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Prostate Cancer

Overview

What is the Prostate Cancer?

Prostate cancer is a type of cancer that develops in the prostate, which is a walnut-shaped small gland located near the bladder in men. The prostate gland produces prostatic fluid, which nourishes the sperms. This prostatic fluid combines with the fluid from seminal vesicles to form semen that transports sperms.

epidemiology

Prostate cancer is one of the top 10 common cancers among Pakistan men. However, with regular screening tests, prostate cancers can be diagnosed in early stages and effectively managed. HCG has the best prostate cancer specialists in Pakistan who are trained to treat prostate cancers with customised and result-oriented treatment plans that lead to positive clinical outcomes.

Risk Factors

The exact cause of prostate cancer is not known. However, several factors increase the risk of developing prostate cancer. The key risk factors include:

  • Age
  • Family History
  • Diet

Other risk factors include obesity, smoking, alcohol consumption, and ethnicity. Prostate cancer is observed to be more prevalent among African-American and Caribbean men than other races.

Diagnosis

Screening for prostate cancer may help in reducing the risk of prostate cancer or detecting it in its early stages. It is recommended that individuals with a positive family history of prostate cancer and those who are above 50 years old opt for prostate cancer screening annually. 

Treatment

The treatment of prostate cancer depends on various factors like the rate at which the cancer is growing, the cancer stage, the overall health of the patient and the patient’s preference. Being a slow-growing cancer, prostate cancer may not need immediate treatment in a few cases. In these cases, prostate cancer is managed through active surveillance and observation.

Active Surveillance

Through active surveillance, cancer growth is closely monitored with tests like PSA tests, rectal examinations and biopsies at regular intervals. If the test results change, the doctor may suggest opting for treatment options to remove the tumour or contain the tumour growth. Active surveillance is ideal for men with low-risk tumours without symptoms.

Observation (Watchful Waiting)

Watchful waiting is a form of less-intensive follow-up with a goal to monitor cancer until it has metastasised or has started exhibiting symptoms, and then address it with a suitable treatment modality. Watchful waiting is ideal for older men and those with other life-threatening health conditions.

Localised therapy

Localised therapy is meant to treat the cancer cells in a specific site. Localised therapy is useful in treating early-stage prostate cancer that is confined to the prostate gland only.

Surgery
Surgery involves the removal of the prostate and some lymph nodes surrounding the gland through a procedure called radical prostatectomy. Radical prostatectomy is generally performed through one of the following
Systemic therapy

Systemic therapy aids in the management of metastatic prostate cancer, wherein cancer has spread outside the prostate gland. Systemic therapies act on the entire body and help in treating the cancerous growths wherever they are located, including the ones that are too small to detect.

  • Hormone therapy (Androgen-Deprivation Therapy)
  • Chemotherap Chemotherapy
  • Immunotherapy (Biologic Therapy)

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