What are the treatments available for early prostate cancer?

Question

Hello doctor,

I am a 48-year-old diagnosed with early-stage prostate cancer. My PSA levels are 4.8 nanograms per milliliter (ng/mL), Gleason score 6 (3+3), and cancer was found in 2/12 biopsy cores. My physical examination is coming up in two months. What is better, considering active surveillance versus immediate treatment?

The main concern is the impact of treatment on job performance. I need to maintain physical fitness standards. Currently, it is asymptomatic, but I have a family history (father and two uncles) of prostate cancer that makes me anxious about progression. The recent cardiac stress test is normal. I need a comprehensive understanding of treatment options and their impact on physical capabilities.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

With early-stage prostate cancer having a PSA (prostate-specific antigen) of 4.8 nanograms per milliliter (ng/mL) and a Gleason score of 6, active surveillance is a common option, especially since you are asymptomatic and maintaining physical fitness is critical for your job.

It involves regular monitoring by PSA tests and biopsies (a medical procedure that involves removing a tissue or cell sample from the body for examination) and delays treatment unless progression occurs, minimizing immediate side effects.

If you prefer immediate treatment, surgery and radiation therapy are your options. Prostatectomy is a surgical procedure to remove the prostate gland, either partially or completely. Radiation therapy is a cancer treatment that uses radiation to kill or slow the growth of cancer cells. However, both can impact recovery time and physical fitness due to side effects like urinary issues or fatigue. Discuss with your doctor and prioritize a treatment plan that aligns with maintaining your job performance and health.

I hope this helps you.

Thank you.