Prostate cancer - Chronic
Definition
A usually slow-growing, malignant tumor within the prostate gland
Post treatment monitoring of prostate cancer
* Prostate specific antigen measurement: PSA levels should be obtained as often as 3 months, but at least every 6 months, for patients on active surveillance; every 6 to 12 months for 5 years, then every year, following a radical prostatectomy or radiation therapy; and every 3 to 6 months for patients with regional lymph node or distant metastases .
Medical History
* Aging
* Excessive dietary intake of fat
* Family history of Prostate cancer
* Genetic predisposition
* Environmental Exposure
Findings
* Prostate nodule
* Dysfunctional voiding of urine
* Hematuria
* Lymphedema - Chronic
* Bone pain
Tests
Suspected prostate cancer
* Prostate specific antigen measurement: There is no PSA value below which a man can be certain that he does not have prostate cancer ; proceeding to biopsy should be based primarily on PSA and digital rectal exam with consideration of other pertinent factors .
Suspected prostate cancer in patients with an abnormal digital rectal exam or a PSA that is above normal for age
* Biopsy of prostate: A prostate biopsy is necessary to make a definitive diagnosis of prostate cancer, to assess Gleason score for staging of the cancer, and to guide clinical decision-making .
Pretreatment staging of patients with biopsy-proven prostate cancer
* Prostate specific antigen measurement: A risk stratification scheme based on PSA levels, biopsy Gleason scores, and clinical T stages that are associated with the risk of PSA failure and prostate cancer-specific mortality following radical prostatectomy, external beam radiotherapy, or interstitial prostate brachytherapy may be used to guide treatment .
Men with newly diagnosed prostate cancer and a Gleason score of 8 or greater or stage T3 or greater disease, even if the PSA level is less than 10 ng/mL
* Radioisotope scan of bone
Differential Diagnosis
* Benign prostatic hyperplasia - Chronic
* Prostatitis - Acute
Treatment
Drug Therapy
Medical castration as a first-line hormonal therapy option for men with metastatic prostate cancer and as a treatment option for men with locally advanced prostate cancer
LEUPROLIDE ACETATE
GOSERELIN ACETATE
Antiandrogen therapy in combination with LHRH agonist therapy for men with overt metastases who are at risk of developing symptoms with the flare in testosterone associated with initial LHRH agonist therapy
BICALUTAMIDE
FLUTAMIDE
NILUTAMIDE
Procedural Therapy
Localized prostate cancer
* Active surveillance: Active surveillance is a treatment option for men with low-risk localized cancers regardless of life expectancy and for men with intermediate-risk localized cancers and a life expectancy of less than 10 years .
Localized prostate cancer
* Radical prostatectomy: Radical prostatectomy provides a potential cure for men with truly localized prostate cancer and is a reasonable option for men with a life expectancy of 10 years or more .
Localized or locally advanced prostate cancer
* External beam radiotherapy, Entire prostate: External beam radiotherapy is indicated as a curative treatment for clinically localized prostate cancer in men who do not have a history of inflammatory bowel disease or a history of prior pelvic radiotherapy. Dose escalation or adjuvant hormonal therapy may be indicated .
Localized prostate cancer
* Intracavitary brachytherapy, Entire prostate: Ideal candidates for brachytherapy are men without very large or small prostates, who do not have symptoms of bladder outlet obstruction, and have not had a previous transurethral resection of the prostate .
Locally advanced or metastatic prostate cancer
* Orchiectomy: Surgical castration by orchiectomy and medical castration using LHRH agonist therapy are equally effective. Androgen deprivation therapy should begin immediately for patients with tumor-related symptoms or overt metastases .
I''m Charlotte Johnson,65 years old, Here in Edmonton, Canada. With the new herbal mix medicine I purchased from Dr James herbal mix medicine West Africa was my only way to get rid of my Alzheimer's, the herbal mix medicine effectively reversed my condition and alleviate all symptoms. I was initially very hesitant to discuss my Alzheimer but I just hope it can still help someone. I feel this will be very important information for all Alzheimer patients, because the most violent element in society today is ignorance. Be it any condition, a healthy diet and natural herbs and roots medicine from Dr. James is the road to fast recovery. I had suffered Alzheimer for many years, I fought for proper medical recommendation, care and all form of humane treatment with little improvement I went through many sleepless nights and periods of intense grief, as do most families. I was recommended by a friend to use Dr. James herbal mix medicine for my Alzheimer with high hope and assurance. I never doubted my friend but to contact Dr. James. And purchased His herbal mix medicine which was effective and I finally feel my Alzheimer is gone with no more symptoms. He also told me that he cures diseases such as Lungs diseases, kidney diseases, Warts, Bipolar disorder, Shingles, HPV, ALS, CANCER, NEPHROTIC SYNDROME, HIV / AIDS, Herpes virus, Ovarian Cancer, Pancreatic cancers, bladder cancer, prostate cancer, Glaucoma., Cataracts, Macular degeneration, Cardiovascular disease, Autism. Enlarged prostate, Osteoporosis. Alzheimer's disease, psoriasis, Tach Diseases, Lupus, Backache, dementia, skin cancer,.testicular Cancer, Leukemia, HEPATITIS A, B, C, Contact the great one on his email greatcureman@gmail.com
ReplyDeleteInfo @ drjamesherbalmix@gmail.com