Prostate cancer: screening and treatment options

Prostate cancer is without doubt one of the commonest cancers on this planet. While many prostate cancers develop slowly and stay localized, different sorts are aggressive and unfold shortly. That’s why Dr. Carlos Vargas, a Mayo Clinic radiation oncologist, encourages common screening. He says the aim of screening is to detect prostate most cancers early, when it is nonetheless confined to the prostate gland and has one of the best probability for profitable treatment.

“It’s essential to get satisfactory screening, and screening for prostate most cancers is comparatively easy. You can have a prostate-specific antigen, or PSA, test together with your main care physician annually, and with this, you possibly can tailor satisfactory procedures primarily based in your age and different danger components,” says Dr. Vargas.

The prostate-specific antigen check is a blood check used to measure the quantity of prostate-specific antigen in your blood. High ranges might point out the presence of most cancers. Other circumstances additionally might improve this stage. It’s essential to debate together with your health care skilled if the prostate-specific antigen check is best for you primarily based in your private danger stage and age.

Watch: Dr. Carlos Vargas discusses prostate cancer screening and treatment.

Journalists: Broadcast-quality video is on the market within the downloads on the finish of the submit. Please courtesy: Mayo Clinic News Network. Name tremendous/CG: Carlos Vargas, M.D/Radiation Oncology/Mayo Clinic

Who is in danger?

Risk components embrace age, household historical past and race. The commonest age is round 50 or older.

If you will have a blood relative who has or has had prostate most cancers or a household historical past of genes that improve the chance of breast most cancers — BRCA1 or BRCA2 — or a robust household historical past of breast most cancers, your danger of prostate most cancers could also be larger. In the U.S., prostate most cancers is deadlier for Black males than males of different races, based on the Centers for Disease Control and Prevention. They usually tend to get prostate most cancers and greater than twice as more likely to die from prostate most cancers than different males.

“Early detection is very important. If we can find prostate cancer early, it is treatable and curable, ” says Dr. Vargas.

Active surveillance

Not all prostate cancers have to be handled, says Dr. Vargas. Some cancers can stay underneath active surveillance.

“When we find very early prostate cancer, we can watch it for many years. And in case that prostate cancer becomes more aggressive, then we can treat it there. The problem is when you are not screened, and then you find a very aggressive prostate cancer that is still localized or it has already metastasized, in which case, the chances of controlling the cancer, curing you and saving your life are much lower.”

In energetic surveillance, common follow-up assessments could also be carried out to observe the development of your most cancers.

“That’s why screening is very important and why we encourage screening for prostate cancer. It doesn’t mean that you must be treated. If prostate cancer is found, we can then determine what is the most appropriate course of action for your prostate cancer based on your age and your risk group.”

Medical illustration of normal prostate and cancerous prostate

Treatment options

Along with energetic surveillance, a full range of therapies for prostate most cancers is on the market, together with radiation remedy; hormone remedy; cryosurgery; chemotherapy; and surgical procedure, together with robotic prostatectomy.

One of the issues that has actually modified over the previous few years is the administration of radiation with sufferers with metastatic prostate most cancers,” says Dr. Vargas. “We have found that many patients with metastatic prostate cancer still benefit from radiation to the prostate.”

“And we have also found that many patients who have just a few sites of metastatic disease, meaning that the cancer is not widely spread, can also benefit from aggressive treatment where we do a combination of radiation therapy and systematic therapy to put you back in remission where disease cannot be found, and extend your life.”

Mayo Clinic Proton Beam treatment room
A Mayo Clinic proton beam treatment room

Another radiation method consists of intensity-modulated proton beam therapy with pencil beam scanning. Dr. Vargas says proton remedy is successfully used to deal with sufferers with prostate most cancers.

“It’s a very localized treatment that allows us to treat the prostate, localizing the treatment to the prostate, hoping to minimize significant adverse events that may happen from the treatment,” says Dr. Vargas.

Talk together with your healthcare skilled to be taught extra about prostate most cancers screening and if it is best for you.

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