Condition ProstateCancer
Prostateis agland usuallysize shapeofawalnut
Aetiology
growsbiggerasyougetolder Signs SYMPTOMS'ymptomsdevelop
me
when prostate
sitsunderthebladder surroundsurethra islarge the
toeffect
enough
designed tohelpmakesemen increased
urgencytopee
urethra
Strainingwhileyoupee
Prostatecanceriswhencells feelingbladderisnot
fullyempty
inyourbodystarttogrowinan Bloodinurine
uncontrolled
way
Treatment
Watchfulwaiting aimedatpeople
withlocalisedprostate who
cancer are notsuitable
eimer
ways of testing ii.itiniiiiispecisic
forordonotwanttreatment ohormone
use
involvesd eferred
f therapy Bloodtestscpsa
antigen bloodstream
Activesurveillance atpeoplewithlocalisedprostate
aimed forwhomradical
cancer Digitalrectalexamination
aresuitable
treatments
are
thosewhosetumours
only showing MRI
signsofprogressing Biopsy
Radicaltreatments of
Radicalprostatectomy surgicalremoval entire gland
p rostate
andlymphnodes
External
a
from machinedirected
beamradiotherapy EBRT radiation
atthe
tumour
Brachytherapy Either seedslow
r adioactive
implanted
permanently rate
dose Review manage
or sourceshigh
inserted
temporarily dose intoprostate
ratedirectly Painlowerurinarytractsymptoms
symptomsofspinalcordcompression
Hormonal Androgendeprivationlowers levels
t estosterone with
treatment
using ADRsfromtreatment eg sexualdysfunction
HRHagonistsgoserelinleaprorelintriptorain andurinaryincontinence
orantagonists degarelix ADRsofandrogenwithdrawal changein
bodyshapeweightgaintiredness
for
Chemotherapy option with
men h ormone disease
m etastic
relapsed hotflushes lossoflibido
for
Docetaxel prednisolonelicensed hormone
resistant
metastic cancer
p rostate Impactonqualityoflife
Bisphosphonates calcium inhibit
which
drugs
regulated resorptionused treatment
bone in Referral
of bone
hypercalcemiaosteoporosis pain menwithevidenceofsignificantdisease
to
offered men
having therapyhave
deprivation
androgen o steoporosis progression rapidlyrisingPSAlevelsor
bonepain to aurologicalcancerspecialist
Prostateis agland usuallysize shapeofawalnut
Aetiology
growsbiggerasyougetolder Signs SYMPTOMS'ymptomsdevelop
me
when prostate
sitsunderthebladder surroundsurethra islarge the
toeffect
enough
designed tohelpmakesemen increased
urgencytopee
urethra
Strainingwhileyoupee
Prostatecanceriswhencells feelingbladderisnot
fullyempty
inyourbodystarttogrowinan Bloodinurine
uncontrolled
way
Treatment
Watchfulwaiting aimedatpeople
withlocalisedprostate who
cancer are notsuitable
eimer
ways of testing ii.itiniiiiispecisic
forordonotwanttreatment ohormone
use
involvesd eferred
f therapy Bloodtestscpsa
antigen bloodstream
Activesurveillance atpeoplewithlocalisedprostate
aimed forwhomradical
cancer Digitalrectalexamination
aresuitable
treatments
are
thosewhosetumours
only showing MRI
signsofprogressing Biopsy
Radicaltreatments of
Radicalprostatectomy surgicalremoval entire gland
p rostate
andlymphnodes
External
a
from machinedirected
beamradiotherapy EBRT radiation
atthe
tumour
Brachytherapy Either seedslow
r adioactive
implanted
permanently rate
dose Review manage
or sourceshigh
inserted
temporarily dose intoprostate
ratedirectly Painlowerurinarytractsymptoms
symptomsofspinalcordcompression
Hormonal Androgendeprivationlowers levels
t estosterone with
treatment
using ADRsfromtreatment eg sexualdysfunction
HRHagonistsgoserelinleaprorelintriptorain andurinaryincontinence
orantagonists degarelix ADRsofandrogenwithdrawal changein
bodyshapeweightgaintiredness
for
Chemotherapy option with
men h ormone disease
m etastic
relapsed hotflushes lossoflibido
for
Docetaxel prednisolonelicensed hormone
resistant
metastic cancer
p rostate Impactonqualityoflife
Bisphosphonates calcium inhibit
which
drugs
regulated resorptionused treatment
bone in Referral
of bone
hypercalcemiaosteoporosis pain menwithevidenceofsignificantdisease
to
offered men
having therapyhave
deprivation
androgen o steoporosis progression rapidlyrisingPSAlevelsor
bonepain to aurologicalcancerspecialist
