Prostate cancer treatment by stage

Treatments for prostate cancer include surgical treatment, endocrine therapy, internal radiotherapy, etc. The specific treatment method should be considered based on comprehensive factors such as the patient's age, general condition, clinical stage and pathological grade.

Localized cancer (stage I) discovered accidentally in surgical specimens of prostate hyperplasia generally has small lesions and well-differentiated cells, so no further treatment is required and close observation and follow-up are required. For cancer confined to the prostate capsule (stage II), radical prostatectomy can be performed, which is also the best method for treating prostate cancer and is suitable for young patients who can tolerate surgery. Patients with stage III and IV prostate cancer are mainly treated with endocrine therapy, and orchiectomy can be performed. Treatment with anti-androgen preparations such as bicalutamide and flunitramide can improve survival rate.

Prostate cancer is a disease that elderly men are prone to. It generally develops slowly and has a long course. Radical prostatectomy is not suitable for patients over 70 years old with a predicted life expectancy of less than 10 years, because deaths in elderly patients are mostly unrelated to cancer. Endocrine therapy can enable most patients to achieve a survival rate of more than 5 years.