostate Cancer, Nutrition, and Dietary Supplements.

  • Have any studies of soy been done in people?

    Population studies and clinical trials have been done to find out if soy can prevent or treat prostate cancer. The results of these studies have been mixed. Some studies have shown a lower risk of prostate cancer or a change in prostate-specific antigen level, and others have not. The results may be mixed because of the small number of men who participated in the studies and the different types and doses of soy products given.

    Combined population studies

  • Clinical trials

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    Aug 05, 2015 · Prostatecancer cells may also have the ability to produce testosterone. ADT reduces the levels of male hormones in the body or blocks their effects on prostatecancer cells, which are usually sensitive to hormonetherapy, at least initially. Chemotherapy is typically started only after the patient no longer . . Hormone therapy treats prostate cancer wherever it is in the body. It cant cure the cancer, but it can keep it under control, sometimes for several years. It can also help manage the symptoms of advanced cancer, such as bone pain. Hormone therapy shrinks the cancer and slows down its growth, even if. 2022. 1. 27. ·Hormone therapy may be recommended at various points during prostate cancer treatment, including: 2. As an initial treatment along with radiation therapy. As a first-line therapy to shrink tumors, prior to radiation. When prostate cancer has metastasized and cant be treated surgically or with radiation.

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    Side Effects Of Hormonal Therapy

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    Side effects can happen with any type of treatment for cancer, but everyones experience is different. Some people have many side effects. Other people have few or none at all.

    If you develop side effects, they can happen any time during, immediately after or a few days or weeks after hormonal therapy. Sometimes late side effects develop months or years after hormonal therapy. Most side effects go away on their own or can be treated, but some side effects may last a long time or become permanent.

    Side effects of hormonal therapy will depend mainly on the type of hormonal therapy, the dose of a drug or combination of drugs and your overall health.

    It is important to report side effects and your concerns about side effects to the healthcare team. Doctors may measure how severe certain side effects are. Sometimes hormonal drug therapy may need to be adjusted if side effects are severe.

    The following are the most common side effects that people tend to experience with hormonal therapy.

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    What Are The Signs Of Prostate Cancer

    Most early prostate cancers are detected with PSA tests or digital rectal exams before they cause any symptoms. However, more advanced prostate cancers can cause a variety of symptoms including:

    • Trouble starting to urinate .
    • Urinating much more often than usual.
    • The feeling that you canât release all of your urine.
    • Impotence/erectile dysfunction.
    • Numbness in the lower extremities.
    • Loss of bladder or bowel control.

    All of these symptoms can be caused by things other than prostate cancer, so experiencing them doesnât necessarily mean you have prostate cancer. When older men have problems urinating, it is usually caused by a problem called benign prostatic hyperplasia , which is not prostate cancer. If you have any of these symptoms, you need to see your provider for testing.

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    Increase Your Vitamin D

    Most people dont get enough vitamin D. It can help protect against prostate cancer and many other conditions. Vitamin D-rich foods include cod liver oil, wild salmon and dried shitake mushrooms. Since the sun is a better, more readily available source of vitamin D, many experts recommend getting 10 minutes of sun exposure every day. Doctors often recommend vitamin D supplements. However, you should talk to your doctor before taking any vitamin or supplement.

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