Doctor insights on:
Advanced Prostate Cancer
How often should a man with advanced prostate cancer have imaging studies and what studies should be included?
It depends: The timing, frequency, and type of imaging in a man with adavanced prostate cancer depend on a number of factors. These factors include the stage and grade of the cancer as well as whether or not the man is on hormonal therapy. If he is on hormonal therapy, bone density scanning should be done annually. In addition bone scans and ct scans should be considered if the psa begins to rise. ...Read moreSee 1 more doctor answer
Cancer is a new growth of any tissue with an ability to spread - metastasize - along blood vessels and lymphatic channels to near or far sites of the body with never-ending aggressiveness until the host succumbs to death by it or other related problems. Prostate cancer is one of them ranked as #2 cancer (after skin cancer) and & #2 cancer death (after lung cancer). 1 in 6-7 men in ...Read more
It depends...: It depends upon factors that include the stage of the cancer, the psa level, and the treatments that are administered. Advanced prostate cancer is usually lethal, but some men can live quite a long time, even with later stage disease. There have actually been many recent breakthroughs over the past few years in treatments of advanced prostate cancer. ...Read moreSee 1 more doctor answer
Advanced ProsCa: Can be painful to have, and painful to watch. There are other aspects beside bone pain. Cancer interventions need to be balanced for benefit vs. Toxicity and cost for measure gained) - the new products abiraterone and alpharadon look good. When cancer intervention stops, palliative care: pain, comfort supplies (bed, o-2, shower chair etc), respites for caregiver, for in home pal care/hospice. ...Read more
My 71 yr old dad has advanced prostate cancer. He is starting to get very forgetful and confused. He is on hormone injections is it normal?
Having advanced prostate cancer and on hormone therapy. How long a wait till tumor shrinks to a workable size does 8 months sound ?
Prostate ca: What do you mean by workable size?The response to therapy-. In this case- hormonal therapy will be individually basis.Majority'll respond well and you can see this by following your psa as the level will go down.Now how long it will take to become normal- it varies, and will depend on the tumor burden.Some imaging like a bone scan or ct scan periodically can be used to monitor the response as well. ...Read moreSee 2 more doctor answers
Dad has advanced prostate cancer with bone metastasis. After orchirectomy, psa down from 270 to 10. Shall he start zometa or xgeva? Which is better?
My dad is 68 years old. Recently, he was dignosed with advanced prostate cancer with skeletal bone metastasis. What kind of hormone therapy shall he use? Is orchiectomy ok?
Orchiectomy OK but: The standard of care is an lhrh agonist (such as lupron, zoladex) injection combined with a drug taken by mouth called casodex. The Casodex should be used for a minimum of 1 month and then can be stopped. The advantage is that these injections can be as little as once every 6 months. Alternatively, a drug called Firmagon (an lhrh antagonist) can be given monthly without the casodex. ...Read moreSee 2 more doctor answers
Longer than ever: Newer therapies are constantly emerging for this problem, including radium for bony metastases, shown to significantly improve survival. Other drugs such as abiraterone and mdv3100 show much promise as well. The outlook has never been better for men in this unfortunate situation. ...Read moreSee 1 more doctor answer
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more
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