Prostate Cancer Treatment Options and Survival Rates: Expert Answers Common Questions

2023-12-19 07:00:08

Prostate cancer is also called “prostate cancer”. Many men often feel overwhelmed following being diagnosed and worry that their urinary tract function, sexual function, etc. will be affected. Nowadays, there are many treatment methods available. How to choose? What is the “Haifu Knife” that is often heard in recent years? Professor Huang Shubin from the Department of Urology, Chung Ho Memorial Hospital, Kaohsiung Medical University, answered five common questions from the public.

Common QA1: Is the survival rate of prostate cancer high? Is there any chance of a cure?

According to data from the Ministry of Health and Welfare, prostate cancer is one of the top ten causes of cancer death in the country, the fifth most common cancer among men, and the sixth most common cause of cancer death. However, Huang Shubin said that in fact, the cure rate of early-stage prostate cancer is quite high. According to foreign literature, the 5-year survival rate of early-stage prostate cancer is almost 100%. According to current medical technology, the 10-year survival rate can also reach 90%. %above.

However, early-stage prostate cancer has no obvious symptoms, and early diagnosis requires prostate-specific antigen (PSA), digital anal examination, etc. Therefore, Professor Huang Shubin calls on people with a family history of prostate cancer to undergo regular prostate-specific antigen (PSA) examinations at the age of 45. They may also consider using multi-parameter MRI examinations at their own expense to facilitate early diagnosis. Prostate cancer.

Common QA2: What are the treatments for prostate cancer? How to choose?

With the advancement of science and technology, there are now many treatments for prostate cancer. How should people choose? Professor Huang Shubin said that you first need to know the stage of prostate cancer, and the so-called stage refers to the scope of the cancer. For example, the clinical diagnosis of prostate cancer can be simply whether the tumor has punctured the capsule and whether there is distant metastasis. Divided into early-stage and late-stage prostate cancer.

Huang Shubin mentioned that the main treatment methods for early-stage prostate cancer include surgery and electrotherapy. Surgery is mainly known as “Da Vinci prostate eradication surgery”; electrotherapy is the so-called “radiation therapy”, which uses radiation. Kill cancer cells, and now there are new minimally invasive treatments for prostate cancer, such as the Haifu Knife.

Common QA3: Is surgery necessary for prostate cancer treatment?

The main treatments for early-stage prostate cancer include surgery and radiation therapy. However, due to the anatomical location of prostate cancer, surgery will have certain risks. Huang Shubin also said that even with Da Vinci surgery, there is still the possibility of urinary incontinence and sexual dysfunction.

Although you can choose radiotherapy if you don’t want surgery, Huang Shubin pointed out that radiotherapy can also have side effects of hematuria and rectal inflammation, so the current trend is “minimally invasive treatment”, which is the so-called “Haifu knife”, which uses ultrasonic The focused sound waves produce heat energy that kills prostate cancer cells.

Huang Shubin said that according to the current treatment guidelines, Haifu Knife is mainly used for early-stage, localized, medium and low-risk prostate cancer. The treatment advantage of Haifu Knife is that it can achieve the same treatment effect in a minimally invasive way and can Significantly reduces the risk of sexual dysfunction and urinary incontinence.

Common QA4: How to choose treatment for urinary incontinence and sexual dysfunction?

In terms of prostate cancer treatment, Huang Shubin emphasized that cancer control is the most important, but it is still necessary to minimize the side effects of treatment, such as the risk of urinary incontinence, sexual dysfunction, etc. Therefore, for young, early-stage, medium- and low-risk prostate cancer patients, For breast cancer cases, minimally invasive treatment with the Haifu Knife may be a good choice.

Huang Shubin explained that according to foreign literature reports, Haifu knife can achieve a cancer control rate of more than 90% 10 years following treatment, which is equivalent to the effect of Da Vinci surgery, but the risk of urinary incontinence with Haifu knife can be reduced to less than 2%. It is significantly better than Da Vinci’s surgery, and the Haifu knife is also significantly better than Da Vinci’s surgery in terms of preserving sexual function.

Common QA5: What should we pay attention to in life with prostate cancer?

In the fight once morest prostate cancer, treatment is very important, but Professor Huang Shubin also pointed out that patients should maintain a good daily routine, not stay up late, have a healthy diet, eat more fruits and vegetables, but eat less red meat, especially fried beef. , because frying beef may increase the risk of prostate cancer.

In addition, high-risk prostate cancer may still relapse, so Huang Shubin reminds that following treatment for prostate cancer, prostate specific antigen (PSA) still needs to be tested regularly, and imaging must be done every 1 to 2 years. Scientific testing (such as computer tomography, magnetic resonance imaging), and regular follow-up as recommended by doctors to achieve good prostate cancer treatment results.

(Changchun Monthly/Compiled by the editorial department, provided with article authorization/Health Medical Network, picture source: Dreamstime/Dianjiang Image)

[Extended reading]
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