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.
See your doctor. Hormonal therapy comes in many forms. Apparently there is no set time for how long it needs to have a significant effect. Sometimes removal of hormonal therapy causes shrinkage. But advanced cancer is usually not localized to the prostate, and surgery might not take it all out. At any rate, it is up to your doctor when or if the prostate is small enough for surgery or whatever he/she will do.
"Advanced" Ca P. How "advanced? " what stage (at diagnosis)? What grade of tumor? Bilateral disease? Peri-neural invasion? What was your starting psa? Is your acid phosphatase level elevated? Was a bone scan/ct pelvis performed? What "hormone" treatment are you receiving? What is your performance status? Co-morbidites? Voiding problems? Bony pain? Too many questions - you need to speak directly with your urolgist.
I want to know for how long should I take hormone therapy for prostate cancer after taking radio therapy?
Discuss w urologist. No advice can be given without knowing stage & grade (requires result of prostate biopsy) of your prostate cancer. Was there any consideration of surgery before radiation? . What kind of hormone therapy are you receiving, estrogenic or anti-androgen? . Has there been consideration of castration surgery. Best advice is from a uro-oncologist.
Prostate. That's something your urologist must answer. Hope all goes well for the next 50 years!
Talk with your. Medical oncologist. As this determination is best made based on understanding your entire prostate cancer picture.
It depends. First we need mor einformation: is this question for you or someone else? How old is the pperson in your question. Testes are temporarily suppressed if you take reversible hormonal therapy like with the GNRH agonist injections.
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?
Yes. Orchiectomy is nearly instantly effective in reducing testosterone levels and can be done as an outpatient. Alternatives include injections (lhrh agonists) to reduce testosterone levels. These are relatively expensive over the long term, but preserve the testicles which is why many men prefer this option. Surgery is permanent whereas shots can be withheld, but permanent may be best with bone mets.
Disagree... As mentioned orchiectomy is permanent. There are other chemical options, including estrogen therapy as well as drugs which de-stimulate the pituitary from making lh and fsh. No direct proof confirms that testosterone per se is a cause. It may more be 5-dht. Men who lack 5-a-reductase do not get bald or prostate ca. Therefore drugs that block conversion to 5-dht may be used in tandem.
D/W your oncologist. Many options available for metastatic prostate ca- medical and surgical therapy. Orchiectomy can be done and will be for sure decrease testosterone permanently. Anti androgen tx like- Lupron (leuprolide) injection, oral casodex- or the newer oral agents that are more sensitive like x-tandi, abiraterone- are available. Not too forget- vaccine & chemo are available as well. Pls d/w oncologist in detail.
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 (degarelix) (an lhrh antagonist) can be given monthly without the casodex.
Maybe. Long term therapy with testosterone blocking agents such as lhrh agonist drugs can cause significant fatigue. In patients with high degree of fatigue, mental confusion can be a side effect. Regular light exercise both physical and mental is helpful in many cases.
Hormone therapy. It can.
Generally - No. Hormone blockade (hb) can cause many problems but they tend to be time related. The longer on hb the more the problems. Hb often makes pre-existing problem worse or accelerates some problems. Hb itself rarely causes "confusion", more often it can cause depression, fatigue, and emotional changes. Only older men on hb for a very long time tend to have true cognitive dysfunction.
Unlikely. Unlikely, first other causes like metastasis etc to be considered for mental confusion, before implicating medication.
Yes, rarely. For the most part, the hormone blockade would not cause confusion. The hormone blockers can make any pre-existing condition gradual worse but they are also reversible. That said, after giving this therapy to >1000 men, only once have I seen someone with pre-existing mental disease have serious rapid worsening. This was fixed by stopping the hormone blockers.
Possibly. Hormone therapy for prostate cancer, especially over extended long term can cause significant fatigue. This can lead to some degree of mental confusion. Regular light exercise, both physical and mental can help to combat this.
In some cases. Hormone therapy for prostate cancer, especially over extended long term can cause significant fatigue. This can lead to some degree of mental confusion. Regular light exercise, both physical and mental can help to combat this.
Tradeoffs. Hormone therapy as it is called is actually the process of reducing male hormone levels either chemically or surgically. It is highly effective as a means of controlling prostate cancer, but long term use can cause reduced bone mass, weight gain and possibly cardiovascular side effects. Without the therapy however, there would very likely be more severe possibly lethal prostate cancer issues.
Depends. If you're referring to testosterone replacement it would be contraindicated for prostate cancer patients. If you're referring to something that blocks testosterone or prevents its production than that is a common treatment for prostate cancer. For more see: http://peedoc. Com/prostate-cancer or @thepeedoc on twitter.
Just Right Rx. Just right rx is difficult. Side effects of hormone therapy need to be managed. Talk with your doctor about quality of life tradeoff with length of life.
It can be.. Androgen deprivation therapy (adt) is used in the treatment of advanced prostate cancer. Though is can slow progression of the disease, it is associated with significant side effects such as bone loss, muscle loss, loss of libido, and possible increased cardiovascular risk. Intermittent hormonal therapy is now under investigation, as are agents to counteract some of the side effects.