Removed Prostrate And Cancer Returned – What You Should Do

July 21, 2009 by  
Filed under Prostate Cancer

There are typically exceptions to every rule under the sun, sometimes it is those exceptions in fact that prove the rule. Under normal circumstances, one of the major factors that determine if you can be cured of prostate cancer is if you happen to have had your condition diagnosed and treated in the early stages. There are however instances ? those exceptions ? in which the cancer refuses to go away in spite of the best treatments that can be afforded at the time.

Radical prostatectomy is sometimes the best treatment for early stage prostate type of cancer that an oncologist will recommend. As long as the tumor is not too big for the surgeon to safely manage, they can have a patient under the knife in little time, and he can be back on the streets in a month, assured that he has a nearly hundred percent chance that the cancer will not recur in five years, and over a ten year period, he has a 93% survival rate. Even radiation therapy would offer a similar reprise; and even though there are side effects in each instance, many patients consider them preferable in a sense to living with a worsening condition that could seriously shorten their lives.

But then there is recurring prostate condition. You have to maintain regular visits to the hospital after the conclusion of your initial cure, and during one of those visits the physician might find that your PSA blood levels are still rising. That would prompt other tests and then they might find that the cancer is already back; worse, that it never left; or worst, it is in the advanced stages ? a very aggressive type.

Recurring prostate cancer calls for aggressive measures in treatment; certainly you may have to review whatever medication you have been on before. For starters, hormonal therapy is very unquestionably a measure you will want to explore; it can slow disease progression enough to allow for closer observation and better understanding of it. Chemotherapy is more reckless, but at least it can reach various parts of the body where other treatments may not be able to reach.

If the recurrent tumor is still young, especially after earlier radiation therapy your best bet may be cryosurgery; it certainly is superior to a radical prostatectomy for recurrent prostate malignant cancer. And if a prostatectomy was the initial treatment, radiation therapy might be ideal.

It helps if they are able to tell ahead of time that the cancer might recur though, in which case they might need several of the newly available tools to predict prostate disease recurrence, such as the CAPRA score (Cancer of the Prostate Risk Assessment) or Kattam nomograms.

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