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Prostate Cancer, Localized
(OC014)

Introduction

Carcinoma of the prostate is the most commonly diagnosed male malignancy in the US. In 1998, there were 184,000 new cases diagnosed. In fact, prostate cancer is a common incidental finding at autopsy (70% of men aged 80). Because it grows so slowly, it often produces no symptoms and men often die of other causes before the cancer becomes an issue.

The cause of prostate cancer remains unclear. It is thought to be a combination of environmental, genetic, and lifestyle factors. Men are at the highest risk between ages 40 and 60.

The decision to aggressively evaluate and treat a prostate cancer depends on several factors, including age, life expectancy, general health status, stage of the tumor, the desire to maintain erectile function, the individual wishes of the man regarding the desire for cure versus palliation.

Aggressive treatment usually includes surgery, and/or radiation, and/or hormonal therapy. Less aggressive therapy may consist of hormone therapy alone, either at the time of diagnosis or later, when symptoms appear.

The decision to monitor symptoms and progression of the disease is called "watchful waiting". This is a reasonable option in elderly men with low-grade tumors and men with other medical illnesses that reduce life expectancy to less than 10 years. Palliative measures may be used to control progression and symptoms of the disease without pursuing a cure as the goal of treatment.

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The Medifocus Guide on Prostate Cancer, Localized provides answers to the following important questions and medical issues:


What Your Doctor Reads:

This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:


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