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Prostate Cancer Treatment

Cancer that grows in the prostate gland is called prostate cancer. Prostate cancer is the second leading cause of cancer deaths among men in the U.S. About one man in six will be diagnosed with prostate cancer during his lifetime, but only one man in 34 will die of the disease.
In the early stages, surgery and radiation may be used to remove or attempt to kill the cancer cells or shrink the tumor. Doctors will usually advice you to undergo a surgical operation. You will then be given some medications to take. Many studies have shown that this combination reduces the pains experienced by men to a great extent especially if the prostate cancer has spread to the bones. The cancer will not totally disappear nor will you live longer. Seek medical advice too and you would be in a better position to decide according to your own health and your personal values. Medications can have many side effects, including hot flashes and loss of sexual desire. Urinary incontinence can be a possible complication of surgery.

Cancer that grows in the prostate gland is called prostate cancer. Prostate cancer is the second leading cause of cancer deaths among men in the U.S. About one man in six will be diagnosed with prostate cancer during his lifetime, but only one man in 34 will die of the disease.

In the early stages, surgery and radiation may be used to remove or attempt to kill the cancer cells or shrink the tumor. Doctors will usually advice you to undergo a surgical operation. You will then be given some medications to take. Many studies have shown that this combination reduces the pains experienced by men to a great extent especially if the prostate cancer has spread to the bones. The cancer will not totally disappear nor will you live longer. Seek medical advice too and you would be in a better position to decide according to your own health and your personal values. Medications can have many side effects, including hot flashes and loss of sexual desire. Urinary incontinence can be a possible complication of surgery.

Also a form of treatment used for early stage cancer is high intensity focused ultrasound (HIFU). This procedure is carried out under anesthesia (or using a local spinal anesthetic) and a probe is placed into the prostate gland through the rectum. A beam of high intensity focused ultrasound is them used to raise the temperature in the area of focus and thus to kill the cancer cells

Another prostate cancer treatment option is radiation therapy. This prostate cancer treatment includes the use of radiation of high energy from protons, neutrons, gamma rays and x-rays, as well as other sources to kill the cancerous cells and to shrink any existing tumors. There are two ways that radiation therapy can be administered as prostate cancer treatment. The first is from a machine that is located outside your body called external beam radiation therapy, or you may have material that is radioactive that is placed in your body near where the cancer is located. This is referred to as internal radiation therapy.
A relatively new technique, which is still being evaluated, is known as cryosurgery. During cryosurgery, which is carried out under anesthesia, cooling probes are guided into the prostate using ultrasound and the cancer cells are killed by freezing them.

The form of treatment used for early stage cancer is high intensity focused ultrasound (HIFU). This procedure is carried out under anesthesia (or using a local spinal anesthetic) and a probe is placed into the prostate gland through the rectum. A beam of high intensity focused ultrasound is them used to raise the temperature in the area of focus and thus to kill the cancer cells

For late stage prostate cancer hormone therapy is used and this is designed not to attack the cancer itself but to target the male hormones (in particular testosterone), which the cancer cells need to grow. In cases where hormone therapy proves ineffective, systematic radiation therapy or chemotherapy may be recommended.

The outcome of prostate cancer varies greatly; mostly because the disease is found in older men who may have a variety of other complicating diseases or conditions, such as cardiac or respiratory disease, or disabilities that immobilize or greatly decrease their activities. Whatever the stage of your cancer it is important to consider all of the options carefully and weigh the advantages, disadvantages and risks of each carefully before choosing the treatment that is best for you.
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Treatment of prostate cancer has augmented since the breach of the PSA.

As a consequence, the generally prediction for prostate cancer patients has spectacularly improved compared with a few year ago. Over the past twenty years, the generally endurance rates and prostate cancer treatment for all stages of the prostate cancer have increased starting from 67% to 97%, so it's getting better.

According to health-disease.com the five-year relative survival rate for patients whose cancer is detected whereas still in the general and regional stages is 100%.

Prostate cancer is among the foremost causes of cancer deaths in the male population in the US. The most important dilemma is that the cancer cells in prostate cancer, scarcely answer to radiotherapy or to chemotherapy.
It's newly discovered that virus can help the cancer prostate treatment.

The studies establish that just about 40% out of 20 cancerous prostates detached from patients with certain genetic mutation had the virus. But it possibly will take up till five years to settle on if the virus really causes the cancer.

The virus is strongly associated to one until that time only found in mice. Researchers are not confident how the virus infects people, but mistrust turns to the fact that it may have been conceded on hereditarily for thousand of years.

Also a new study establish that the curry spice Turmeric or curcumin as it is called, when shared with other substances as watercress, winter cress, broccoli, Brussels sprouts, kale, cauliflower, kohlrabi and turnips radically retards the development of cancer tumor in mice.

The most excellent prostate cancer treatment today includes:
" Radiation
" Chemotherapy
" Observant waiting (Observation)
" Hormonal therapy
" Surgical procedure

These options are not listed in any exacting order. The option selected for your best prostate cancer treatment will depend on relatively a lot of factors, together with your age, the segment of your illness and the commendation of your medical doctor.
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Prostate Cancer Symptoms - Benefits of Early Diagnosis

In recent years the life expectancy of prostate cancer sufferers has dramatically increased, primarily thanks to the introduction of early detection programs and greater public awareness allied with overall healthier lifestyles.

Cancer of the prostate is typically a slow progressing cancer and symptoms often do not arise for many years. If the cancer is caught at an early stage, there might be no noticeable symptoms. Some men, however, will experience symptoms that could indicate the presence of prostate cancer. These might include:

• A need for frequent urination, particularly at night
• Difficulty starting urination
• Weak or interrupted urine flow
• Pain or a burning sensation during urination
• Difficulty in obtaining an erection
• Pain during ejaculation
• Blood in the urine or in semen
• Recurring pain or stiffness in the lower back, hips, or upper thighs

Sometimes the first symptoms will be lower back, hip or pelvic pain caused by cancer which has already spread.

It is important to be aware that the symptoms of both benign enlargement of the prostate gland (i.e. non-cancerous) and malignant tumours (cancer) are similar and might include any of the following symptoms:

• Difficulty starting urination
• Frequent urination, particularly at night
• Pain during urination
• Blood in the urine

Also, men over 50 years of age often have an enlarged prostate gland due to the non-cancerous condition of benign prostatic hyperplasia (BPH), or hypertrophy.

Therefore if you notice any of the above symptoms it is important that you see your doctor and have them investigated. But note that most enlargements of the prostate are not due to cancer and can regularly be dealt with quite effectively.

EARLY DIAGNOSIS OF PROSTATE CANCER

Prostate cancer can often be discovered at an early stage by testing the amount of prostate specific antigen (PSA) in the blood. Prostate cancer can also be detected early by your doctor performing a digital rectal examination (DRE). Since the prostate gland is situated close to the rectum, a doctor can physically detect if there are any cancerous signs in your prostate.

Unfortunately the PSA and DRE tests are not totally accurate and conclusive. This can lead to anxiety and confusion, or even to a false sense of security. So important things to consider are your age, your general health and your lifestyle. If you are young and develop prostate cancer, if not caught early enough, it could shorten your life. If however you are older or in poor health, then prostate cancer might never become a serious problem due to its slow-growing nature.

The American Cancer Society recommends that men commence having the prostate specific antigen (PSA) blood test and digital rectal examination (DRE) annually from the age of 50. Those at higher risk, such as African Americans and those with close relatives who developed prostate cancer at an early age are recommended to commence testing at 45.

The prognosis for prostate cancer sufferers has improved dramatically in recent years. In the past twenty years the overall survival rate for all stages of prostate cancer has increased from 67% to 97%. Thus more men are living significantly longer after diagnosis. In all likelihood this is due to early detection programs, increased public awareness, particularly of prostate cancer symptoms, and the adoption of healthier lifestyles.
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About Cancer Prostate

Prostate is glandular organ and only at men. Surrounded neck of bladder and the first part of condributes and uretha a secretion to semen. The gland look conical in shape, measures 3 cm in vertical diameter and 4 cm in transverse diameter.It has got five lobes anterior,posterior,two lateral and a median lobe.Since the first part of the urethra pass through it any lesion in the prostate will produce difficulty in passing urine.

Diseases of the prostate gland:-

1) Prostatitis:-

This is the inflamation of the prostate gland due to bacterial infection.

2) Benign enlargement of the prostate:-

This is a non cancerous tumour of the prostate seen after the age of 50. 3,Cancer of the prostate:-This is the 4th most common cause of death from malignant diseases in males.

Cancer of the prostate.

Cancer of the prostate is directly linked with the male sex hormones(androgens).If the levels of sex hormone increases the growth rate of cancer also increases.It is found that after the removel of testes there is marked reduction in the size of tumour.

Site of tumour:-

Prostate cancer is seen mainly in the posterior lobe.Non cancerous enlargement is seen in other lobes.

Changes in the gland in cancer:-

The gland becomes hard with irregular surface with loss of normal lobulation .Histologically prostate cancer is an adeno carcinoma(cancer of the epithelial cells in the gland)

Growth :-

Growth rate is very fast in prostate cancer .The tumour compresses the urethra and produce difficulty in urination.

Spread of tumour:-

Metastasis in cancer of prostate is very early.

1) Local spread:-

From the posterior lobe the cancer cells go to the lateral lobes and seminal vesicles.Tumour cells also move to the neck and base of the urinary bladder.

2) Lymphatic spread:-

Through the lymph vessels cancer cells reach the internal and external illiac group of lymph nodes.From there cells move to retroperitonial(Behind the peritonium) and mediastinal lymph nodes(in the chest)

3) Spread through the blood:-

Spread of cancer cells takeplace through the periprostatic venous plexus and reaches the vertebral veins while coughing and sneezing and finally enders the vertebral bodies of the lumbar vertebrae.

Signs and symptoms of prostate cancer:--

Signs and symptoms depend upon the stage of the cancer. The following symptoms may be seen.

1) No symptoms:-

Tumour is small and only in the posterior lobe. This is diagnosed accidentely.

2) Slight difficulty in urination:-

Here the tumour is enlarged and urethra is slightly compressed.Shortly there will be frequent urge for urination with difficult urination.

3) When the tumour spread to all nearby areas including neck of bladder and urethra there will be painful urination with bleeding.Urine comes drop by drop.

4) Retention of urine:-

When the urethra is completely compressed there will be retention of urine.This can lead to hydronephrosis, renal failure ect.In this condition patient may get convulsions due to renal failure and finally coma.

5) Signs of metastasis:-

Some patients come with the signs and symptoms of metastasis.

a) Lumbo sacral pain due to spread of cancer cells to lumbar and sacral vertebrae.

b) Fracture of spine due to cancerous growth in the spine.

c) Swelling, pain and fluid collection in the abdomen due to lesion in the abdomen.

d) Respiratory complaints due to cancer of mediastinal lymphnodes and lungs.

e) General weakness due to spread of cancer to different parts of the body.

f) Anaemia due to involment of bone marrow and increased destruction of RBCs.

Clinical examination :-

Includes per rectal examination to feel the prostate gland,palpation of abdomen to feel the swelling in kidneys and any tumours.Patient is examined from head to foot to find out any lesions.

Investigations:-

1) Complete blood investigations;-

RBC,WBC,Platlets,ESR,bleeding time ,clotting time ect.

2) Urine analysis:-

Microscopic examination to detect pus cells,occult blood,casts,Crystals ect.

3) Renal function tests:-

Blood urea level,serum creatinine level,electrolyte level ect.

4) Serum acid phosphatase:-

Increased in cancer of prostate.

5) x-ray of the spine:-

To detect any tumour or fracture.

6) Ultra sonography;-

Gives idea about prostate,bladder,kidney ect.

7) C T scan:-

More detailed information about organs and tumour.

8) MRI of the spine:-

Gives detailed information about spine ,disc and nearby soft tissues.

9) Lymphangiography:-

Gives idea about lymphatic spread of cancer.

10) Biopsy to confirm cancer:-

Biopsy is taken from the tumour and is send for histopathological examination under the microscope.This will detect the presence of cancer cells.

Treatment:-

1) If there is retention of urine catheterisation is needed.
2) Dialysis if kidney failure.
3) If there is coma monitoring of all vital functions along with parentral nutrition and electolyte supply.
4) Specific treatment is prostatectomy(removal of prostate)

Partial prostatectomy :-

Here only the affected lobe is removed.

Radical prostatectomy :-

Total removal of prostate along with nearby lymphnodes.

5, Hormone therapy :-

Stilbestrol is given to reduce tumour growth.Since this treatement increases the chance for cardiovascular disease phosphorylated diethyle stilbesterol is used nowadays.

6) Chemotherapy:-Drugs like cyclophosphamide, cisoplatim ect are given.

7) Radiotherapy is also done for some cases.

8) Homoeopathy:-

Homoeopathic drugs like carcinocin, conium, sabal, crotalus, thuja, iodum, selinium, staphysagria, sulphur ect can be given according to symptoms.Constitutional homoeopathic medicine will give great relief and can increase the life span.

9) Yoga and meditation is also healpful.
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