Disease & Illness

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Prostate Cancer Clinical Test and Statistic

  • Written by Nasrat Star
Larger-volume tumors of the prostate are common among older men. Available tests for the early detection of cancer have limited specificity, which necessitates a relatively high biopsy rate. The positive predictive value of combined digital rectal examination and PSA measurement has been defined, but the negative predictive value is less clear. Measurement of PSA is the most sensitive noninvasive test for prostate cancer. However, digital rectal
examination detects cancer that would otherwise be missed by PSA measurement.

Clinical trials serve as one way of finding prostate cancer cures. All prostate cancer medications must take pass the three phases required to gain approval from the Food and Drug Administration.

Phase I of the clinical trials test the safety of a new drug. The second clinical phase is designed to determine how the proposed new prostate cancer treatment works. Patients are given the drug in high doses during this phase.

The patients are watched to see what effect the test drug has on their prostate cancer. The final phase of clinical trial testing pits test medications against standard treatments. A control group is given dosages of the test drug while a second group uses standard methods of medicine-with the effects documented

The purpose of the trial is to test the safety and effectiveness of the technique, called high intensity focused ultrasound (HIFU), as the initial treatment in men with newly-diagnosed, localized prostate cancer.

Undiagnosed prostate cancer is highly prevalent, especially among older men [42-49]. Although many of these cancers may be considered incidental, evidence suggests that consideration of screening is warranted because earlier diagnosis of clinically significant cancers often has the potential to improve outcome [10, 12]. In fact, prostate cancer is so common among older men that selecting subpopulations for screening on the basis of risk factors other than age, such as race or family history, would not be necessary if screening and treatment strategies that favorably affect outcome were available.

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What is Brachytherapy?

  • Written by Jim Switzer
There are several ways of giving radiation dosage to a cancerous tumor. The most common method is to deliver the required dosage from an external beam of radiation produced outside the body. In this case the source of radiation beam is located 80-100 cm from the body of the person receiving radiation. Sometimes placing the source of radiation within the tumor might have advantages over delivering radiation from an external source. This method of delivering required radiation from an internal source embedded within the tumor is called brachytherapy.

If you are aware of the inverse square law in physics you would know the dosage of radiation therapy delivery changes by a great proportion depending upon the distance of the radiation source to the intended target. In brachytherapy the source of radiation is within the tumor volume and the proper placement of these sources of radiation within the tumor is of crucial importance.

There are several radioactive isotopes used in the brachytherapy. These include radium-226, cesium-137, cobalt-60, iridium192, iodine-125, gold-198 and palladium-103. Radium has a longer half-life compared to some of the other radioactive isotopes. In the past radium was the primary isotope used in brachytherapy, but recently radium has been largely replaced by cesium, gold and iridium, which have relatively shorter half-life and lower energies and because of this the radiation from these isotopes can be easily shielded.

Brachytherapy can be delivered with devices known as implants. These devices may be in the form of needles or seeds or ribbons. Brachytherapy can be delivered with permanent or temporary implants. These implants might be temporary or permanent. Temporary implants usually have a longer half-life and higher energies compared to the permanent implants. All temporary implants are inserted into the tumor during surgery. The duration of treatment for the temporary implant is usually 1-3 days.

Interstitial low-dose rate (LDR) brachytherapy is usually used for cancers involving the mouth and oral cavity, pharynx. This mode of treatment is often used in the treatment of sarcomas. Prostate cancer treatment is the most common form of LDR brachytherapy using seeds. Uterine cancer is the most common application of intracavitary LDR treatment. These patients are often isolated to prevent radiation exposure to nursing and other supportive staff during the care of the person.

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Prostate cancer treatment

  • Written by Nasrat Star
Prostate cancer treatment advance

list of questions and conversation tips to ask your doctor on prostate cancer advance

Q1: What are the treatment options for advanced prostate cancer?
Advanced prostate cancer is cancer that has spread from the prostate to the pelvic lymph nodes or to other parts of the body. Advanced prostate cancer cannot be cured but the progression of the disease can be slowed and men can be made more comfortable with hormonal therapy and, occasionally, chemotherapy.

Hormonal therapy is currently the first treatment that is recommended to men with advanced prostate cancer. The goal of hormonal therapy is to lower levels of male hormones, or androgens, such as testosterone, which can fuel the growth of prostate cancer. This can be achieved with either surgery or medication.

Testosterone levels can be reduced surgically by removing the testicles in an outpatient procedure known as an orchiectomy; prosthetic testicles may be used in the testicles' place.

If a patient prefers medication to surgery, drugs such as LHRH agonists may be given as shots every few months to lower testosterone levels. Other drugs, such as anti-androgens and estrogen therapy, can help block the activity of male hormones. Sometimes surgery and medications are tried in combination.

Side effects of hormonal therapy include impotence, low sex drive, tiredness, hot flashes and weight gain. While hormonal therapy can lead to remissions up to two or three years, it cannot stave off the progression of advanced prostate cancer indefinitely and the disease usually returns.

Q2: How will I know if hormonal therapy is working?
The main way to determine whether hormonal therapy is working is by measuring prostate-specific antigen (PSA) levels with a blood test. Blood levels of this protein can measure the presence and activity of prostate cancer.

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