9 doctors weighed in:
Treatment for prostate cancer by stage.
9 doctors weighed in

Dr. James Gulley
Internal Medicine - Hematology & Oncology
3 doctors agree
In brief: 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.

In brief: 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.
Dr. James Gulley
Dr. James Gulley
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Dr. Ritesh Rathore
Internal Medicine - Hematology & Oncology
2 doctors agree
In brief: 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.

In brief: 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.
Dr. Ritesh Rathore
Dr. Ritesh Rathore
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Dr. James Lin
Urology
1 doctor agrees
In brief: 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

In brief: 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
Dr. James Lin
Dr. James Lin
Thank
Dr. Andrew Turrisi
Radiation Oncology
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
Thank
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