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Prostate Cancer (Expert Forum)
Prostate Cancer Treatment Options
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis, Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
Prostate Cancer Treatment Options
by CR4Moose, Sep 27, 2007 02:26PM
There's an interesting discussion about prostate cancer going on at CR4: The Engineer's Place for News and Discussion.
My question: Why wouldn't a doctor want to remove a prostate tumor - even if the cancer had spread to the lymph nodes? From what I read at CR4, there's some real resistance to do this.
My question: Why wouldn't a doctor want to remove a prostate tumor - even if the cancer had spread to the lymph nodes? From what I read at CR4, there's some real resistance to do this.
Doctor's Answer
by Ash Tewari, MD, M.Ch., Oct 05, 2007 11:39AM
, Oct 05, 2007 11:39AM
To: CR4Moose
Hello Sir,
Removal of a prostate tumor alone is not currently accepted treatment regiments when concerning prostate cancer. Currently our best results come from radical prostatectomy if the disease is organ confined. If the disease has spread, radical prostatectomy is not the ideal treatment because there are now multiple foci of disease and it is no longer confined ie you dont actually get rid of the cancer because its already in the lymph nodes. Therefore prostatectomy would allow little help and chemotherapy/brachytherapy or radiation could be the best solution.
Thanks!
Removal of a prostate tumor alone is not currently accepted treatment regiments when concerning prostate cancer. Currently our best results come from radical prostatectomy if the disease is organ confined. If the disease has spread, radical prostatectomy is not the ideal treatment because there are now multiple foci of disease and it is no longer confined ie you dont actually get rid of the cancer because its already in the lymph nodes. Therefore prostatectomy would allow little help and chemotherapy/brachytherapy or radiation could be the best solution.
Thanks!
