What are the treatments for prostate cancer?

In daily life, some male friends may encounter such a problem, that is, when they go to the toilet to urinate, they find it difficult to urinate, and even feel a little burning in the urethra, or have difficulty urinating. At this time, many friends will think of prostatitis. Then everyone knows that in addition to prostatitis, there are other diseases that may also cause the above symptoms. The most serious one is prostate cancer. So how to treat prostate cancer? Next, I will give you a detailed introduction to the treatment methods of prostate cancer.

Radical treatment methods can be used for patients with early prostate cancer. Methods that can cure early prostate cancer include radioactive particle implantation, radical prostatectomy, and radical external radiation therapy.

The indications for radioactive seed implantation should meet the following three conditions: ① PSA <10ng/ml; ② Gleason score of 2-6; ③ Clinical stage of T1-T2a.

The indications for radical prostatectomy should meet the following four conditions: ① PSA <10-20 ng/ml; ② Gleason score ≤7; ③ Clinical stage T1-T2c; ④ Patients with an expected life expectancy of ≥10 years.

Radical radiotherapy is suitable for patients with localized prostate cancer. It mainly uses three-dimensional conformal radiotherapy and intensity-modulated conformal radiotherapy. In addition, external radiation therapy can also be used as an adjuvant treatment for patients with pT3-4 pathology, seminal vesicle invasion, positive resection margins, or persistently elevated PSA after radical prostatectomy; it can also be used for palliative treatment of patients with advanced or metastatic prostate cancer.

Comprehensive treatment methods should be used for patients with mid-stage prostate cancer, such as surgery + radiotherapy, endocrine therapy + radiotherapy, etc.

Endocrine therapy is the main treatment for patients with hormone-sensitive advanced prostate cancer. Endocrine therapy methods include castration (surgical castration or medical castration) and anti-androgen therapy (bicalulamide or flutamide) or castration + anti-androgen therapy. The efficacy of surgical castration or medical castration is basically the same. However, almost all patients will eventually develop hormone-independent prostate cancer or hormone-resistant prostate cancer. Second-line endocrine therapy can be used for patients with hormone-independent prostate cancer. For patients with hormone-resistant prostate cancer, castration should be maintained, and chemotherapy based on docetaxel and mitoxantrone should be used at the same time. Prostate cancer patients with bone metastases should be treated with bone protective agents (mainly bisphosphonates) to prevent and reduce bone-related events, relieve bone pain, improve quality of life, and increase survival rate. External radiation therapy or radionuclides can also improve local bone pain.

The above is an introduction to the treatment of prostate cancer. At this point, I have reason to believe that after reading the above detailed introduction, everyone should have a comprehensive and full understanding and knowledge of the treatment of prostate cancer. In fact, no matter what disease it is, as long as everyone can establish a mentality to defeat the disease, coupled with the encouragement of family members and actively cooperate with doctors for treatment, then I believe the disease will definitely recover soon.