Focal Therapy for Prostate Cancer | Prostate Cancer Staging Guide
PCRI’s Executive Director, Mark Scholz, MD, discusses the use of focal therapy for men with prostate cancer. He elaborates on the pros and cons of the different focal treatments and compares them with radical whole-gland treatment.
Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org
To learn more about prostate cancer visit http://www.pcri.org
To download the free Staging Guide visit http://www.pcri.org/prostate-cancer-staging
0:48 Why choose focal therapy? The main reason is that side effects tend to be substantially lower.
1:24 Types of focal therapy: Focal radiation, seed implant or SBRT, laser treatments, cryotherapy, HIFU, and radiofrequency ablation are all types of focal treatments. Each uses a different method to ablate (destroy) prostate tissue.
1:56 Factors that can affect your focal therapy choice: The experience of the doctor is extremely important, perhaps more so than the actual method itself, but there are significant differences between the different treatments. Cryotherapy, for example, uses liquid argon in a probe to freeze the gland, circulates warm water, in two cycles. Since tissue resists freezing, the transition between frozen and nonfrozen tissue is gradual. Compared with a treatment like laser ablation, this transition zone is very distinct. So with cryotherapy, more of the gland must be frozen to ensure that all the cancer is treated. Whereas with laser, there is the potential for less of a margin to be necessary. This doesn’t necessarily correlate to better cure rates, it's just an example of how different treatments have different challenges. None have been proven to be superior to any other form of focal therapy.
3:35 Should consider focal therapy? Not all patients are eligible for focal therapy, such as patients with large or bilateral tumors (tumors that are on both sides of the gland). Additionally, the tumor must be easily seen on imaging scans to provide a viable target.
4:47 Drawbacks of focal therapy: It’s a new form of treatment and many doctors who are offering it don’t have enough experience to ensure good results. Many focal treatments are not covered by insurance, whereas other stander prostate cancer treatments are fully covered. Since a part of the gland is left untreated, they will have to be on active surveillance.
5:55 Conclusion. There is a concern that cure rates would be lower with focal therapy simply because it doesn’t treat the whole gland, but with good imaging and a generous margin, cure rates should be comparable to standard types of treatment, with the benefit of significantly lower side effects. Focal therapy will be a more popular type of treatment in the future.
Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #Prostate #MarkScholzMD
Видео Focal Therapy for Prostate Cancer | Prostate Cancer Staging Guide канала Prostate Cancer Research Institute
Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org
To learn more about prostate cancer visit http://www.pcri.org
To download the free Staging Guide visit http://www.pcri.org/prostate-cancer-staging
0:48 Why choose focal therapy? The main reason is that side effects tend to be substantially lower.
1:24 Types of focal therapy: Focal radiation, seed implant or SBRT, laser treatments, cryotherapy, HIFU, and radiofrequency ablation are all types of focal treatments. Each uses a different method to ablate (destroy) prostate tissue.
1:56 Factors that can affect your focal therapy choice: The experience of the doctor is extremely important, perhaps more so than the actual method itself, but there are significant differences between the different treatments. Cryotherapy, for example, uses liquid argon in a probe to freeze the gland, circulates warm water, in two cycles. Since tissue resists freezing, the transition between frozen and nonfrozen tissue is gradual. Compared with a treatment like laser ablation, this transition zone is very distinct. So with cryotherapy, more of the gland must be frozen to ensure that all the cancer is treated. Whereas with laser, there is the potential for less of a margin to be necessary. This doesn’t necessarily correlate to better cure rates, it's just an example of how different treatments have different challenges. None have been proven to be superior to any other form of focal therapy.
3:35 Should consider focal therapy? Not all patients are eligible for focal therapy, such as patients with large or bilateral tumors (tumors that are on both sides of the gland). Additionally, the tumor must be easily seen on imaging scans to provide a viable target.
4:47 Drawbacks of focal therapy: It’s a new form of treatment and many doctors who are offering it don’t have enough experience to ensure good results. Many focal treatments are not covered by insurance, whereas other stander prostate cancer treatments are fully covered. Since a part of the gland is left untreated, they will have to be on active surveillance.
5:55 Conclusion. There is a concern that cure rates would be lower with focal therapy simply because it doesn’t treat the whole gland, but with good imaging and a generous margin, cure rates should be comparable to standard types of treatment, with the benefit of significantly lower side effects. Focal therapy will be a more popular type of treatment in the future.
Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #Prostate #MarkScholzMD
Видео Focal Therapy for Prostate Cancer | Prostate Cancer Staging Guide канала Prostate Cancer Research Institute
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26 сентября 2018 г. 21:27:27
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