Prostate cancer, so many options

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Prostate cancer, so many options

  1. 1. Prostate Cancer Facts New cases: 217,730 Deaths: 32,050 Average age at diagnosis is 67 years
  2. 2. Prostate Gland Located in the pelvis under the bladder and in front of the rectum Stores a component of semen Healthy prostate is about the size of a walnut
  3. 3. How is diagnosis made?Diagnosis can be madeearly before symptoms Keep up those annual physicals! DRE PSA Abnormal findings leads to biopsy
  4. 4. Other Conditions? If symptoms present, could be Prostatitis or BPH Prostate cancer has spread beyond the gland MD may do a trial of anitbiotics before biopsy
  5. 5. Staging Prostate Cancer PSA DRE BIOPSY-Gleason Score CT/MRI SCAN BONE SCAN
  6. 6. Deciding on Treatment NCCN Guidelines Low Risk Prostate Cancer Intermediate Risk Prostate Cancer High Risk Prostate Cancer
  7. 7. Treatment Options Surgery Radiation Therapy Androgen Deprovation Therapy Vaccines Chemotherapy
  8. 8. Surgery There are four main types of radical prostatectomy surgery. These procedures take about 3 to 4 hours: Radical retropubic prostatectomy: Your surgeon will make a cut starting just below your belly button and reaching to your pubic bone. The entire surgery should take 90 minutes to 4 hours. Laparoscopic radical prostatectomy: The surgeon makes several small cuts instead of one big cut. Long, thin tools are placed inside the cuts. The surgeon puts a thin tube with a video camera (laparoscope) inside one of the cuts. This helps the surgeon see inside your belly during the procedure. Robotic-assisted laparoscopic prostatectomy: Sometimes laparoscopic surgery is done using a robotic system. The surgeon moves the robotic arm while sitting at a computer monitor near the operating table. Not every hospital can do robotic surgery. Radical perineal prostatectomy: Your surgeon makes a cut in the skin between your anus and base of the scrotum (the perineum). The cut is smaller than with the retropubic technique. This makes it harder for the surgeon to spare the nerves around the prostate, or to remove nearby lymph nodes. Perineal surgery usually takes less time than the retropubic way. There is also less blood loss.
  9. 9. Radiation Therapy Radiation therapy Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells or ep them from growing. There are two types of radiation therapy. External radiation therapy uses a machine outside the body to send radiation toward the cancer. Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer. The way the radiation therapy is given depends on the type and stage of the cancer being treated. Impotence and urinary problems may occur in men treated with radiation therapy.
  10. 10. Side Effects Urinary retention Cystitis Diarrhea Hemorrhoids fatigue
  11. 11. Conclusion
  12. 12. References http://www.cancer.gov/cancertopics/pdq/treatment/p rostate/Patient/page4#Keypoint16- -rad tx http://www.nlm.nih.gov/medlineplus/ency/article/00 7300.htm -surgery

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