I want to know about prostate cancer and what constitutes the optimal form of treatment for patients with clinically localized cancers remains controversial. Can anyone give more information on it? Thanks in advance.
Random Answers, Critics, Comments, Opinions :
1 :
Treatment decisions are at present made on the basis of tumor grade and stage and the age and health of the patient. Although selected patients may be candidates for surveillance based on age or health and the presence of small-volume or well-differentiated cancers, most patients with an anticipated survival in excess of 10 years should be considered for treatment with irradiation or surgery. Both radiation therapy and radical prostatectomy allow for acceptable levels of local control. A randomized trial comparing watchful waiting and radical prostatectomy in men with clinically localized prostate cancer is currently under way in the united states (PIVOT: Prostate Cancer Intervention Versus Observation Trial). This trail will randomize 2000 patients and will run for 15 years. Patients need to be advised of all treatment options (including surveillance) along with their particular benefits, risks, and limitations.
2 :
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3 :
Unfortunately, there is often no right answer for prostate cancer therapy, the main reason being a lack of good data from well-run trials to determine the best course of therapy. The treatment does depend on the stage, grade, extent of disease and the physical condition of any one patient. Also, what may be right for one person maybe completely bad for another in the same exact condition because of differences in their outlook and goals.
