What is the best treatment option for an elderly patient with prostate adenocarcinoma?

Hello,

Welcome to icliniq.com.

Thank you for your query. I understand your concern. Considering his age, both surgery and the wait-and-watch approach are valid options. The decision to do a radical prostatectomy generally depends on the expected life expectancy of the patient. Generally speaking, if a person is expected to live for another ten years, he is a good candidate for surgery. So advanced age is not an outright contradiction for surgery. The wait-and-watch approach is also feasible and involves the patient taking hormones for medical castration. This is especially helpful if someone is currently not fit to undergo major surgery or if they have other illnesses which may cause morbidity or mortality before the prostate cancer does. The third option is to undergo radiotherapy to the prostate. Each approach has its own advantages and disadvantages, and the decision to choose one of the three options will be down to you. Was an MRI (magnetic resonance imaging) or PET CT (positron emission tomography-computed tomography) done for your father before or after the biopsy?

I hope this has helped you. Thank you.

Hello,

Welcome back to icliniq.com.

Your father will need a complete workup before you choose between prostatectomy, radiotherapy, and hormones. The treatment depends on whether the disease is localized to the prostate or has spread elsewhere. When was the biopsy done? I suggest you undergo serum PSA (prostate-specific antigen), and prostate-specific membrane antigen positron emission tomography (PSMA PET) with MRI (magnetic resonance imaging) screening.

I hope this has helped you. Thank you.