Multi-disciplinary consultation and care from a team of physicians, urologists, oncologists, radiologists, and pathologists is necessary to take the right decisions in advanced prostate cancer treatments. Metastatic prostate cancer treatments are varied and the adverse secondary effects and risks involved in each of them must be studied by the physician and explained clearly to every individual patient and their caregivers/families. While diagnosis might happen in the advanced stage or stage 4 of the prostate cancer, sometimes cancer could be discovered earlier too.
Depending on the age of the patient, past surgeries and medical conditions of the patients, the stage of cancer and the urgency of the treatments, they could be either followed singularly, that is, done one after the other, or as a combination with other treatments. In managing metastatic prostate cancer, radical prostatectomy, the surgical removal of the entire prostate gland and some tissue around it, including the seminal vesicles and testicles is one option, but in patients for whom surgery is not possible or after surgery, radiation therapy and androgen deprivation therapy or ADT is the next course of treatment. In the event of hormone-refractory, chemotherapy, Abiraterone, and Enzalutamide are sought to reduce or prevent the further spread of the prostate cancer in the body. Immunotherapy and cancer vaccines that stimulate the body’s own immune system to fight against cancer cells are being researched as treatment options for advanced prostate cancer. When metastatic prostate cancer has spread to the bones, managing the pain in the bones is done with radium-233 to prevent fractures and surgery.
While metastatic prostate cancer is not curable, it is definitely treatable. Improving your or your loved one’s quality of life is the goal here. Evaluating the pros and cons of all treatment options is the first step in treating advanced prostate cancer. And, whether all treatment is necessary or watchful waiting should be followed is a decision you should trust your physician to take after you understand the technicalities involved in the whole treatment process.