Hormone Treatmentand Radiotherapy in Prostate Cancer

Hormonal therapy for prostate cancer is often considered in the earliest stages of the disease, when there has been no metastasis and when the mutated cells are not yet fully formed. At this stage, the need for hormones to fuel their growth will have the carcinomas shriveling and dying off as soon as their supply is cut. Also, the hormone treatment may simply be used to stop the disease progression and cause the malignancies to shrink so that the patient may be operated upon. There is a significant risk of the cancerous cells growing accustomed to the hormone treatments and thereby resistant to them. When this happens, hormone treatment is no longer viable.

In many instances, hormone treatment is employed even in progressive stage II prostate cancers. Because the mutated cells have grown and spread to other regions of the body, there is a high risk of complications should surgery be decided upon, or severe side effects on the occasion of exposure due to radiation therapy. As a result, the hormonal chemotherapeutic drugs may be administered also for the same reason: to cause the cancer cells to stop growing and reduce in size, so that the radiation treatment or any other intervention in view can be applied.

Late stage metastatic prostate malignant cancer is usually hormone refractory in nature, so that the best treatment is usually some form of immunotherapy or chemotherapy that works well only as a palliative measure and not as a cure.

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Generally, for prostate cancer non responsive to hormone treatment, aggressive external radiotherapy in combination with immune treatment and surgery may have to b employed to kill and extract the cancerous cells.

Because prognosis is never too brilliant when prostate cancer cells migrate beyond the prostate to the bones and lymph nodes, it is highly unlikely that the disease will go into remission as a consequence of the treatment. As such, the doctors will usually ask such a patient to return for frequent and regular medical checks to ascertain his condition.

A lot however rests on what the patient himself is interested in doing. prostate cancer often comes late in life, usually when the patient is over 65 years of age, and even more frequently when they are approaching the eighties. At this time, some believe that they have achieved what they set to achieve in life, and they may very well waive treatment. In instances where the patient insists on the best of healthcare, the doctors have to oblige them unless they are totally sure it is a losing battle.

Some prostate cancer treatments yet in the clinical trials phase may have some application in this regard. Cryosurgery shows great promise, and is favored by many in the medical profession. At the moment, though, it appears limited to early stage prostate melanomas. Brachytherapy also appears to work best when the disease has not had the chance to metastasize to other parts of the body. Whatever the case, the patient ought at least to seriously consider some dietary and lifestyle changes at the very least. These can at least help to lower his PSA levels.

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