Treatment of malignant prostate tumors

I believe everyone knows the importance of the prostate to male friends. If there is a problem with the prostate of a male friend, it will not only cause pain but also cause problems with urination. In addition, prostate disease may also cause symptoms of infertility in male friends. Therefore, we recommend that male friends protect their prostate. Malignant prostate tumor is a type of prostate disease. Below we will introduce the treatment methods of malignant prostate tumor.

Close follow-up observation

Applicable to patients in stage A1, regular review of blood PSA levels and corresponding imaging examinations should be performed to determine whether the patient's disease has progressed.

Endocrine therapy

Prostate cancer is divided into two categories: hormone-dependent and hormone-independent, accounting for about 90% and 10% respectively. The most commonly accepted first-choice endocrine treatment is total hormone blockade, which is medical castration (LHRH agonist) or surgical castration (orchiectomy) plus anti-androgen drugs. The second is simple castration therapy, in which patients undergoing medical castration must also take anti-androgen drugs for one month to prevent testosterone levels from rebounding and worsening the disease. The third is the use of anti-androgen drugs alone.

Radiation therapy

Radiotherapy can cure prostate cancer, although only for some patients. It is widely used both at home and abroad. Its more serious complications include radiation proctitis, irritation symptoms caused by cystitis and ulcers. Radiotherapy includes internal radiotherapy, external radiotherapy and palliative radiotherapy. In recent years, internal radiotherapy (seed implantation) has been widely used abroad. It can achieve therapeutic effects by placing small radioactive rods evenly in the prostate under B-ultrasound or CT monitoring. Local radiotherapy of bone metastases can relieve bone pain caused by metastases.

Chemotherapy

In recent years, people have begun to pay attention to chemotherapy for prostate cancer. Currently, chemotherapy is mainly used as an adjuvant therapy for advanced prostate cancer.

Surgical treatment

Including radical surgery and palliative surgery. Palliative transurethral electrosurgical resection can be performed for patients with advanced tumors to relieve bladder neck obstruction. The purpose is only to relieve obstructive symptoms and improve the patient's quality of life, but it has no curative significance. Radical prostatectomy can be performed for patients with clinical stages A2, B, and even C1, including nerve-sparing radical surgery, enlarged radical surgery, etc. The surgical approach can be retropubic, perineal open surgery, and laparoscopic radical resection, but the surgery is limited to patients with an expected life expectancy of more than ten years.

Hypothermia

In the early days, it was mainly used to treat benign prostatic hyperplasia, and later it was gradually used to treat prostate cancer. Local cryotherapy can be performed through the urethra or the perineum, and can directly reach the primary tumor lesion, which may completely eliminate local tumor tissue without extensive tissue removal. Its main complication is temporary urethral skin fistula.

In the above article, we introduced the importance of the prostate to male friends. We recommend that male friends must pay attention to the health of the prostate in their daily lives. Malignant prostate tumor is a type of prostate disease. The above article introduces in detail the treatment methods of malignant prostate tumor.