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Evaluating Your Options

Here Rob discusses different treatment options and how to be a driver of your own treatment plan, with the support of your healthcare team.

You have many treatment choices. Learning about advanced prostate cancer treatment options will help you make the right decisions for you. Become informed.

Take Control By:

  • Asking questions
  • Doing your own research
  • Seeking a second opinion
  • Finding out how different treatments can affect your health and life
  • Knowing you can make health decisions that align with your lifestyle

Knowing your health status is also important for discussions with your health care team. The Prostate Conditions Education Council (PCEC) provides the “Know Your Numbers Tracker Card,” which is a very helpful wallet size card that allows you to track multiple test results over an extended period of time. Find out how to receive the “Know Your Numbers Tracker Card.” 

This is your life. Make the choices that are right for you.

    Treatment Options for Prostate Cancer

    EARLY-STAGE PROSTATE CANCER

    MINIMALLY INVASIVE PROCEDURES

    A miniminally invasive procedure such as robotic/laparoscopic surgery, cryosurgery, transurethral resection surgery, or high-intensity focused ultrasound (HIFU) may be an option.

    SURGERY
    (Early-stage Treatment Option)

    Surgical removal of the prostate is an option for some men.

    SURGICAL OPTIONS INCLUDE:

    • Radical Prostatectomy – Involves removing the entire prostate and some surrounding tissue
    • Cryosurgery – Freezes and destroys prostate tissue and may be useful for men with early-stage prostate cancer who cannot have a radical prostatectomy

    ACTIVE SURVEILLANCE
    (Early-stage Monitoring Option)

    “Watchful waiting” approach to early-stage, slowly growing prostate cancer.

    • May be considered for patients whose risk factors for treatment are worse than the benefits of therapy
    • Physician puts off treatment until monitoring shows that the prostate cancer is growing or changing 

    When cancer progresses, other treatment options are considered.

    ADVANCED-STAGE PROSTATE CANCER

    HORMONAL THERAPY
    (Later-stage Treatment Option)

    Works by reducing the effect of androgens in one of these ways:

    • Drugs that block the action of androgen
    • Drugs that interrupt the androgen-making process
    • Orchiectomy – Surgical removal of the testicles 

    Androgen deprivation therapy (ADT) is the main treatment for tumors that have already recurred or spread.

    ANDROGEN PATHWAY TREATMENTS
    (Later-stage Treatment Option)

    • Advanced prostate cancer that has stopped responding to ADT may require additional treatments
    • Androgen-receptor blockers prevent androgens from binding to the surface of prostate cancer cells
    • Hormone therapy that reduces the production of testosterone / androgens at multiple sources

    IMMUNOTHERAPY
    (Later-stage Treatment Option)

    Stimulates the body’s immune system to help it recognize and fight off cancer cells.

    • Involves removing some of the patient’s white blood cells, separating out the immune cells, and returning modified immune cells back to the patient
    • May be used for men with advanced prostate cancer that is resistant to ADT (medical or surgical treatments that lower testosterone)

    CHEMOTHERAPY
    (Later-stage Treatment Option)

    Uses medication to kill cancer cells.

    • Chemotherapy may be used for men with advanced prostate cancer that has progressed on conventional ADT.

    RADIATION THERAPY
    (Later-stage Treatment Option)

    Uses high-energy radiation to kill cancer cells.

    • External Beam Radiation – Given from a machine outside the body
    • Brachytherapy – Radioactive seeds are placed in and around the tumor

    RADIOPHARMACEUTICALS
    (Later-stage Treatment Option)

    Uses drugs with radioactive elements to treat cancer that has moved to bone.

    • Sometimes combined with external beam radiation
    • Has been shown to help with pain of cancer in bone
    • Drugs are injected into a vein and then settle in areas of bone where cells turn over

    My Prostate Cancer Roadmap is sponsored by Janssen Biotech, Inc. Click here to learn more about a treatment for metastatic castration-resistant prostate cancer (mCRPC) (prostate cancer that is resistant to medical or surgical treatments that lower testosterone) that has spread to other parts of the body.