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Stopping hormone therapy may shorten the life span of men with prostate cancer

Stopping hormone therapy may shorten the life span of men with prostate cancer

Hormone therapy consists of stopping the production of testosterone, responsible for increasing prostate tumors. Many people do the treatment briefly to try to contain the side effects, which can be loss of sexual function, hot flashes, weakened bones and even heart problems.

The study, released on the American Society of Clinical Oncology, was done with more than 1,500 men with prostate cancer. They were followed up for almost a decade. The group was divided between those who did continuous hormone therapy and those who did intermittent therapy. Analyzing the results, the researchers found that continuous therapy added years of life to patients. The authors state that interrupted therapy should no longer be recommended as initial treatment, although its side effects are less harmful. According to them, men need to reflect if they are willing to negotiate heat waves with the addition of two years of their lives. Treatments for prostate cancer are effective, but have side effects

Prevent cancer of prostate

The types of treatment vary according to the degree of cancer and the age of the patient. According to the urologist André Cavalcanti, director of the Brazilian Society of Urology (SBU), cases in which the cancer has not yet spread to other organs, and the man's life expectancy is more than 10 years, radical prostatectomy . The surgery consists of the total withdrawal of the prostate and the lymphatic tissues that surround it, which can lead to erectile dysfunction and urinary incontinence. "The two sequels show very variable statistics, depending on the stage of the tumor and the patient's age group, but in general, urinary incontinence affects less than 10% of men, while erectile dysfunction does not reach to reach 30% of the patients, "reassures the urologist.

Radiotherapy

Radiotherapy enters as an alternative method for patients with high surgical risk or who prefer to circumvent surgery. However, urologist Jorge Hallak of Hospital das Clínicas points out that the treatment has less effectiveness compared to total prostate withdrawal. Another setback to this therapeutic measure is that man can suffer from side effects, such as irritation of the cervix and rectum and tissues near the prostate. "Since radiation is local, symptoms during treatment are limited to the region of the gland," he explains.

Hormonal therapy

When the disease is more advanced, the specialist usually relies on hormones that block elevations of testosterone levels. "Prostate cancer feeds on testosterone. With hormonal blockade, the tendency is for the tumor to stop or stop growing," explains André Calvanti. Surgery may also be recommended in these cases, for removal of the tissues surrounding the prostate gland. The use of medicines comes on the scene as one more line of treatment, taking into account the situation of each patient.

Care in treatment

After treatment and the expected cure, urologist André says that it is important to follow up constant levels of PSA - a protein that indicates evidence of tumor in the prostate. "In the first year after treatment, we need to check the rates every three months," says André Calvanti. "This frequency will increase over time, but it is important to see the patient every six months."


Intestinal polyps may be an early symptom of colorectal cancer

Intestinal polyps may be an early symptom of colorectal cancer

Intestinal polyps are wartslike lesions that arise in the colon (large intestine). Such lesions arise from the disordered proliferation of cells of the colon itself. There are several types of lesions that can manifest as polyps, being classified as neoplastic (adenomas) or non-neoplastic (hyperplastic, inflammatory or hamartomas).

(Health)

Bill wants to free the entrance of animals in public hospitals to visit patients

Bill wants to free the entrance of animals in public hospitals to visit patients

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(Health)