In 2009, an estimated 192,280 American men were newly diagnosed with prostate cancer.
testing resulted in unnecessary treatment for many men. Researcher Richard J. Ablin added to the debate in March when he wrote in The New York Times that while PSA testing has its place, costly, ofen overused and can result in unnecessary treatment. Others, however, are in favor of the PSA test. living proof that the PSA test Mallory says. back, I wish I would have gone in for annual checkups. Men are notorious for not doing that. Had my wife not encouraged me to get a physical, I might not be here
The University of Texas Southwestern Medical Center at Dallas robot-assisted laparoscopic surgery as a prostate cancer treatment option.
Men who have an elevated PSA level are ofen told to choose a treatment option. It can be an overwhelming experience. my doctor diagnosed me with prostate cancer, the question that came to mind was, should I Mallory says. course, your physician tell you which option to choose. say you have to do best for you. My wife and I sat down and looked at the treatments that were available. We weighed the options carefully and talked to as many people as we Mallory underwent a radical prostatectomy, or removal of the prostate gland, at the University of Texas Southwestern Medical Center at Dallas. The surgery was successful, and he no side it was something he worried about. not the cancer that men fear, the side incontinence and the inability to have sexual he says. the part of prostate cancer on mind, but no one talks about Given the risks involved, men should conduct their own research and consult physicians before selecting a course of action. There are a variety of treatment options: Surgery to remove the prostate can now be performed through traditional open surgery, or by laparoscopic surgery through small incisions. Some surgeons perform this procedure remotely with the aid of a robotic interface. Therapy: Radiation therapy can be delivered by traditional external beam radia-
tion or by computer-driven 3-D machines that map the precise location of the prostate. Physicians insert rice-sized radioactive pellets into the prostate at the site of the cancer. This technique is generally used in men with early stage prostate cancer that is growing slowly. Beam Therapy: This technique focuses proton beams on the cancer. Some claim that proton beam therapy is more precise and has a reduced risk of complications compared to other types of radiation therapy. But more research is required to prove this claim. Waiting: Prostate cancer ofen grows slowly, and some men may not need treatment at all. Instead of taking immediate action, a patient may opt for an approach called expectant watchful waiting. Doctors examine the patient closely through regular PSA tests, rectal exams and ultrasounds. This helps doctors determine if the cancer is growing or getting worse. Cryosurgery, hormone therapy, emerging drugs and vaccines may also play a future role in the prevention and treatment of prostate cancer. With so many options available, Otis Brawley, chief medical of the American Cancer Society and a professor of oncology and epidemiology at Emory University School of Medicine, advises men to take their time and interview doctors about the procedures they perform. more men understand the complexity of this issue, the better be able to make decisions they can feel he says.
Hospitals and other medical institutions are looking for new ways to educate patients about their options. Radiotherapy Centers of Georgia, a division of RC Cancer Centers and exclusive provider of launched curingprostatecancer.com to provide information on prostate cancer treatment options. In addition, Abbott Northwestern Virginia Piper Cancer Institute in Minneapolis plans to provide a range of services to prostate cancer patients, including education on treatment options, support fom a prostate mentor and second opinions fom physicians within the system. A unique, streamlined approach will give patients access to a team of experts who can provide detailed information on screening and treatment. //
June 2010 deltaskymag.com