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Prostate cancer: screening and treatment

Prostate most cancers is likely one of the commonest cancers on this planet. Whereas many prostate cancers develop slowly and stay localized, different sorts are aggressive and unfold rapidly. That is why Dr. Carlos Vargas, a Mayo Clinic radiation oncologist encourages common screening. He says the aim of screening is to detect prostate most cancers early, when it is nonetheless confined to the prostate gland and has the very best probability for profitable remedy.

“It is vital to get ample screening, and screening for prostate most cancers is comparatively easy. You may have a prostate-specific antigen, or PSA, check together with your major care physician yearly, and with this, you may tailor ample procedures primarily based in your age and different danger elements,” says Dr. Vargas.

The prostate-specific antigen check is a blood check used to measure the quantity of prostate-specific antigen in your blood. Excessive ranges could point out the presence of most cancers. Different situations additionally could improve this degree. It is vital to debate together with your well being care skilled if the prostate-specific antigen check is best for you primarily based in your private danger degree and age.

Watch: Dr. Carlos Vargas discusses prostate most cancers screening and remedy.

Journalists: Broadcast-quality video is on the market within the downloads on the finish of the put up. Please courtesy: Mayo Clinic Information Community. Identify tremendous/CG: Carlos Vargas, M.D/Radiation Oncology/Mayo Clinic

Who’s in danger?

Threat elements embrace age, household historical past and race. The commonest age is round 50 or older.

If in case you have a blood relative who has or has had prostate most cancers or a household historical past of genes that improve the chance of breast most cancers — BRCA1 or BRCA2 — or a robust household historical past of breast most cancers, your danger of prostate most cancers could also be larger. Within the U.S., prostate most cancers is deadlier for Black males than males of different races, in line with the Facilities for Illness Management and Prevention. They’re extra prone to get prostate most cancers and greater than twice as prone to die from prostate most cancers than different males.

“Early detection is essential. If we are able to discover prostate most cancers early, it’s treatable and curable, ” says Dr. Vargas.

Lively surveillance

Not all prostate cancers should be handled, says Dr. Vargas. Some cancers can stay underneath lively surveillance.

“After we discover very early prostate most cancers, we are able to watch it for a few years. And in case that prostate most cancers turns into extra aggressive, then we are able to deal with it there. The issue is if you end up not screened, and then you definitely discover a very aggressive prostate most cancers that’s nonetheless localized or it has already metastasized, wherein case, the probabilities of controlling the most cancers, curing you and saving your life are a lot decrease.”

In lively surveillance, common follow-up assessments could also be carried out to watch the development of your most cancers.

“That is why screening is essential and why we encourage screening for prostate most cancers. It doesn’t suggest that you just should be handled. If prostate most cancers is discovered, we are able to then decide what’s the most applicable plan of action in your prostate most cancers primarily based in your age and your danger group.”

Therapy choices

Together with lively surveillance, a full vary of therapies for prostate most cancers is on the market, together with radiation remedy; hormone remedy; cryosurgery; chemotherapy; and surgical procedure, together with robotic prostatectomy.

One of many issues that has actually modified over the previous couple of years is the administration of radiation with sufferers with metastatic prostate most cancers,” says Dr. Vargas. “We’ve got discovered that many sufferers with metastatic prostate most cancers nonetheless profit from radiation to the prostate.”

“And now we have additionally discovered that many sufferers who’ve only a few websites of metastatic illness, which means that the most cancers is just not extensively unfold, also can profit from aggressive remedy the place we do a mixture of radiation remedy and systematic remedy to place you again in remission the place illness can’t be discovered, and prolong your life.”

Mayo Clinic Proton Beam treatment room
A Mayo Clinic proton beam remedy room

One other radiation approach consists of intensity-modulated proton beam remedy with pencil beam scanning. Dr. Vargas says proton remedy is successfully used to deal with sufferers with prostate most cancers.

“It is a very localized remedy that enables us to deal with the prostate, localizing the remedy to the prostate, hoping to reduce vital opposed occasions which will occur from the remedy,” says Dr. Vargas.

Discuss together with your well being care skilled to be taught extra about prostate screening and if it is best for you.

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For the security of its sufferers, workers and guests, Mayo Clinic has strict masking insurance policies in place. Anybody proven and not using a masks was both recorded previous to COVID-19 or recorded in a nonpatient care space the place social distancing and different security protocols had been adopted.

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