Today, when the detected prostate cancer in its early stages, it can be treated successfully is why doctors try as early as possible to make a diagnosis of malignancy. Methods of detection of prostate cancer, which was adopted in the US, Europe and Russia, is a study of the prostate finger, ultrasound measurement of blood prostate-specific antigen (PSA). True definitive diagnosis can only be after the biopsy.
If the digital rectal (rectum) urologist feels bundle by examining the prostate gland, then it may be a sign of the presence of tumor. PSA test measures the blood level of – a substance, the content of which is increased in prostate cancer, but it may also be increased and those with benign prostate hyperplasia. Therefore, this analysis does not allow to diagnose breast cancer in about 1/3 of the (false negative result), and about 60% may indicate a malignant tumor.
Urologist at detection node explores through ultrasound prostate. And if the analysis reveals a suspicious nodule, then carried out a biopsy for histological examination. biopsy studies to help decide if an aggressive cancer and can quickly give metastases or she is a typical species that grows and spreads slowly. The analysis also provides an opportunity to assess how much of iron struck. cancer bone metastases are found in the bone scan and using X-ray examination.
Two factors help the doctor to predict the development of cancer and cancer treatment to choose for her:
- how much the cancer has grown;
- how cancerous cells.
Methods of diagnosis: ureteroscopy, cystoscopy, biopsy, computed tomography, magnetic resonance imaging, prostate specific antigen, pozitronnoemissionnaya tomography, ultrasound of the prostate.
Treatment can be affected very much the image of the man’s life. Preparations prostate cancer treatment, radiation therapy, and extensive surgery often causes impotence in men, and sometimes incontinence. Men older than 70 treatment brings little benefit than younger as older larger is the probability of death from other causes. Most prostate cancer patients are men, especially the elderly with cancer no matter what it is at an early stage of development and is growing slowly, prefer to watch and wait, than to be treated immediately.
Once the patient and physician determine that need treatment gland determined type of therapy, which depends on the degree of penetration of the cancer to other organs. Often, a tumor that is limited only by the prostate is removed surgically along with the gland or treat her beam method. For sexually active, who have some types of cancer, is sometimes used surgical procedure so as to maintain the potency, it is called – a radical prostatectomy. During this operation the nerves are not damaged, and sexual potency is retained approximately 75% of patients. Urinary incontinence occurs in less than 5% of patients. However, the operation is not successful when aggressive varieties of tumors, especially since it generally can not be used for the treatment, when the tumor has spread beyond the prostate.
Radiation therapy is used to treat a tumor, which is limited only by the prostate. Also, this treatment is preferably carried out when the tumor is prostate striking and does not affect other organs. Irradiation doing, introducing into the prostate radioactive substances.
Cancer, which is located on the late stages of development and has already metastasized gave unfortunately no cure, but it is often possible to relieve symptoms. Since the development of many types of prostate cancer depends on how much testosterone, the treatment is applied blocking effect of this hormone, so it is possible to slow down the growth of tumors. Approximately 80% of patients using this therapy, there have been improvements. When this treatment is assigned a special drug as cyproterone. However, this therapy causes changes in the body large men: there is impotence, libido decreases and increases breast cancer. Besides almost a third of patients at a late stage in disease resistance to this treatment appear throughout the year.
Of course, it is possible to remove both testicles, which reduces the hormone content very rapidly, but the physical and especially mental results, this process makes for someone – something unacceptable. Although the treatment is very effective and does not require re-treatment, it is cheaper and it is not necessary to carry it out to put the patient in the hospital.