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- $Unique_ID{BRK01028}
- $Pretitle{}
- $Title{Advice on Cancer of the Prostate and Options for Treatment}
- $Subject{prostate cancer cancers neoplasm neoplasms Genitourinary urine
- urinate urination urinating blood painful lower back pelvis upper thighs pain
- surgical surgery surgeries operation operations Radiation therapy castration
- synthetic female hormone diethylstilbestrol DES testosterone male hormones
- Zoladex prostatectomy}
- $Volume{B-15}
- $Log{
- Cancer of the Prostate*0007601.scf
- Benign Hypertrophy of the Prostate*0007602.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Advice on Cancer of the Prostate and Options for Treatment
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-
- QUESTION: Although at first I thought it was a simple back ache, the results
- of many examinations and x-rays have lead my doctors to the diagnosis of
- cancer of the prostate, which has now spread to my bones. I don't want to
- give up hope, and my doctor is offering me several options for treatment
- including the removal of my testicles. I need some counsel and advice, which
- I hope you will provide me, please?
-
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-
- ANSWER: Your doctor is certainly on the right path, and I will try to provide
- a bit of information that may help you with your decision. Prostate cancer,
- unfortunately, is a common disease. The American Cancer Society estimates
- 103,000 cases would be diagnosed in 1989. The symptoms of this cancer are
- much like those of the benign disease where the prostate gland simply enlarges
- or hypertrophies. They include: weak or interrupted flow of urine, inability
- to urinate or start urination, blood in the urine, painful urination and pain
- in the lower back, pelvis or upper thighs. Treatment depends upon the stage
- of the disease, and when the tumor is limited to the prostate itself, radical
- surgical removal of the prostate, the seminal vesicles and part of the bladder
- may be the treatment of choice. Radiation therapy is an alternative.
- However, once the cancer has spread beyond the prostate, the goal of the
- treatment is to control the disease rather than cure it. Since the progress
- of the disease appears to be related to the presence of male hormones,
- surgical castration removing the male glands, or the use of a synthetic female
- hormone diethylstilbestrol (DES) have been recommended to reduce testosterone
- (male hormone) levels. Just recently however, a new treatment has been
- approved by the Food and Drug Administration called Zoladex. Manufactured by
- ICI Pharma, it is an injectable hormone that acts on the pituitary/sex gland
- system and reduces the production of testosterone to levels that result in a
- medical castration. It is administered by your physician in a single
- injection each month, and can result in reduction of tumor size, and
- improvement in urological symptoms and bone pain. It is said to have fewer
- side effects than other therapies. Each treatment costs about $400, but since
- it is administered only by physicians, should be reimbursed by most medical
- insurance plans.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-