Will Having Chemo And Radiation Before Prostate Surgery Prevent Recurrence?
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Chemotherapy and radiation treatments given prior to prostate surgery often reduce the chances of cancer recurring in the body, if the cancer has not spread past the point of origin. These therapies are usually effective is the disease is the nonaggressive type of prostate cancer. A research team at an Oregon cancer institute says that chemo and radiation given prior to prostate surgery is safe and effective. Prostate cancer is often fatal in men who have recurrences of the disease from more aggressive cancers.
State of health
A man’s survival largely depends on his state of health prior to having prostate surgery. The nature and the stage of a man’s prostate cancer determine a positive or bleak outlook. Chemo and radiation alone may not always be enough to eradicate cancer from the body. If the cancer is aggressive when treatments and surgery is done, it may get rid of the cancer for awhile, but it is likely to come back.
Types of radiation
Radiation may be done by external beam radiation, where you lie on an x-ray table every day for a number of weeks, and there is another type of radiation which radioactive seeds (brachytherapy) are implanted into the prostate and surrounding tissues. Sometimes men cannot have their prostate removed. Sometimes the size of the man, and his body build is such, that the surgeon cannot reach the prostate to remove it. If a man’s pelvis is too small and the man’s girth is too large, the surgeon may have difficulty performing the surgery. Oftentimes, the radioactive seeds are successful in killing the cancer and there is no recurrence, if the cancer is slow growing and not aggressive. Radioactive seed implantation is often the method of choice for treatment of prostate cancer, because it is so much less invasive that prostate surgery. Permanent seed implantation prevents recurrence of prostate cancer in about 80 percent of men. Brachytherapy has an extremely good cure rate of cancer in men 60 years old and younger. There is much less chance of recurrence of prostate cancer with strategically placed radioactive seeds. In the past, radioactive seeds used to be placed into the prostate by an open incision through the abdomen, and it was found that cancer often recurred due to the seeds not being placed in the best position for effective treatment. Often with brachytherapy the prostate never has to be removed.
Robot assisted surgery
Robot assisted surgery is one of the best ways to be precise when operating on prostate tumors. Many men are worried about having prostate surgery due to the damage to the nerves. Nowadays, surgeons are much more careful in how they do prostate surgery, and robot assisted surgery is even more precise than conventional surgery. Robotic or laparoscopic prostate surgery is now the most preferred way of doing prostate surgery. Oftentimes, no immediate action is taken to remove the prostate, because the cancer is usually very slow to grow.
Radiation and chemotherapy prior to surgery
A combination of radiation and chemo is beneficial in many types of cancer, including prostate cancer. Most men, who are treated with radiation and chemo before having their prostate gland removed, often tolerate the procedures well. When surgery is done, examination of the tissues usually shows evidence of complete cancer removal in 75 percent of patients.
PSA levels after surgery
The radical prostatectomy has one of the highest cure rates for prostate cancer, when the cancer is localized to the area of the prostate. It is a little harder to cure when the prostate cancer has spread to the lymph nodes in the pelvic area. If the cancer has metastasized to the bones and organs of the body, the outcome may be bleak. The good news is that when prostate cancer is the nonaggressive type there is a fairly high cure rate. Men should have regular PSA tests after prostate surgery to detect the possibility of recurrence. PSA levels drop after prostate surgery, at any time the PSA levels in the blood should begin to rise, the doctor may suspect a recurrence of cancer.
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