The choice of treatment for prostate cancer

Before selecting an appropriate treatment plan, a comprehensive and careful assessment of the patient's general condition and grade and stage of the tumor should be performed. The patient or family member should be exchanged to explain the advantages and disadvantages of various treatments in order to obtain patient cooperation.

Patients with early-stage prostate cancer have good general condition and ages 50 to 60 years. Radical prostatectomy may be considered. Long-term survival rate may reach 80% to 90%. Even for early local, single small tumors, no treatment, the prognosis can be good. Since radical prostatectomy involves bleeding, rectal injury, and urinary tract infection in the near future, some patients in the long-term may have complications such as urinary incontinence and impotence. Therefore, in recent years, some people have taken radical prostatectomy to make impotence complicated. Significantly reduced.

For advanced prostate cancer or metastatic prostate cancer, and obvious symptoms of urinary tract obstruction, the current proposal to use the transurethral resection of the prostate to remove the lower urinary tract obstruction, with orchiectomy and hormone therapy. In recent years, hormone drugs such as diethylstilbestrol (3 mg/d) have been used in the treatment of prostate cancer. Reductase inhibitors, ketoconazole and other drugs have a good effect on prostate cancer, and have minimal effect on sexual function and cardiovascular function. For elderly patients with very poor general condition, bone and lung metastases, poor renal function in elderly prostate cancer patients, can only take palliative treatment, feasible urinary diversion, local radiotherapy to solve dysuria, metastatic bone pain, with drug therapy or testicular resection The effect may be better, and its purpose is to reduce the suffering of the patient, improve the quality of life, and extend the life of the patient as much as possible.

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