A 21-year-old member asked:
treatment for prostate cancer by stage.
4 doctor answers
Dr. Ritesh Rathore answered
30 years experience Hematology and Oncology
Quite a few: Early stage (cancer within prostate): robotic or open surgery, standard radiation; radiation seeds; cryosurgery. For cancer with local spread to nodes typically radiation and hormonal therapy is used. For recurring cancer or for spread to far organs; a sequence of therapies is used. Initially, a series of 3-4 hormonal drugs one by one, then immune therapy (provenge) and then chemotherapy.
Answered on May 17, 2012
Dr. Andrew Turrisi answered
47 years experience Radiation Oncology
The stages: Actually confuse. Think of two: dsease confined to prostate or not. Next is complex assessment of "how much on biopsy" and psa level...Perhaps watchful waiting with a series of regular psa tests. If confined, surgery, external beam or seeds are just about equal in disease control and vary in side effects. Hormones way too complex to discuss. Get at least two opinions if your advisor disagrees.
Answered on Sep 15, 2012
Dr. James Gulley answered
26 years experience Hematology and Oncology
Disease continuum: There is a disease continuum from localized disease through advanced metastatic castration resistant disease. Generally localized disease is treated with local therapies such as surgery or radiation and disease that either recurs or is more advanced is treated initially with hormonal therapy. Immune therapy and chemotherapy may be used after.
Answered on Dec 9, 2015
4
4 thanks
A Verified Doctor answered
A US doctor answered Learn more
Here are some...: Treating prostate caner is not based on stage alone, instead, needing to take the considerations of age, PSA progress, finding of DRE & ultrasound exam, Gleason's tissue grading, patient's existing medical illnesses, and his will so to balance & decide necessity & possibility.
Rx Options may include: active surveillance, radical surgery, radiation, cryotherapy, HIFU, etc. with or without hormones
Answered on Oct 2, 2015
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
Related questions:
A 48-year-old member asked:
Dr. Michael Yu answered
26 years experience Urology
Depends: It depends on the volume of cancer, the gleason score, and lymphatic or perineural invasion. On average, the most common prostate cancer will take 7- ... Read More
2
2 thanks
A 81-year-old member asked:
Dr. Anthony Back answered
37 years experience Medical Oncology
It's only for some: Provenge (sipuleucel-t) is used in a very specific clinical situation with prostate cancer--definitely not indicated for everyone. The best treatment ... Read More
1
1 comment
15
15 thanks
A 73-year-old male asked:
Dr. Andrew Turrisi answered
47 years experience Radiation Oncology
First question: Is whether treatment is necessary, depends on gleason score and psa. Treatment may not add value to you. Watchful waiting follows your psa #, rate of ... Read More
4
4 thanks
A 35-year-old member asked:
Dr. Frank Mayo answered
48 years experience Pulmonary Critical Care
Rt or surgery: External beam radiation or prostate seeding with radiation beads is one therapy. Surgical prostatectomy is another, each has its devotees and advantag ... Read More
9
9 thanks
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
People also searched for:
Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute!
24/7 visits
$15 per month