How to treat prostate cancer

A1 stage is a cancer discovered accidentally during the treatment of prostate hyperplasia. The lesions are localized and most are well differentiated. Most patients are in a stable condition with slow progression. Only about 1% may die from cancer. Due to the good prognosis, immediate radical prostatectomy or radiation or endocrine therapy is generally not recommended. Regular follow-up, rectal examination and B-ultrasound examination, and blood acid phosphatase measurement are recommended. It can be combined with traditional Chinese medicine treatment to control its progression. Below we will explain to you in detail how to treat prostate cancer.

In stage A1, 35% of patients may have tumor progression if left untreated, so radical prostatectomy or radiotherapy should be considered.

Most stage B1 tumors are well differentiated, but during surgery, 5%-20% of patients are found to have lymph node metastasis, so radical prostatectomy should be performed. The 15-year cancer-free survival rate after radical surgery is 50%-70%.

About 50% of patients in stage B2 have tumors that have invaded the seminal vesicles, and 25%-35% of cases have lymph node metastasis, so radical surgery for prostate cancer and pelvic lymph node dissection, orchiectomy, endocrine therapy, radiotherapy, and intra-tissue radiotherapy should be performed. The 15-year cancer-free survival rate after radical surgery for stage B2 is 25%.

There is no consensus on the treatment of stage C, as treatment is difficult at this stage and most pelvic lymph nodes have metastasized. The following methods are generally used for treatment: ① For elderly and weak patients with poor general condition, extended external radiotherapy is suitable. ② Endocrine therapy (including bilateral orchiectomy), after downgrading, extended external radiotherapy and radical prostatectomy are combined. ③ Intra-tissue radiotherapy and external radiotherapy are suitable for patients without lymph node metastasis and distant metastasis and with good general condition.

Stage D is mainly treated with endocrine, chemotherapy and immunotherapy. For stages D0 and D1, pelvic lymph node dissection can be performed. Early application of endocrine therapy can prolong the survival time of tumor patients, with a 5-year survival rate of about 30%.

The above is what we have prepared for you today on how to treat prostate cancer. We hope it will be helpful to you. If you have any other needs, you can also consult our online consulting experts. We are always here to answer your questions.

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