PROSTATE CANCER

A basic treatment programs
Prostate cancer treatment can be divided into surgical treatment, hormonal therapy, radiotherapy, chemotherapy and treatment in Chinese medicine. Specific selection of the program, according to the patient's age, systemic symptoms, the cancer staging, state immunity and comprehensive consideration. General radical surgery for early adopters, five-year survival rate 75% 10 55% survival rate, 15-year survival rate of 33%. The frail elderly or have complications or pelvic metastasis of patients, radiotherapy should be OK, five-year survival rates of 60%, 10-year survival rate 39%. Using advanced endocrine, chemical treatment and Chinese medicine.

I am suffering from prostate hyperplasia, recently accepted the transurethral resection of prostate. After resection of the prostate tissue, the pathological examination revealed cancerous lesions, it allows me great mental burden. Whether this will be the development of cancer, the treatment needs to be done further? — Hebei readers afternoon LI

A: The current benign prostate disease (mainly BPH) for the diagnosis, after resection of the prostate biopsy of the prostate cancer found that the accident, called sporadic cancer. This type of prostate cancer incidence rate of about 3% to 10%.

Bicalutamide (Casodex), an anti - androgen-corticosteroids, which can be used as the treatment of advanced prostate cancer assistant drug, may also in the treatment of early prostate cancer play an important role. According to Canada "Medical Post" (2001,37:27), the study of 23 countries into the 8113 cases (38 ~ 93 years) and the limitations of locally advanced prostate cancer were three prospective, double-blind, randomized, placebo-controlled study. 4,052 cases received bicalutamide 150mg per Yue treatment; 4,061 cases were receiving placebo treatment two years and acceptable standard resection or radiotherapy. Right to be diagnosed in patients before diagnosis only radiotherapy. Follow-up medication group 4,052 cases, 4,061 cases placebo group. Results cancer medication group progress risk reduction 47%, the survival rate increased by about 20%. A very small number of patients (including the elderly) because of adverse reactions stopping medication. In each hot flashes and impotence 9% (placebo group were 5.2% and 6.1%).

Urological Institute Europe (EAU) in the first prostate cancer treatment guidelines published in 2001. In the past few years, whenever affect prostate cancer (CaP) clinical treatment of the important changes, EAU Guide will be updated. In August 2005, EAU again updated the prostate cancer treatment guidelines. From www.uroweb.org new website will be a complete version of the Guide.

Prostate cancer - healthy elderly men occult killer <BR> Zhao After various inspections, the results, he appeared prostate cancer patients with bone metastasis. That is prostate cancer the cancer had metastasized to the bone, the bone caused pain and lead to a strong movement disorders.
Prostate cancer is the world's sixth largest malignancy. In the United States, the incidence rate of prostate cancer, a malignancy Habitat men, second only to lung cancer mortality, accounting for second place, each six older Americans out of a person suffering from prostate cancer. With the aging of our population, the incidence of prostate cancer is increasing year by year, its impact on the health of older men are increasingly apparent. Shanghai, the incidence of prostate cancer in 1985 was 2.6/10 10,000 by the year 2000 increased to 7.7/10 million, is expected in 2005 will reach 10/10 10,000. Similar to the situation in Beijing, in 1985 the incidence rate was 2. 38/16 10000, 1985 ~ 1995, the City of prostate cancer incidence increased by 2.3 times, is also expected to achieve a 10/10 10,000.
Bone metastases of prostate cancer is the main performance <BR> advanced prostate cancer is the most vulnerable to the malignant bone metastasis, more than 80% of patients with prostate cancer bone metastases will happen. Metastatic bone lesions can be found at Ilium, vertebrae, ribs, skull and proximal long bones, mostly in the avascular bone axis rich site. The most common prostate cancer is the first clinical manifestation of bone metastasis is the bone pain. Sustained pain, and often affect patients with anorexia and daily rhythm of life, so patients increasingly emaciated, the misery. Secondly, because the bones were 1.1 points to tumor cells "eat", the bone metastasis was prone to pathologic fracture. If tumor cells of the patient spinal vertebrae, then vertebral collapse will lead to the symptoms of spinal cord compression by, it makes treatment more difficult.
Bone metastases of prostate cancer treatment is a comprehensive treatment of early prostate cancer often <BR> male androgen treatment resistance is sensitive. But with the development of disease, treatment of androgen resistance will gradually lose their role, but also the development of prostate cancer has advanced. Fortunately, the disease Although Zhao advanced prostate cancer, but resistance to androgen therapy is sensitive. Through oral drugs and the necessary surgical intervention, he fell to a certain androgen levels. In order to alleviate the symptoms of bone pain, the doctors gave him a main component of the use of bisphosphonates for the special drug. With drug drop by drop in the importation of Mr. Zhao, bone pain from the torture he gone step by step, gradually smile in the face of Mr. Zhao spacious. Three weeks later, Mr. Zhao calmly walked out the door of the hospital.
Bone metastases of prostate cancer treatment in addition to the above-mentioned endocrine therapy (androgen treatment resistance), bisphosphonates in the treatment, under different conditions also can be used chemotherapy, the radiation therapy, radiation therapy within radionuclide therapy and various integrated applications. Another more advanced treatment, such as immune therapy and gene therapy, is still in the pilot stage, clinical application of small, but has a very broad application prospects.
Urology doctors Suggestions <BR> majority of prostate cancer patients with bone metastasis, because of a certain feeling of headaches body to the hospital and found the orthopedic treatment. But unfortunately, at this time of prostate cancer has developed to the advanced. Therefore, the importance of early detection of prostate cancer.
The generally accepted clinical effective early detection of prostate cancer is the digital rectal examination and examination of the serum concentration of P SA. Digital rectal examination can be found in prostate cancer nodules, carefully rectal examination for prostate cancer early diagnosis and staging are of important significance. If that is found suspicious nodules, it would need to further prostate biopsy, about 70% of the patients could be diagnosed. PSA is a prostate cancer-specific serum indicators, generally less than normal abnormal. If higher than the target, this will cause doctors attention. Men over the age of 45, preferably every three months to six months to see a urology clinic, do a detailed inspection of prostate related.

Prostate cancer symptoms for the next performance of urinary tract obstruction, frequency, novel, difficulty urinating, urinary and fine, slow and urinary retention. Home care points

1. Prevention, early diagnosis of early treatment for elderly men to understand, to grasp the knowledge of prostate cancer, early detection is voiding anomaly, timely medical care, diagnosis, early treatment.

2. Conservative treatment or surgical treatment, the doctors should be asked to do, on time medication and injections.

3. Reasonable attention to diet and appropriate activities, enhance physical fitness, contribute to the restoration