Is it necessary or not? that prostate cancer must screen for in people who do not have symptoms.
strength
- Information from experts indicates that Finding prostate cancer at an early stage makes treatment possible quickly. It is good for treatment. If found in the late stages or the last stage Of course, treatment can be difficult and not beneficial to the patient.
- Cancer screening at an early age has the opportunity to catch cancer in its early stages. which is beneficial to treatment
- When it was discovered that it was prostate cancer in the early stages Side effects from treatment are usually short-lived and can taken care of.
weakness
- Screening for prostate cancer cannot give 100% sure results, so it is necessary to have a biopsy sent for examination. which is at risk of infection
- Some types of prostate cancer grow slowly and are not life-threatening. Therefore there is no need for urgent treatment.
- There are still no results to prove that Treatment of prostate cancer in its early stages has a higher survival rate than treatment in the later stages of symptoms.
Diagnosis for people with prostate cancer can be done in several ways. The steps are as follow ทางเข้า ufabet
- The first step begins with a history and physical examination.
- Digital rectal examinarion (DRE) because the prostate is next to the rectum. The doctor can then put on gloves and insert a finger into the anus to feel the size, shape, and elasticity of the prostate. In cases with prostate cancer. It is often found that the prostate gland looks like a hard lump. Or has a rough appearance
- A blood test to look for cancer markers is consider a blood test to look at the value of a cancer marker created cells call PSA by patients with often has higher than normal levels of PSA in the blood.
- Transrectal ultrasound (TRUS) is a test using sound waves. The doctor will use a probe inserted into the rectum to the location of the prostate. To help find the location of the lump. Then, a biopsy sample will be taken from the prostate using a fine needle to aspirate 12 prostate cells from 12 locations for pathological examination to see if there are cancer cells.
When doing various inspections The patient has been diagnosed with prostate cancer through a biopsy sample.
The doctor will further analyze to see how much the cancer cells have spread. To be part of the evaluation of the spread or the stage of the disease The doctor may use the following methods.
- Bone scan to check for the spread of cancer to the bones. The bones are often the organs where has spread the most. The examination uses a radiopaque contrast agent injected into the blood vessel. This substance then accumulates in the area of the bone where the abnormality occurs until it becomes visible as a color.
- Magnetic resonance imaging (MRI) is a test that helps assess the spread of cancer outside of the prostate. with an accuracy value Reliable in cases where up to 70% of x-rays show that the cancer has spread outside the gland. It can also use to see the spread of cancer into the bones better than a bone scan. But it is difficult to see if it has spread into the lymph nodes.
- Computed tomography scan (CT Scan) is a test that helps assess the spread of cancer to lymph nodes better than magnetic resonance tomography. But it is difficult to see the appearance of the prostate.
- Pelvic lymphadenectomy (Pelvic lymphadenectomy) to test for cancer cells. It is the most accurate method of examination. Helps assess the spread of cancer to lymph nodes.
However, annual health examination It is very necessary for treatment. The sooner cancer is found and treate, the better. It will make the patient live longer.
Treatment of prostate cancer according to the stage of the disease
Stage 1 prostate cancer
There are two methods of treatment at this stage: prostate surgery and radiotherapy. Both methods will have the same results in controlling the disease, but they differ in their side effects. As for patients whose disease was discovered accidentally. There were no symptoms. Being an elderly person It is also in the group of diseases that are of low severity, namely cancer cells that divide slowly. and/or tumor marker values are within the range close to normal Doctors will use surveillance methods and periodically monitor symptoms. But no treatment has given yet. To wait until the cancer cells have spread further before starting treatment. possible with surgery or the use of radiotherapy This is because in this group of patients they usually live for a long time. This is due to the slow spread of cancer. It’s not worth the risks and side effects that will occur from treatment, such as being unable to hold your urine for long. Erectile dysfunction, etc.
In patients with deteriorating physical condition or have a serious medical condition such as heart disease. Or are expect to live for less than 10 years, or elderly patient This is an obstacle to surgery. And the use of radiotherapy. The doctor may not provide any treatment. and monitor disease changes in the same pattern
Prostate cancer stages 2 – 3
Treatment at this stage may involve surgery along with radiation therapy. including treatment with hormone therapy
Stage 4 prostate cancer
Treatment for at this stage may include hormone therapy. Testicular surgery to reduce testosterone, which stimulates the growth of cancer cells. Radiation therapy and chemotherapy The treatment may use only one method. or several methods combined It depends on the symptoms, age, and condition of the patient. and the spread of disease, but this will be at the discretion of the doctor and the wishes of the patient. Including family mainly.