Should I consider conservative prostate cancer care at 70?

Question

Hello doctor,

I have been diagnosed with prostate cancer at 70, and I am unsure about the best course of treatment given my age. I want to balance effectiveness with quality of life. My concerns are -

What are the treatment options available for someone in my situation, and how do I weigh the benefits and side effects?
Should I consider a more conservative approach like active surveillance?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. I am suggesting the following -

Active surveillance is recommended for older adults with early-stage, slow-growing prostate cancer. Regular PSA (prostate-specific antigen) tests, digital rectal examinations, and biopsies are used to closely monitor the cancer.
Radiation therapy is considered if your cancer is more advanced or showing signs of progression. It includes external beam radiation therapy (EBRT) and brachytherapy (internal radiation). They have side effects like fatigue, urinary issues, or bowel changes.
Hormone therapy, or androgen deprivation therapy (ADT), is used to lower levels of testosterone, which can slow or shrink prostate cancer. Side effects include fatigue, hot flashes, and bone thinning.
Surgical options carry higher risks of incontinence and erectile dysfunction. Given your age, it may not be the first recommendation unless your cancer is causing symptoms or if other treatments are unsuitable.

A thorough discussion with your oncologist is crucial. Get well soon, and feel free to follow up with any questions.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.