Prostate Restored
Prostate Restored
Photo: Dila E
The short answer is yes, prostate cancer can be cured, when detected and treated early. The vast majority of prostate cancer cases (more than 90 percent) are discovered in the early stages, making the tumors more likely to respond to treatment. Treatment doesn't always have to mean surgery or chemotherapy, either.
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Read More »The stage of a patient’s cancer is a primary factor in determining both prognosis and treatment. Most doctors use the American Joint Committee on Cancer (AJCC) TMN staging protocol. This system evaluates the local extent of the cancer (the T level), as well as the extent of spread to regional lymph nodes (N) and how the cancer has metastasized — or spread — to the rest of the body (M). Each category has its own levels and subcategories, and the combination of factors specifies the extent of the disease. More specifically: T Stages: Rated on a scale of 1 to 4. T1 indicates that the tumor can only be detected via imaging or biopsy, while T4 indicates cancer that has spread to local tissue. N Stages: Rated X, 0, and 1. An X rating means that the lymph nodes weren’t examined, 0 means the cancer has not spread, and 1 indicates cancer in the nearby lymph nodes. M Stages: Rate M0, or M1a, M1b, or M1c. M0 indicates that the cancer has not spread beyond the regional lymph nodes. M1a indicates spread to the lymph nodes, M1b indicates spread to the bones, and M1c means the cancer is present in other organs. In addition to evaluating the size and extent of the tumor and spread of the cancer cells, staging also depends on PSA levels and the Gleason score, which measures how the prostate tissue compares to normal healthy tissue and likelihood the cancer will spread. Doctors use the combination of the TMN stages, PSA level, and Gleason scores to determine the cancer stage. For example, a patient with a T1, N0, M0, and a Gleason score of 6 and PSA of 10 is considered a stage 1 patient, and has a very high likelihood of being cured. Similarly, a patient with a T4 and any combination of M, N, PSA, and Gleason score (or M1 or N1 and any other variables) is considered a stage 4 patient, and therefore requires treatment that is more aggressive. Again, though, most patients are diagnosed in the early stages (1 or 2) thanks to recommended PSA testing for all men over age 50, making prostate cancer curable.
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Read More »Treatment protocols often influence whether a patient’s prostate cancer is curable or not. Doctors may choose from a number of treatment options, including surgery, chemotherapy, and radiation therapy, either brachytherapy (in which radiation is delivered internally by “seeds” or wires implanted in the affected areas) or external, such as CyberKnife. Thanks to its pinpoint accuracy, CyberKnife is often the safest and most effective option for men in the early stages of prostate cancer, as it has the same cure rate as a radical prostatectomy. Not only is it non-invasive and pain free, there are fewer unpleasant side effects than with other treatment options — in fact, you may be able to avoid surgery or chemotherapy altogether by opting to go with CyberKnife. The most common type of radiation therapy for prostate cancer is external body radiation therapy (EBRT). Modern EBRT encompasses several types of radiation therapy, including SBRT. These therapies are designed to focus radiation on the tumor while minimizing damage to the surrounding healthy tissue. Southern California cancer patients have access to SBRT technology at Pasadena CyberKnife, which allows them to complete radiation therapy in a matter of days, rather than the weeks required for traditional therapy. With this therapy, most patients can expect to be cured of their cancer in just one to five sessions, as opposed to the 35 to 43 sessions over five to eight weeks in other types of radiation therapy.
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