Archive for March, 2003
Prostate Treatments: Therapeutic Options Based on Cancer Stage
It is important for men to know their options when it comes to prostate treatments specific to a cancer's stage. Staging is used to describe the extent by which a cancer has spread. In prostate cancer, the most commonly used staging system is called the TNM. The overall stage under the TNM system is expressed in Roman numerals. The least advanced condition is tagged as Stage I, while the most advanced is categorized as Stage IV.
In considering prostate treatments, doctors usually look at the stage of the patient's cancer and his Gleason score and prostate specific antigen level results. Other factors such as age, life expectancy, other disorders suffered from by the patient (if any) and risk of cancer recurrence after treatment are also important factors in choosing treatment options.
Cancers that are categorized as Stage I are usually small and have low Gleason scores. They grow slowly and may not produce any symptom or create health problems. For older men who have cancer categorized as Stage I, watchful waiting or radiation therapy are the most common options. These treatment methods are also recommended to those who have other serious health problems. For men who are younger and have no other serious disorders, watchful waiting, radical prostatectomy and radiation therapy are viable options.
Compared with Stage I prostate cancers, Stage II usually manifest symptoms and has a higher possibility of spreading beyond the prostate. For elderly men and for those who suffer from other serious diseases, watchful waiting is the best option, although radical prostatectomy and radiation therapy can also be considered. For younger, healthy men with Stage II cancer, treatment options include radical prostatectomy, which could involve the removal of the pelvic lymph nodes and is sometimes preceded by hormone therapy; external radiation; brachytherapy; combined brachytherapy and external beam radiation; and radical prostatectomy to be followed by external beam radiation if the patient has a high Gleason score. In Stage II, all radiation options may be accompanied by three to six months of hormone therapy.
Stage III cancers are those that have spread beyond the prostate gland but have not reached the bladder, rectum, lymph nodes or distant organs. Treatment options for Stage III include external beam radiation plus hormone therapy; hormone therapy only; radical prostatectomy in selected cases which may be followed by radiation therapy; and watchful waiting for older men and those suffering from other illnesses and whose cancer is causing no symptoms. Surgery and radiation therapy may still be used at this stage but there is a possibility that they might not work.
Stage IV cancers, or those that have spread to the bladder, rectum, lymph nodes, bones and other distant organs, are generally considered as non-curable. Treatment options can still be used, though, and they can include hormone therapy; external beam radiation plus hormone therapy; surgery; watchful waiting for older men; and chemotherapy.
Prostate treatments for cancer vary depending on the cancer's stage. For patients to better understand the benefits and possible side effects of these treatment options, a thorough discussion with the doctor is necessary.
No commentsThe Benefits Of Cancer Information Are Enormous
Finding out you or someone that you love has been diagnosed with cancer is to say the very least a devastating blow. It will become not only a hard road emotionally, physically but also financially. This is why you need to find as much cancer information as you can. This may be in the form of advice and support from doctors, counselors, specific cancer organizations, family and friends including other cancer sufferers as well. Talking to people who have been in the same situation as yourself can be an enormous support and also a wonderful source of cancer information can be shared.
Apart from speaking to people in person there are other ways to gain more info about this situation. There are many books that you can read both for the patient and or families and friends. I suppose the easiest way to find out more is on the internet. In the U.S alone there are many websites that are full of relevant cancer information. To start with you have the American Cancer Society. Obviously there are many different cancers so there will be many different informative sources on all of them and you will no doubt be looking for a particular type for your own circumstances. But in the end every one who is suffering from any one of these cancers will still need the same help and support regarding coping stategies and so on.
This is where speaking to people in the same situation will be helpful. There are forums and chat rooms that will give you the opportunity to speak to some of these people. It can be very positive to speak to someone who has gone through what you are and now have fully recovered. Just being able to talk about medications and treatments with someone who really understands can be an amazing therapeutic comfort. You must remember that having this illness does not only affect your physical side but also your mental side and this needs to be looked after as well.
Another good reason to find as much cancer information as possible is to find out other forms of treatments that may be able to help you either on their own or as a combination along side of the usual forms. Usually at this time in someone's life things become very confusing with all the medical jargon as well as all the emotional turmoil and the often draining effects of medication and treatments to be able to think properly. This is when you should be gathering up as much info as you can and just taking your time reading through it so you can get a better picture of what is going on and how to make the best of it.
If you are someone who has a loved one that has been diagnosed with this type of illness then you should be finding out as much as you can to be able to do the right things emotionally to help support this person. You also can read up on their particular condition so you can help answer any questions when they arise. Support from family and friends is a very important part of recovery for someone suffering from cancer.
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