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Prostate cancer treatment options at Siteman

In accordance with the American Most cancers Society (ACS), deaths from prostate most cancers declined by about 50 % from the mid-Nineteen Nineties to the mid-2010s. Whereas that sharp decline has since leveled off, prostate most cancers deaths are persevering with to slowly lower annually because of earlier detection, higher entry to care and improved prostate most cancers therapy choices. And as new therapies and extra superior imaging strategies proceed to emerge, prostate most cancers sufferers have higher and higher probabilities at a optimistic end result.

Do you might have issues about your prostate most cancers therapy choices?

As a prostate most cancers affected person, being conscious of your therapy choices is a key a part of your journey. Possibly you might have but to talk with a health care provider about your therapy, or possibly you’re unsure in regards to the therapy your physician has advisable and also you need to get a second opinion. In both case, you seemingly have questions on one of the best course of therapy for you.

Listed here are some widespread questions that prostate most cancers sufferers have for his or her docs:

  • Do I want therapy?
  • What are my therapy choices?
  • What sort of therapy plan do you advocate? Why?
  • What’s the objective of every therapy?
  • Who can be part of my therapy staff? What does every member do?
  • Who can be in command of my total therapy?
  • Ought to I participate in a medical trial?
  • How will this therapy affect my every day life?
  • Will this therapy make it laborious to urinate?
  • How will this therapy have an effect on my means to have intercourse?
  • Will I be capable to have youngsters after this therapy?
  • I’m involved about the price of my care. Are there monetary help companies that may assist?
  • What help companies can be found to me and my family members?

How Siteman recommends therapy

At Siteman, our specialists work to guarantee that prostate most cancers sufferers are conscious of all their therapy choices. After going over these therapy choices along with your physician, you’ll obtain a customized therapy plan that can be overseen by a staff of multidisciplinary consultants. This wide-ranging experience signifies that your prostate most cancers can be attacked from all angles.

Personalised prostate most cancers therapy plans rely upon a number of components. These embrace:

  • Particular prognosis and stage. Relying on the stage of your most cancers, your physician might advocate lively surveillance, radiation remedy, surgical procedure, hormone remedy or palliative care.
  • Affected person demographics. Affected person demographics play a key function in figuring out which kind of therapy you’ll obtain. For instance: the youthful the affected person, the extra aggressive the prostate most cancers, that means {that a} youthful man will get extra aggressive therapy than an older man. As well as, if you’re Black or over age 60, you might be at larger danger for prostate most cancers.
  • Affected person life-style. Sure life-style behaviors – corresponding to poor food regimen, lack of train, alcohol consumption and smoking – can increase your prostate most cancers danger.

What therapy choices do I’ve?

Siteman supplies world-class care that features all varieties of therapy, essentially the most superior expertise accessible and consultants who ship the best customary of care. We additionally provide a variety of prostate most cancers therapy choices for all phases of prostate most cancers.

Radiation remedy for prostate most cancers

Radiation remedy entails using power to assault most cancers cells. Our radiation oncology staff tailors radiation remedy to every affected person’s wants and makes use of progressive strategies to focus on the tumor whereas sparing wholesome tissue. Any such remedy usually requires a number of therapy classes.

Radiation strategies which might be supplied at Siteman embrace:

  • Exterior beam radiation
  • Brachytherapy
  • Proton beam remedy
  • Radium-223

Surgical procedure for prostate most cancers

Washington College urologic oncologists at Siteman solely advocate surgical procedure for prostate most cancers when it’s completely essential. The 2 major procedures used to deal with prostate most cancers are radical prostatectomy (removing of the prostate) and transurethral resection of the prostate (removing of a portion of prostate tissue).

When prostate most cancers sufferers want surgical procedure, our surgeons use minimally invasive strategies each time potential to attenuate the danger of unwanted side effects, scale back ache and velocity up restoration time.

At Siteman, we provide an array of minimally invasive prostate most cancers therapy choices. These embrace:

  • Laparoscopic and robotic radical prostatectomy: a surgeon makes a number of small keyhole incisions within the stomach and removes your complete prostate together with close by tissues.
  • Cryoablation: a surgeon inserts a small probe into the prostate that produces cool fuel. This fuel then freezes and destroys most cancers cells.
  • Focal laser ablation: extremely focused warmth is directed at a really small space of the prostate to burn away cancerous tissue.
  • Excessive-frequency and high-intensity frequency ultrasound (HIFU): a surgeon inserts an ultrasound probe into the rectum that produces high-frequency sound waves. These sound waves use warmth to focus on after which destroy cancerous tissue.

Systemic therapies for prostate most cancers

Systemic therapies are medication that journey by the blood and assault most cancers cells all through the entire physique. For that reason, systemic therapies are often the best choice for treating superior prostate cancers.

Hormone remedy: this kind of therapy stops testosterone from being produced or prevents it from reaching prostate most cancers cells. As a result of most prostate most cancers cells depend on testosterone to develop, hormone remedy kills most cancers cells or causes them to develop extra slowly.

Chemotherapy: this kind of therapy entails anti-cancer medication which might be given both by injection right into a vein or by mouth. As soon as administered, the medication journey by the bloodstream and assault most cancers cells in most components of the physique.

Immunotherapy: this kind of therapy entails using medication to set off an individual’s personal immune system to assist kill most cancers cells. The one type of immunotherapy at present authorized to deal with prostate most cancers is Provenge®, a customized most cancers vaccine tailor-made to every affected person’s immune system.

Be your personal prostate most cancers advocate

As a prostate most cancers affected person, it’s essential so that you can be your personal advocate. Being conscious of your prognosis in addition to your therapy choices provides you the absolute best probabilities at a optimistic end result. Be sure you converse along with your physician about any questions or issues you could have about your therapy.

Our prostate most cancers specialist staff

The prostate most cancers specialist staff at Siteman includes excellent Washington College medical oncologists, radiation oncologists, surgeons, urologists and psychologists.

Meet among the consultants on our staff:

Jeff Michalski, MD, MBA

Dr. Michalski is the vice chair and director of medical packages within the Division of Radiation Oncology and the Carlos A. Perez Distinguished Professor of Radiation Oncology at Washington College Faculty of Drugs. He’s additionally the president-elect of the American Society of Radiation Oncology (ASTRO). He focuses on radiation oncology with a concentrate on genitourinary cancers. Dr. Michalski is a nationwide skilled in genitourinary cancers, pediatric cancers and survivorship care with intensive expertise in main and supporting medical trials.

Sam Bhayani, MD

Dr. Bhayani is the director of the Division of Urologic Surgical procedure at Washington College Faculty of Drugs and the chief medical officer of Washington College Physicians. He specializes within the therapy of kidney and prostate most cancers utilizing progressive approaches, together with robotic surgical procedure. Dr. Bhayani is a nationwide chief in robotic surgical procedure and has helped develop modern surgical strategies to take away prostate and kidney cancers.

 

 

 

You’re contemplating your entire prostate most cancers therapy choices. What subsequent?

Should you’ve acquired a prostate most cancers prognosis, it’s possible you’ll be feeling a wave of feelings together with worry, anger and disappointment. However as scary as this time could also be, you may take consolation in realizing that Siteman suppliers are right here to help you each step of the way in which all through your most cancers journey. With our distinctive physicians, psychology companies and survivorship care, we’re dedicated to caring to your physique, thoughts and wellness, even after therapy ends.

If you’re involved about your prostate most cancers danger, please make an appointment along with your main care supplier. When you’ve got been identified with prostate most cancers and wish to focus on your therapy choices with a prostate most cancers specialist at Siteman, please name 800-600-3606.

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