What About Less Than Radical Removal?

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What About Less Than Radical Removal?

by Tjz6845 on Thu Aug 11, 2005 12:00 AM

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Has anyone hear of removing just the tumor and not the whole prostate? When the tumor is small and no add'l ones show on scan, low PIN stats, etc., it seems like this would be a viable option. Are men's prostates being treated like women's breasts were 30 years ago: "Duh.. you don't really need this--we will just lop it off." (Yes, I know there always the chance something is missed...)

Partial Prostatectomy

by Patrick1 on Thu Aug 11, 2005 12:00 AM

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No, I haven't heard of that ever being done. Don't know why. Maybe because of the high risk that you might miss some cancer, which seems likely. I don't think that localization of the exact tumor boundaries, by any known method, is a precise science. You wouldn't want multiple such operations. Also, when the tumor is small and confined to the prostate, there are other treatment options: hormone tx alone, radiation, radioactive seeds, maybe cryogenics, even "watchful waiting" if you are very old, or frail, or have other serious diseases and the PC is very slow growing. But there are lots of options to consider. Pat K

Prostate Cancer

by Windwalker on Sat Nov 26, 2005 12:00 AM

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I am shoched and surprised that when listing treatments for this disease, you never mentioned proton beam thearpy. It has been approved by the FDA since 1996 with thousands of men having had successful treatment. It is done at Mass. General in Boston, Loma Linda Univ. in Loma Linda CA, Univ. of IN. Bloomington IN.MD Ander son medical in TX. I was treated last year and have not had a final word on my exact condition, but the literature indicated the those of us in the early stage have a 97% 5 yr survival with no reoccurrance. Those who have already have cells outside the prostate when treatment started are the 3% who die from the disease, no matter what the treatment. If the news is not good in Dec. I will try something else, but not chemo or harmones, so what else is left? You tell me. Windwalker

pc

by Patrick1 on Sat Nov 26, 2005 12:00 AM

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Sorry, I thought proton beam was a form of focussed radiation--maybe it is. Anyway, I certainly would not rule out hormone therapy or even chemo in some circumstances. I have been on HT now for 4 years since my prostatectomy with great results. My Gleason score was 9-10 and my PSA is still undetectable. It is a real life-saver and can give you years of increased life expectancy. Pat K
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