How Does The Prostate Cancer Therapy Work?
The treatment of prostate cancer is supposed to permanently cure the disease or at least “keep it in check”. If prostate cancer is left untreated, it spreads, spreads tumors in the body and sooner or later leads to death.
Classification of the tumor
The body of a human consists of many different tissues and cells. Accordingly, the malignant growth of a cancerous tumor is also different. For the treatment, it is important to compile the exact “profile” of the disease, the classification of the tumor .
This includes information on how high the PSA value is, which cell type the cancer belongs to, what degree of aggressiveness the tumor cells have, how large the tumor is and whether it has already spread throughout the body.
In order to assess the possible course of the disease and be able to determine a tailor-made treatment for the person concerned, it is very important to know these details in detail.
Prostate Cancer therapy options
In principle, there are several options available for the treatment of prostate cancer .
Generally, with many cancers, a safe treatment method is when the tumor tissue is completely removed. In prostate cancer, this means: The prostate is removed .
Radiation therapy (radiotherapy), in contrast to surgery, is an organ preserving procedure in which the tumor cells in the prostate are killed by radiation.
Not a few of those affected belong to the low-risk group. For them, the treatment concept of active surveillance was developed. These men are closely monitored clinically, but have not been treated. If changes in certain readings suggest that the disease is progressing, those affected will be treated with delay.
Watchful waiting: Under certain conditions, despite the diagnosis of prostate cancer, treatment should not be started immediately: for example, in the case of low-grade tumors, unobtrusive palpation, low PSA (for example, less than 10 ng / ml), at a high age and / or serious comorbidities of the person concerned.
Cold therapy and HIFU therapy (highly intensified focused ultrasound) are currently experimental – in contrast to established procedures such as surgery or radiation.
If the prostate carcinoma has already set lymph node or bone metastases at the time of the diagnosis, local treatment is usually inadequate since metastases usually develop at several points in the body at the same time. Therefore, a treatment that works on the whole body: the hormone therapy .
In the course of hormonal treatment, the prostate tissue may change. The cancer cells can reach a so-called hormone-ous stage and then continue to spread despite ongoing hormone therapy. In this situation, the supervising physician may advise you to undergo chemotherapy .
Therapy options in the late stage of the disease
In special cases, operative measures may also be considered in the late stage of the disease .
A targeted radiation therapy is very successful in painful metastases that do not respond to hormone therapy or chemotherapy.
Radionuclides can be used to relieve pain in diffuse bone pain that is no longer responsive to hormone and chemo therapy .
Specific drugs such as zolderonic acid or denosumab can be used to treat bone metastases .