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ADVANCE PROSTATE CANCER TREATMENT
LIST OF QUESTIONS AND CONVERSATION TIPS TO
ASK YOUR DOCTOR ON ADVANCED PROSTATE CANCER..
Q1: What are the treatment options for advanced prostate cancer?
Advanced prostate cancer is cancer that has spread from the prostate to the pelvic lymph
nodes or to other parts of the body. Advanced prostate cancer cannot be cured but the
progression of the disease can be slowed and men can be made more comfortable
with hormonal therapy and, occasionally, chemotherapy.
Hormonal therapy is currently the first treatment that is recommended to men with advanced
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such as testosterone, which can fuel the growth of prostate cancer. This can be achieved with either
surgery or medication.
Testosterone levels can be reduced surgically by removing the testicles in an outpatient
procedure known as an orchiectomy; prosthetic testicles may be used in the testicles’ place.
If a patient prefers medication to surgery, drugs such as LHRH agonists may be given as shots every
few months to lower testosterone levels. Other drugs, such as anti-androgens and estrogen therapy,
can help block the activity of male hormones. Sometimes surgery and medications are tried in combination.
Side effects of hormonal therapy include impotence, low sex drive, tiredness, hot flashes and weight gain.
While hormonal therapy can lead to remissions up to two or three years, it cannot stave off the progression
of advanced prostate cancer indefinitely and the disease usually returns.
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The main way to determine whether hormonal therapy is working is by measuring prostate-specific antigen
(PSA) levels [link widoczny dla zalogowanych] with a blood test. Blood levels of this protein can measure the presence and activity of prostate cancer.
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There are rare instances when the PSA may not go up as the cancer is growing. In those cases, people
usually have symptoms, such [link widoczny dla zalogowanych] as bone pain, which should be evaluated with X-rays. Some doctors
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Q3: What can be done if the hormonal options don’t work?
When someone has advanced prostate cancer that is no longer responding to hormonal therapies-a
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Until recently, chemotherapy, which kills fast-growing cells typical of most cancers, was not thought [link widoczny dla zalogowanych]
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sometimes used to relieve pain in men with hormone-refractory prostate cancer, it had never been
shown to improve survival.
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prostate [link widoczny dla zalogowanych] cancer that is not responding to hormone therapy. This new combination can help some patients
live longer with the disease.
A study of more than 1,000 men with advanced hormone-refractory prostate cancer demonstrated that [link widoczny dla zalogowanych] giving
an injection of Taxotere in combination with prednisone every three weeks demonstrated a survival advantage
of 2.5 months over prednisone [link widoczny dla zalogowanych] and the chemotherapy drug mitoxantrone, which are FDA-approved to relieve
pain in men with hormone-refractory prostate cancer.
Side effects of chemotherapy include nausea and vomiting, fatigue, infection risk, hair loss and tingling and
numbness in the hands and feet. People [link widoczny dla zalogowanych] who experience side effects from chemotherapy, however, can take
medications to combat nausea and vomiting and low blood counts that lead to fatigue and infection.
Q4: What therapies can I take to control prostate cancer symptoms?
Men with advanced prostate cancer may experience symptoms of their disease, such as pain, that
require treatment [link widoczny dla zalogowanych] to make them feel more comfortable.
External radiation treatments might be delivered periodically to shrink tumors and help to relieve pain.
A group of drugs called bisphosphonates can also be used to ease pain from cancer that has traveled
to the bones; these drugs may also help prevent bone metastases.
Pain can also be managed with painkillers and non-drug methods. Some men might try complementary
therapies, such as acupuncture, herbal therapies or meditation; it’s important to tell your doctors about
the complementary therapies you are considering since there are risks for drug interactions and side effects.
Q5: Should I consider a clinical trial?
Clinical trials are studies conducted in people to evaluate new methods and medications for safety and effectiveness.
Many ongoing trials are investigating new approaches to treating advanced prostate cancer, including cryosurgery,
which uses liquid nitrogen to kill prostate cancer cells, as well as new chemotherapy combinations and new approaches
to radiation therapy.
You should discuss the risks and benefits of participating in a clinical trial with your doctor.
Tips on how you can prepare for this discussion:
Get a three-ring binder for all of your medical documents.
Get copies of all [link widoczny dla zalogowanych] of your laboratory and pathology reports.
Bring a note pad, tape recorder or a friend as another set of ears to your doctor’s appointments to be sure you do not miss any [link widoczny dla zalogowanych] of the information.
Make a list of all medications and complementary therapies you are taking.
Consider your goals for treatment.
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Make a list of all symptoms and medication side effects you are experiencing.
Prepare a list of your questions and concerns.
Find out what clinical trials might be available to you.
Consider your expectations for participating in a clinical trial.
Consider the advantages and disadvantages of being in a clinical trial.
Discover Accurate and Proven Answers that Guarantees the Right Treatment
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