Prostate Cancer Treatment Options

Written by Zhou Zi Hua
Oncology
Updated on September 23, 2024
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How is prostate cancer treated? The choice of treatment plan should be based on a comprehensive consideration of the patient's clinical stage, age, overall health, and expected lifespan. For example, in the early stages of prostate cancer, one can choose postoperative radical radiotherapy after prostatectomy. For locally advanced prostate cancer, radiotherapy, intensified radiotherapy combined with endocrine therapy can be chosen. For metastatic prostate cancer, endocrine therapy is mainly used, and chemotherapy can be adopted for those who are ineffective or fail endocrine therapy.

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Can prostate cancer be detected by color ultrasound?

Ultrasound is also a method for screening prostate cancer, but it is generally combined with Prostate Specific Antigen (PSA) for a comprehensive consideration in prostate cancer screening. If prostate nodules are found during a prostate color Doppler ultrasound, the differentiation between prostate cancer and benign prostatic nodules can be aided by the variations in internal echoes, but this is only a reference and cannot be 100% certain. Thus, in clinical practice, it is also combined with PSA for a comprehensive evaluation. Generally, a PSA greater than 10 suggests a higher likelihood of malignancy. The diagnosis of prostate cancer requires a biopsy to confirm the pathology.

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Is vomiting in prostate cancer due to metastasis to the liver?

Patients with prostate cancer may experience vomiting due to the metastasis of the disease to the liver, causing damage to liver function. However, vomiting could also be caused by other reasons, such as the metastasis of prostate cancer to the peritoneum of the abdominal cavity. Clinically, this can lead to cancerous intestinal obstruction, with symptoms commonly including vomiting, abdominal pain, bloating, reduced bowel movements and gas, or cessation of bowel movements and gas. When prostate cancer metastasizes to the brain, the increased intracranial pressure can also cause symptoms such as vomiting, headache, swelling of the optic disc, hemiplegia, and aphasia. Additionally, some prostate cancer patients may experience vomiting due to toxic side effects from treatments such as chemotherapy and targeted therapy.

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Best treatment methods for prostate cancer

Treatment methods for prostate cancer include surgery, radiotherapy, chemotherapy, and endocrine therapy, among others. The choice of specific treatment methods is comprehensively considered based on the stage of the disease and the patient's physical condition. Early-stage prostate cancer patients can choose prostatectomy or radical radiotherapy. For patients with locally advanced T3 or T4 stage prostate cancer, since the efficacy of prostatectomy alone is relatively poor, radiotherapy combined with endocrine therapy can be chosen. For patients with metastatic prostate cancer, those who are found to have bone metastasis or distant metastasis from the onset, endocrine therapy is primarily used. If endocrine therapy is ineffective or fails, chemotherapy can also be adopted for these late-stage metastatic prostate cancer patients. If the bone metastasis causes pain, local radiotherapy can also be used to alleviate the pain symptoms.

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Can people with prostate cancer eat mutton?

Patients with prostate cancer can eat mutton. There is a folk belief about certain foods being "heaty", which refers to foods like mutton, beef, roosters, and bamboo shoots, often labeled as such and believed to be unsuitable for consumption. However, this belief is unscientific. From a medical perspective, patients with prostate cancer should primarily avoid junk food, such as barbecued items, pickled and smoked products, and especially oily and high-fat foods. Reducing the intake of these foods is recommended. Other than that, all other foods can be eaten, as long as there is a balanced nutrition and a good mix of meat, eggs, vegetables, and fruits. The idea of the so-called "heaty" foods is not scientifically based.

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Prostate cancer IV is stage 4.

Prostate cancer stage IV refers to stage four prostate cancer, which is a common type of male reproductive organ tumor, particularly prevalent among elderly men. Stage four prostate cancer means that the tumor is not confined to the prostate and has already shown corresponding distant metastasis. The most common sites of metastasis for prostate cancer are the bones, followed by the lungs, liver, and others. When metastasis of prostate cancer occurs, it is considered to be at a late stage, and the primary treatments include endocrine therapy, chemotherapy, etc., with a poor prognosis.