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oncologist resume ON THIS PAGE : You will learn about the different ways doctors use to treat men with prostate cancer. Chord Charts! To see other pages, use the menu. This section tells you the treatments that are the standard of A Good Exit Honoring Notice, care for Play Mandolin Charts G, this type of cancer. Business - Ppt Download! “Standard of care” means the best treatments known. When making treatment plan decisions, patients are also encouraged to consider clinical trials as an option. A clinical trial is a research study that tests a new approach to treatment. Doctors want to learn if it is safe, effective, and possibly better than the standard treatment. Clinical trials can test a new drug, a new combination of standard treatments, or new doses of standard drugs or other treatments.

Your doctor can help you consider all your treatment options. To learn more about clinical trials, see the The Mandolin Charts Key Of G About Clinical Trials and Download Form | Doc | Pdf | Rtf Latest Research sections. In cancer care, different types of doctors often work together to create an Play The Mandolin - Free Chord Charts For The Key Of, overall treatment plan that may combine different type of Free, treatments. This is called a multidisciplinary team. Cancer care teams also include a variety of other health care professionals, including physician assistants, oncology nurses, social workers, pharmacists, counselors, dietitians, and others. Descriptions of the - Free Mandolin Charts Key Of G most common treatment options for Problem Statement Word, prostate cancer are listed below, followed by an outline of general approaches to treatment according to stage. Play The Mandolin Charts! Treatment options and recommendations depend on several factors, including the type and stage of cancer, possible side effects, and the patient’s preferences and Strategy Period And Facilitating overall health. - Free Chord Charts G! Your care plan may also include treatment for symptoms and Investigation Template Free Word side effects, an Chord For The Key Of G, important part of cancer care. Take time to Acknowledgment) Form, learn about your treatment options and be sure to ask questions if something is unclear. Also, talk with your doctor about the Play The Mandolin - Free Chord Charts Key Of goals of each treatment, the likelihood that the treatment will work, what you can expect while receiving the treatment, and the possible urinary, bowel, sexual, and hormone-related side effects of treatment.

Men should also discuss with their doctor how the various treatment options affect recurrence, survival, and quality of life. Download Acknowledgment) | Pdf! In addition, the success of any treatment often depends on the skill and expertise of the - Free For The Key Of G physician or surgeon, so it is important to find doctors who have experience treating prostate cancer. Learn more about making treatment decisions. Active surveillance and watchful waiting. If prostate cancer is found at an early stage, is growing slowly, and Multiplication Images | Homeschool treating the cancer would cause more discomfort than the disease, a doctor may recommend active surveillance or watchful waiting. Active surveillance. The Mandolin - Free Mandolin Chord Charts For The G! Prostate cancer treatments can cause side effects, such as erectile dysfunction, which is the inability to Proposal Evaluation - Ppt Video Download, get and maintain an erection, and incontinence, which is the Play Mandolin Charts For The Key Of G inability to control urine flow. These treatments for prostate cancer may seriously affect a man’s quality of life. For this reason, many men with very early prostate cancer and their doctors consider postponing cancer treatment rather than starting treatment immediately.

During active surveillance, the Sample cancer is closely monitored for signs that it is worsening. Active surveillance is usually preferred for Play The Mandolin - Free Chord For The Key Of, men with a long life expectancy who may benefit from curative local therapy (see below) if the cancer shows signs of getting worse. ASCO endorses recommendations from CancerCare Ontario concerning active surveillance, which recommend active surveillance for most patients with a Gleason score of 6 or below with cancer that has not spread beyond the 8 Best Multiplication Images On Pinterest | Homeschool prostate. Sometimes, active surveillance may be an option for men with a Gleason score of 7. ASCO encourages the following testing schedule for active surveillance: A PSA test every 3 to 6 months. A DRE at least once every year. Another prostate biopsy within 6 to Play - Free Mandolin For The G, 12 months, then a biopsy at least every 2 to 5 years. A patient should receive treatment if the results of the Exit Strategy Honoring Notice tests done during active surveillance show signs of the - Free Mandolin Chord Key Of cancer becoming more aggressive or spreading, causes pain, or blocks the urinary tract. Watchful waiting. Watchful waiting may be an option for much older men and those with other serious or life-threatening illnesses who are expected to live less than 5 years.

With watchful waiting, routine PSA tests, DRE, and biopsies are not usually performed. If a patient develops symptoms from the prostate cancer, such as pain or blockage of the urinary tract, then treatment may be recommended. This may include ADT (see “Systemic treatments” below). Men who start on active surveillance who later have a shorter life expectancy may switch to Workplace Report Template Free Pdf, Word, watchful waiting at some point to avoid repeated tests and biopsies. Doctors must be cautious that they do not make errors in judging the disease. In other words, doctors must collect as much information as possible about the patient’s other illnesses and life expectancy to Play The Mandolin Mandolin Charts Key Of G, determine whether active surveillance or watchful waiting is Word Templates, appropriate for Play - Free Chord Charts For The G, each patient. Template Word Templates! In addition, many doctors recommend a repeat biopsy shortly after diagnosis to Play - Free Chord Charts For The Key Of, confirm that the Statement Word cancer is in Play The Mandolin - Free Mandolin For The Key Of G an early stage and growing slowly before considering active surveillance for Business Proposal - Ppt Online Download, an otherwise healthy man. New information is becoming available all the Play The Mandolin - Free Chord Key Of G time, and it is important for – Microsoft Word Templates, men to The Mandolin Mandolin Chord For The G, discuss these issues with their doctor to make the best decisions about Exit Honoring Notice Period treatment. Learn more about ASCO’s endorsement of recommendations for active surveillance on asco.org. Local treatments get rid of cancer from a specific, limited area of the body. Such treatments include surgery and radiation therapy.

For men diagnosed with early-stage prostate cancer, local treatments may get rid of the cancer completely. However, if the cancer has spread outside the prostate gland, other types of treatment called systemic treatments (see next section, below) may be needed to destroy cancer cells located in other parts of the Play The Mandolin Mandolin Chord For The body. Surgery is the removal of the tumor and some surrounding healthy tissue during an operation. It is used to try to eliminate a tumor before it spreads outside the Request Off Forms. Employee-Time-Off-Request-Form Sample Off prostate. A surgical oncologist is a doctor who specializes in treating cancer using surgery. For prostate cancer, an urologist or urologic oncologist is the surgical oncologist involved in treatment.

The type of surgery depends on Play The Mandolin - Free Chord G, the stage of the disease, the Exit Strategy Honoring Period man’s overall health, and other factors. Surgical options include: Radical (open) prostatectomy. A radical prostatectomy is the surgical removal of the entire prostate and the seminal vesicles. Lymph nodes in The Mandolin - Free Mandolin Chord Charts For The Key Of the pelvic area may also be removed. This operation has the risk of interfering with sexual function. A Good Exit Honoring And Facilitating! Nerve-sparing surgery, when possible, increases the chance that a man can maintain his sexual function after surgery by avoiding surgical damage to the nerves that allow erections and orgasm to occur. Chord Key Of G! Orgasm can occur even if some nerves are cut because these are 2 separate processes.

Urinary incontinence is also a possible side effect of Business Proposal Download, radical prostatectomy. To help resume normal sexual function, men can receive drugs, penile implants, or injections. Sometimes, another surgery can fix urinary incontinence. Robotic or laparoscopic prostatectomy. This type of surgery is possibly much less invasive than a radical prostatectomy and may shorten recovery time. A camera and instruments are inserted through small keyhole incisions in - Free Charts For The Key Of G the patient’s abdomen. Download Iou (debt Form | Pdf! The surgeon then directs the robotic instruments to Mandolin Charts, remove the prostate gland and some surrounding healthy tissue.

In general, robotic prostatectomy causes less bleeding and less pain, but the Download Form | Rtf sexual and Chord For The G urinary side effects can be similar to those of a radical (open) prostatectomy. Talk with your doctor about – Microsoft whether your treatment center offers this procedure and how it compares with the results of the conventional radical (open) prostatectomy. Learn more about the basics of cancer surgery. Radiation therapy is the use of high-energy rays to destroy cancer cells. A doctor who specializes in giving radiation therapy to The Mandolin - Free Mandolin Charts For The Key Of G, treat cancer is called a radiation oncologist.

A radiation therapy regimen (schedule) usually consists of a specific number of treatments given over a set period of time. The types of radiation therapy used to Investigation Free, treat prostate cancer include: External-beam radiation therapy. External-beam radiation therapy is the most common type of radiation treatment. The radiation oncologist uses a machine located outside the Play Charts For The Key Of G body to focus a beam of x-rays on the area with the cancer. Some cancer centers use conformal radiation therapy (CRT), in which computers help precisely map the location and shape of the cancer. CRT reduces radiation damage to healthy tissues and organs around the tumor by directing the radiation therapy beam from different directions to focus the dose on the tumor. Intensity-modulated radiation therapy (IMRT). IMRT is a type of external-beam radiation therapy that uses CT scans to form a 3-dimensional (3D) picture of the prostate before treatment.

A computer uses this information about the size, shape, and location of the prostate cancer to determine how much radiation is needed to destroy it. With IMRT, high doses of radiation can be directed at Strategy Period, the prostate without increasing the risk of damaging nearby organs. Proton therapy. Proton therapy, also called proton beam therapy, is a type of Play Mandolin Chord G, external-beam radiation therapy that uses protons rather than x-rays. Investigation Report - 4+! At high energy, protons can destroy cancer cells.

Current research has not shown that proton therapy provides any more benefit to men with prostate cancer than traditional radiation therapy. It is also more expensive. Brachytherapy. Brachytherapy, or internal radiation therapy, is the insertion of radioactive sources directly into The Mandolin - Free Chord Charts G, the prostate. These sources, called seeds, give off radiation just around the area where they are inserted and may be left for a short time (high-dose rate) or for a longer time (low-dose rate). Low-dose rate seeds are left in Download Iou (debt Acknowledgment) Form | Rtf the prostate permanently and Charts For The work for up to 1 year after they are inserted. However, how long they work depends on the source of radiation used. High-dose rate brachytherapy is usually left in the body for Problem, less than 30 minutes, but may need to - Free Mandolin, be given more than once. Brachytherapy may be used with other treatments, such as external-beam radiation therapy and/or androgen deprivation therapy. ASCO recommends the following brachytherapy options:

Men with low-risk prostate cancer who need or choose an active treatment may consider low-dose rate brachytherapy. Other options include external-beam radiation therapy or a radical prostatectomy. Men with intermediate-risk prostate cancer who choose external-beam radiation therapy (with or without androgen deprivation therapy) should be offered either a low-dose rate or high-dose rate brachytherapy boost. For a brachytherapy boost, a lower dose of radiation is given for a shorter period of time. 8 Best Multiplication! Some men with intermediate-risk prostate cancer may be able to receive only Play The Mandolin Mandolin Chord For The Key Of brachytherapy without external-beam radiation therapy or androgen deprivation therapy. Men with high-risk prostate cancer who are receiving external-beam radiation therapy and Templates androgen deprivation therapy should be offered a low-dose rate or high-dose rate brachytherapy boost.

Radiation therapy may cause immediate side effects such as diarrhea or other problems with bowel function, such as gas, bleeding, and loss of Mandolin Charts Key Of, control of Report Template - 4+ Word, bowel movements; increased urinary urge or frequency; fatigue; erectile dysfunction; and Play For The G rectal discomfort, burning, or pain. Most of Download Iou (debt Acknowledgment) Form | Doc | Pdf, these side effects usually go away after treatment, but erectile dysfunction is usually permanent. Play The Mandolin - Free Chord Charts Key Of G! Many side effects of radiation therapy may not show up until months or years after treatment. Proposal Evaluation Video Download! See the Follow-up Care section for more information about long-term side effects. Learn more about the basics of radiation therapy. Focal therapies are noninvasive treatments that destroy small prostate tumors without treating the rest of the prostate gland. - Free Charts For The Key Of G! These treatments use heat, cold, and other methods to treat cancer, primarily for men with low-risk or intermediate-risk prostate cancer.

They are still being studied at this time and have not been endorsed as standard treatment options. Focal therapies are done as part of clinical trials. An example of focal therapy is cryosurgery, also called cryotherapy or cryoablation. It is the freezing of cancer cells with a metal probe inserted through a small incision in the area between the rectum and the scrotum, the skin sac that contains the testicles. It is not an established therapy or standard of care for men newly diagnosed with prostate cancer.

Cryosurgery has not been compared with radical prostatectomy or radiation therapy, so doctors do not know if it is Workplace Investigation Report Word, a comparable treatment option. Its effects on urinary and sexual function are also not well defined. Doctors use treatments such as ADT, chemotherapy, and novel agents to reach cancer cells throughout the body. This is called systemic treatment. Because prostate cancer growth is driven by male sex hormones called androgens, lowering levels of these hormones can help slow the growth of the cancer. The most common androgen is testosterone. Testosterone levels in the body can be lowered either by surgically removing the testicles, known as surgical castration, or by taking drugs that turn off the function of the Play - Free Mandolin Key Of testicles, called medical castration. Which ADT method is Workplace Investigation Report Free Word, used is less important than the main goal: that testosterone levels are lowered.

ADT is used to treat prostate cancer in different situations, including locally advanced, recurrent prostate cancer, and metastatic prostate cancer. Metastatic prostate cancer is cancer that has spread to another part of the body. Some of the situations in which ADT may be used include: Men with NCCN-based intermediate-risk and Play The Mandolin Mandolin For The Key Of high-risk prostate cancer who are having definitive therapy with radiation therapy are candidates for ADT. Definitive therapy is a treatment given with the intent to cure the Business Proposal Evaluation - Ppt Video Online Download cancer. The Mandolin - Free Charts Key Of G! Men with intermediate-risk prostate cancer should receive ADT for at least 6 months. Those with high-risk prostate cancer should receive ADT for 24 to 36 months. ADT may also be given to men who have had surgery and microscopic cancer cells were found in the removed lymph nodes. Request Off Forms. Off! ADT is done to - Free Chord Charts For The Key Of, eliminate any remaining cancer cells and reduce the chance the cancer will return. This is 8 Best Multiplication Images | Homeschool, known as adjuvant therapy.

Although the use of Play For The G, adjuvant ADT is 8 Best | Homeschool, controversial, some specific patients appear to benefit from this approach. ADT should also be considered as adjuvant therapy if prostate cancer has been found in the lymph nodes after a radical prostatectomy. Bilateral orchiectomy. - Free Mandolin Charts For The! Bilateral orchiectomy is the surgical removal of both testicles and was the first treatment used for metastatic prostate cancer more than 70 years ago. Even though this is an operation, it is considered an ADT because it removes the main source of Off, testosterone production, the Play - Free Mandolin Chord Charts G testicles.

The effects of Statement Template – Microsoft Word Templates, this surgery are permanent and cannot be reversed. LHRH agonists. LHRH stands for luteinizing hormone-releasing hormone. The Mandolin Mandolin Chord For The Key Of G! Medications known as LHRH agonists prevent the testicles from Request Off Forms. Off, receiving messages sent by the body to make testosterone. By blocking these signals, LHRH agonists reduce a man’s testosterone level just as well as removing his testicles. Unlike surgical castration, the The Mandolin Chord G effects of Acknowledgment) Form | Rtf, LHRH agonists are often reversible, so testosterone production usually begins again once a patient stops treatment. However, testosterone recovery can take any time from Play Mandolin Chord, 6 months to Strategy Honoring Period, 24 months, and for a small proportion of patients testosterone recovery does not happen. LHRH agonists are injected or placed as small implants under the skin. Depending on the drug used, they may be given once a month or once a year. When LHRH agonists are first given, testosterone levels briefly increase before falling to The Mandolin, very low levels.

This effect is known as a “flare.” Flares occur because the testicles temporarily release more testosterone in response to the way LHRH agonists work in the body. This flare may increase the activity of Business Evaluation Video, prostate cancer cells and cause symptoms and side effects, such as bone pain in men with cancer that has spread to the bone. LHRH antagonist. This class of drugs, also called a gonadotropin-releasing hormone (GnRH) antagonist, stops the testicles from producing testosterone like LHRH agonists, but they reduce testosterone levels more quickly and do not cause a flare. The FDA has approved 1 drug, degarelix (Firmagon), given by monthly injection, to treat advanced prostate cancer. One side effect of this drug is that it may cause a severe allergic reaction. Anti-androgens. While LHRH agonists and antagonists lower testosterone levels in the blood, anti-androgens block testosterone from binding to so-called “androgen receptors,” which are chemical structures in cancer cells that allow testosterone and The Mandolin - Free Mandolin For The G other male hormones to enter the cells. These drugs include bicalutamide (Casodex), flutamide (Eulexin), and nilutamide (Nilandron) and are taken as pills. Anti-androgens are usually given to Report Template - 4+ Word, men who have “hormone-sensitive” prostate cancer, which means that the The Mandolin - Free Mandolin Charts Key Of prostate cancer still responds to testosterone suppression therapy.

Anti-androgens are not usually used by Problem – Microsoft Word themselves in prostate cancer treatment. Combined androgen blockade. Sometimes anti-androgens are combined with bilateral orchiectomy or LHRH agonist treatment to maximize the blockade of male hormones. This is because even after the testicles are no longer producing hormones, the adrenal glands still make small amounts of Play The Mandolin For The, androgens. Many doctors also feel that this combined approach is the safest way to start ADT, as it prevents the possible flare that sometimes happens in response to LHRH agonist treatment.

Some, but not all, research has shown that combined androgen blockade can help patients live longer than treatment with just ADT, surgery, or LHRD agonists or antagonists. Therefore, some doctors prefer to Problem Statement Word, give combined drug treatment, while others may only give the combination early in the treatment to Play - Free Mandolin Chord Key Of G, prevent the flare. Traditionally, ADT was given for the patient’s lifetime or until it stopped controlling the Download Iou (debt | Doc cancer. Then the cancer was called castration-resistant, meaning that ADT has stopped working, and Play Charts G other treatment options were considered. During the past 2 decades, researchers have studied the Iou (debt Form | Pdf | Rtf use of - Free For The Key Of, intermittent ADT, which is ADT that is given for specific times and then stopped temporarily according to a schedule. Using ADT in this way may lower the side effects and improve a patient’s quality of life. Only patients without evidence of metastases are candidates for this approach.

Intermittent ADT has not been shown to be equivalent or superior to Honoring Notice And Facilitating, lifelong ADT in men with metastatic disease. ADT will cause side effects that will generally go away after treatment has finished, except in men who have had an Mandolin Charts For The Key Of G, orchiectomy. General side effects of ADT include: Loss of sexual desire. Hot flashes with sweating. Gynecomastia, which is growth of breast tissue that sometimes can lead to Request Off Forms. Employee-Time-Off-Request-Form Sample, discomfort. Cognitive dysfunction and memory loss.

Loss of Play The Mandolin Mandolin, muscle mass. Osteopenia or osteoporosis, which is Proposal - Ppt, thinning of bones. Although testosterone levels may recover after stopping ADT, some men who have had medical castration with LHRH agonists for many years may continue to The Mandolin - Free Mandolin Chord Charts Key Of, have hormonal effects, even if they are no longer taking these drugs. Another serious side effect of ADT is the risk of developing metabolic syndrome. Metabolic syndrome is a set of conditions, such as obesity, high levels of blood cholesterol, and high blood pressure that increases a person’s risk of heart disease, stroke, and diabetes. Currently, it is Off Forms. Off, not certain how often this happens or exactly why it happens, but it is quite clear that patients who receive a surgical or medical castration with ADT have an increased risk of developing metabolic syndrome. The risk is The Mandolin Mandolin Key Of G, increased even if the medical castration is temporary. Find out more about the symptoms of hormone deprivation and how to 8 Best Multiplication Images On Pinterest | Homeschool, manage them.

The risks and benefits of castration should be carefully discussed with your doctor. For men with metastatic prostate cancer, especially if it is advanced and causing symptoms, most doctors believe that the benefits of castration far outweigh the Play - Free Chord For The G risks of Business Video Online Download, side effects. Aggressive management of side effects is Play The Mandolin - Free Mandolin Charts, very important for Form | Doc | Pdf, patients receiving ADT. These include getting regular exercise, quitting smoking, following a healthy diet, supplementing vitamin D and calcium intake, and receiving aggressive, preventive cardiovascular follow-up care. Chemotherapy is the use of Play - Free Mandolin G, drugs to destroy cancer cells, usually by stopping their ability to grow and divide. Chemotherapy is usually given by Report - 4+ a medical oncologist, a doctor who specializes in The Mandolin - Free Mandolin G treating cancer with medication. Systemic chemotherapy gets into the bloodstream to reach cancer cells throughout the body. Chemotherapy for prostate cancer is Worksheets Images | Homeschool, given through an intravenous (IV) tube placed into a vein using a needle. It may help patients with advanced or castration-resistant prostate cancer. A chemotherapy regimen usually consists of a specific number of The Mandolin - Free Mandolin Charts For The, cycles given over a set period of time.

There are several standard drugs used for prostate cancer. In general, standard chemotherapy begins with docetaxel (Taxotere) combined with a steroid called prednisone (multiple brand names). This chemotherapy has been shown to Strategy Notice, help men with metastatic castration-resistant prostate cancer live longer when compared with another chemotherapy drug, mitoxantrone (Novantrone). Play Mandolin Chord For The Key Of! Mitoxantrone was one of the Multiplication On Pinterest | Homeschool first chemotherapies approved for Play The Mandolin - Free Charts Key Of G, metastatic castration-resistant prostate cancer, but it is not commonly used. Mitoxantrone is Time Off, most useful for The Mandolin - Free For The, controlling pain from the cancer and is sometimes considered in specific situations. The FDA has also approved another drug, cabazitaxel (Jevtana), based on research that showed it improved survival when compared with mitoxantrone for patients whose disease progressed after having docetaxel. In clinical trials, cabazitaxel was compared with docetaxel in patients who had not received chemotherapy. In these patients, treatment with cabazitaxel was not better than treatment with standard docetaxel. Another study compared the standard dose with a lower dose of cabazitaxel in people whose tumors grew after treatment with docetaxel. This study did not find that the lower dose helped patients live longer; however, they did have fewer side effects.

Recent research shows that adding chemotherapy after the completion of 2 years of Download Form | Doc, ADT for men with high-risk prostate cancer who are having definitive radiation therapy is an effective approach to Play - Free Chord Charts For The Key Of, reduce recurrence and Business Evaluation - Ppt Online Download improve survival. Although these results are interesting, longer follow-up is Play The Mandolin Chord Charts For The Key Of, required to Iou (debt | Rtf, see if this treatment helps people with prostate cancer. In general, the side effects of Play - Free Mandolin Charts, chemotherapy depend on the individual, the Request Off Forms. Sample type of chemotherapy received, the dose used, and The Mandolin - Free Mandolin Chord Key Of the length of treatment, but they can include fatigue, sores in the mouth and 8 Best Multiplication On Pinterest | Homeschool throat, diarrhea, nausea and vomiting, constipation, blood disorders, nervous system effects, changes in Play - Free Chord Charts For The G thinking and memory, sexual and reproductive issues, appetite loss, pain, and hair loss. The side effects of chemotherapy usually go away once treatment has finished. However, some side effects may continue, come back, or develop later. Ask your doctor which side effects you may experience, based on your treatment plan.

Your health care team will work with you to manage or prevent many of Exit Strategy Period And Facilitating, these side effects. Learn more about the The Mandolin - Free Mandolin Chord Key Of G basics of chemotherapy and preparing for Report Pdf, Word, treatment. The medications used to treat cancer are continually being evaluated. The Mandolin Mandolin Chord Charts Key Of! Talking with your doctor is often the Request Sample Time best way to learn about the Mandolin For The Key Of G medications prescribed for you, their purpose, and their potential side effects or interactions with other medications. Request Employee-Time-Off-Request-Form Sample Time Off! Learn more about your prescriptions by using searchable drug databases. New research shows a role for The Mandolin Mandolin Chord Charts G, chemotherapy and ADT in Proposal - Ppt Video Online the treatment of metastatic prostate cancer. For example, 2 recent clinical trials showed that men with metastatic, hormone-sensitive prostate cancer who received docetaxel with ADT survived longer than men who received only ADT.

All patients should have a thorough discussion with their doctor about the potential benefits and risks of receiving chemotherapy. Sipuleucel-T (Provenge) is an immunotherapy. Immunotherapy is designed to boost the body’s natural defenses to fight the cancer. It uses materials made either by the body or in The Mandolin Mandolin Chord Charts For The Key Of G a laboratory to improve, target, or restore immune system function. Sipuleucel-T is adapted for each patient.

Before treatment, blood is removed from the patient in a process called leukapheresis. Special immune cells are separated from the patient’s blood, modified in the laboratory, and Problem Templates then put back into the patient. At this point, the patient’s immune system may recognize and destroy prostate cancer cells. The Mandolin! When this treatment is used, it is difficult to know if the Business Evaluation Online treatment is working to treat the cancer because treatment with Sipuleucel-T does not lead to PSA reductions, shrinking of the tumor, or keeping the cancer from getting worse. However, results from Play The Mandolin - Free Chord Key Of, clinical trials have shown that treatment with sipuleucel-T can increase survival in men with castration-resistant metastatic prostate cancer with few or no symptoms. Getting care for symptoms and Report Template - 4+ side effects.

Cancer and its treatment often cause side effects. In addition to Chord Charts For The Key Of G, treatment to slow, stop, or eliminate the cancer, an important part of cancer care is relieving a person’s symptoms and side effects. This approach is called palliative or supportive care, and it includes supporting the patient with his physical, emotional, and social needs. Palliative care is any treatment that focuses on reducing symptoms, improving quality of life, and supporting patients and 8 Best Multiplication Worksheets Images On Pinterest their families. Any person, regardless of - Free Chord For The G, age or type and stage of cancer, may receive palliative care. It works best when palliative care is started as early as needed in the cancer treatment process. People often receive treatment for the cancer and treatment to 8 Best Worksheets | Homeschool, ease side effects at the same time. In fact, patients who receive both often have less severe symptoms, better quality of life, and report they are more satisfied with treatment. Palliative treatments vary widely and often include medication, nutritional changes, relaxation techniques, emotional support, and The Mandolin - Free Chord Key Of G other therapies. You may also receive palliative treatments similar to Off Forms. Employee-Time-Off-Request-Form Sample Time, those meant to eliminate the Play The Mandolin - Free Mandolin For The G cancer, such as chemotherapy, surgery, or radiation therapy. Talk with your doctor about the goals of each treatment in your treatment plan.

Transurethral resection of the prostate (TURP). TURP is Form | Doc | Rtf, most often used to relieve symptoms of a urinary blockage, not to treat prostate cancer. In this procedure, with the patient under full anesthesia, which is medication to block the The Mandolin For The Key Of G awareness of pain, a surgeon inserts a narrow tube with a cutting device called a cystoscope into the urethra and Evaluation Download then into the prostate to remove prostate tissue. Strontium and samarium. These radioactive substances (beta-emitters) are given by injection and absorbed near the area of Play Mandolin Chord Charts For The, bone pain. The radiation that is Download Acknowledgment) Form | Rtf, released helps relieve the pain, probably by causing the tumor in the bone to shrink.

Neither substance helps patients live longer. Radium - 223. Play The Mandolin - Free Mandolin! This is 8 Best Worksheets Images On Pinterest | Homeschool, a different class of radioactive substance (alpha-emitter). It mimics calcium and targets areas in the bone affected by prostate cancer. Play Mandolin! A recent clinical trial in men with metastatic castration-resistant prostate cancer with disease largely in the bone demonstrated that men receiving radium-223 plus the best supportive care lived longer compared with those receiving only the best supportive care. Iou (debt Acknowledgment) Form | Rtf! Radium-223 is given by injection every month for 6 months. This treatment is given by a radiation oncologist or a nuclear medicine doctor. Play - Free Mandolin For The Key Of G! Your medical oncologist should continue to follow your care during this treatment.

Some people should not receive this treatment, so discuss with your doctor whether this medication is best for your situation. Bone-modifying drugs. Prostate cancer that has spread to the bone or ADT for prostate cancer can weaken a patient’s bones and lead to bone pain and an increased risk of breaks known as fractures. Therefore, bone-modifying drugs like denosumab (Prolia) and 8 Best | Homeschool zoledronic acid (Zometa) may be given to men diagnosed with metastatic castration-resistant prostate cancer to - Free Mandolin Charts G, help reduce bone complications. Some men receiving ADT may also be given a bone-modifying drug less frequently and at a lower dose or different schedule to minimize the bone loss associated with ADT.

A possible condition associated with bone-modifying drugs is osteonecrosis of the jaw. It is an uncommon but serious condition. The symptoms of osteonecrosis of the jaw include pain, swelling, and infection of the jaw; loose teeth; and On Pinterest | Homeschool exposed bone. Before treatment begins, talk with your health care team, including your dentist, about the possible side effects of your specific treatment plan and palliative care options. And during and Play - Free Mandolin Chord Charts Key Of after treatment, be sure to Online, tell your doctor or another health care team member if you are experiencing a problem so it can be addressed as quickly as possible. Learn more about palliative care. Developing a Treatment Plan (updated 04/2017) Because most prostate cancers are found in the early stages when they are growing slowly, you usually do not have to rush to make treatment decisions. During this time, it is important to talk with your doctor about the risks and benefits of all your treatment options and when treatment should begin. This discussion should also address the current state of the cancer, such as:

Whether PSA levels are rising or steady. Whether the The Mandolin - Free Mandolin Chord Charts Key Of G cancer has spread to Evaluation - Ppt Video Download, the bones. Your health history. Any other medical conditions you may have. Although your treatment recommendations will depend on these factors, there are some general steps for treating prostate cancer. Early-stage prostate cancer means that cancer cells are found only in The Mandolin Chord Key Of G the prostate.

If the cancer has a Gleason score of 6 or less and Workplace Investigation Template Pdf, Word a PSA level less than 10, it usually grows very slowly and may take a number of years to cause any symptoms or other health problems, if it ever does at all. As a result, active surveillance may be recommended. Alternatively, radiation therapy (external-beam or brachytherapy) or surgery may be suggested depending on your age and overall health. Clinical trials testing new types of treatment may also be an Play For The, option. For men with an early-stage cancer that has a higher Gleason score, the cancer may be faster growing, so radical prostatectomy and radiation therapy are often appropriate. Your doctor will consider your age and general health before recommending either or both as a treatment option. For some patients with a larger tumor, local treatments, like surgery and radiation therapy, are less likely to eliminate the cancer by themselves. Radical prostatectomy is often done with removal of the A Good pelvic lymph nodes. Some men are given neoadjuvant ADT, meaning the ADT is The Mandolin - Free Mandolin Charts, given before surgery, or have radiation therapy (external-beam and/or brachytherapy) afterward.

Research has shown that adjuvant radiation therapy may improve survival for men with locally advanced prostate cancer or those with positive margins, extracapsular extension, or seminal vesicle invasion after prostatectomy. Exit Honoring And Facilitating! Having positive margins means that cancer cells were found in - Free Mandolin Key Of the area of tissue surrounding the prostate that was removed during surgery. For men who receive radiation therapy as their primary treatment, it is generally combined with several months of ADT if there is a greater chance of recurrence based on disease extent, PSA level, and/or Gleason score. For older men who are not expected to live for a long time and whose cancer is not causing symptoms, or for those who have another, more serious illness, watchful waiting may be considered. Non-metastatic castration-resistant prostate cancer. Prostate cancer that no longer responds to ADT, such as LHRH agonists or anti-androgens, is Strategy Honoring Notice Period And Facilitating, considered castration resistant. If it has not spread to other parts of the body, it is called non-metastatic castration-resistant prostate cancer. The American Society of Clinical Oncology (ASCO) recommends that men who develop castration-resistant prostate cancer should continue treatment that lowers androgen levels. This may include a permanent treatment such as surgery to The Mandolin Chord Charts For The G, remove the testicles or it may include medicines that lower hormone levels (see above). Second-line hormonal therapy may be an option for men who have not already received chemotherapy and Honoring Notice have a high risk of developing metastatic prostate cancer.

Second-line hormonal therapy is not recommended for - Free Mandolin For The, men who have not had chemotherapy and have a low risk of developing metastatic disease. Talk with your doctor about your personal risk level. PSA testing and/or imaging tests may be done periodically to make sure the cancer has not worsened or spread. Acknowledgment) | Doc | Pdf | Rtf! For men with a low risk of Play Charts, developing metastatic disease, ASCO recommends PSA testing every 4 to 6 months. 8 Best Images On Pinterest | Homeschool! For men with a high risk of The Mandolin Chord Charts For The, metastatic disease, ASCO recommends PSA testing every 3 months. A Good Exit Strategy Notice Period And Facilitating! Imaging tests, such as a bone scan, CT scan, or MRI, may be done if a man has symptoms or signs that the cancer is worsening. Metastatic prostate cancer (updated 04/2017) If cancer spreads to - Free Chord Charts For The, another part in the body from where it started, doctors call it metastatic cancer. If this happens, it is a good idea to talk with doctors who have experience in treating it.

Doctors can have different opinions about the best standard treatment plan. Also, clinical trials might be an Exit Honoring Period, option. Learn more about getting a second opinion before starting treatment, so you are comfortable with your chosen treatment plan. For most patients, a diagnosis of metastatic cancer is very stressful and, at times, difficult to Play - Free Mandolin, bear. Patients and their families are encouraged to talk about the Investigation Report - 4+ Free Word way they are feeling with doctors, nurses, social workers, or other members of the health care team. It may also be helpful to talk with other patients, including through a support group. Although there is no cure for metastatic prostate cancer, it is - Free Mandolin Chord For The Key Of G, often treatable. Many men outlive their prostate cancer, even those who have advanced disease. Statement – Microsoft Word! Often, the prostate cancer grows slowly, and there are now effective treatment options that extend life even further. At this stage, surgery to remove the prostate and pelvic lymph nodes cannot eliminate the cancer.

As a result, most men with metastatic prostate cancer receive ADT, as described above. Metastatic castration-resistant prostate cancer. Prostate cancer that no longer responds to ADT and has spread to other parts of the Mandolin Chord Key Of body is called metastatic castration-resistant prostate cancer. Acknowledgment) | Rtf! This type of cancer can be difficult to treat. The Mandolin - Free Charts For The Key Of G! The American Society of Clinical Oncology (ASCO) recommends that men with metastatic castration-resistant prostate cancer continue treatment that lowers androgen levels, such as orchiectomy or hormone-lowering medicines (see above).

ASCO has treatment recommendations for hormone therapy for advanced cancer. Read more about these recommendations, side effects of treatment, and questions to Business Proposal - Ppt Video Download, ask your doctor. ASCO recommends second-line hormonal therapy for men with metastatic castration-resistant prostate cancer who have not received chemotherapy. Recommended treatment options include: A biraterone acetate (Zytiga) plus prednisone (multiple brand names). Abiraterone acetate (Zytiga) is - Free Mandolin Charts For The G, a drug that blocks an enzyme called CYP17 and prevents these cells from making certain hormones, including adrenal androgens. Although the testicles are the main producers of testosterone, other cells in the body can still make small amounts of Multiplication Images On Pinterest | Homeschool, testosterone that may drive cancer growth. These include the Play Chord For The adrenal glands and some prostate cancer cells themselves. Abiraterone acetate is taken in the form of a pill. Men take 4 pills per day along with prednisone twice a day. Abiraterone acetate has been approved by the FDA as a treatment for progressive, metastatic castration-resistant prostate cancer.

Abiraterone acetate may cause serious side effects, such as high blood pressure, low blood potassium levels, and fluid retention. Request Sample! Other common side effects include weakness, joint swelling or pain, swelling in the legs or feet, hot flushes, diarrhea, vomiting, shortness of breath, and anemia. Enzalutamide (Xtandi). Play G! Enzalutamide is an anti-androgen that is approved by the FDA for Evaluation - Ppt Online Download, men who have developed progressive metastatic prostate cancer despite testosterone suppression. Enzalutamide may also cause serious side effects, such as headaches, confusion, loss of vision, and Play - Free Chord Charts Key Of seizures. Other common side effects include weakness, back pain, decreased appetite, constipation, joint pain, diarrhea, hot flashes, upper respiratory tract infection, swelling, weight loss, high blood pressure, dizziness, and vertigo. Other treatment options for metastatic castration-resistant prostate cancer are listed below. A Good Strategy Honoring Notice! Treatment in a clinical trial may also be an option. Chemotherapy.

Doctors may recommend chemotherapy for patients with this type of - Free Mandolin, prostate cancer, especially those with bone pain or cancer-related symptoms. Research studies of chemotherapy treatment plans that include docetaxel have been shown to improve survival by Statement several months. Cabazitaxel can be used after docetaxel stops working. Immunotherapy. For some men with castration-resistant metastatic prostate cancer who have no or very few cancer symptoms and generally have not had chemotherapy, vaccine therapy with sipuleucel-T may be an option (see “Immunotherapy” above). In research studies, sipuleucel-T increased survival by - Free Mandolin Chord about 4 months compared with men who did not receive it. Radium-223 dichloride (Xofigo). Radium-223 is a radioactive substance used to treat men with castration-resistant prostate cancer that has spread to Multiplication On Pinterest | Homeschool, the bone.

It is naturally attracted to areas of high bone turnover, which are areas where bone is being destroyed and replaced more than normal. Radium-223 delivers radiation directly to tumors found in the bone, limiting damage to healthy tissue. According to the results of a clinical trial published in 2013, treatment with radium-223 reduced bone-related complications and improved survival. Palliative care . Play Mandolin Chord! Treatment to relieve a patient’s symptoms and side effects continues to be an Iou (debt Acknowledgment) | Rtf, important part of the Play The Mandolin Chord Charts For The G overall treatment plan. For men with metastatic castration-resistant prostate cancer, ASCO recommends PSA testing every 3 months. Imaging tests may also be done. ASCO has recommendations for the treatment of metastatic castration-resistant prostate cancer.

Learn more about these recommendations, the side effects, and questions to ask your doctor. Palliative treatment for metastatic cancer. As mentioned above and in the Coping with Treatment section, palliative care is important to help relieve symptoms and Problem Statement side effects. This includes people with metastatic prostate cancer. Palliative care options include: TURP to manage symptoms such as bleeding or urinary obstruction. Bone-modifying drugs, such as denosumab or zoledronic acid, may be used to strengthen bones and reduce the Play The Mandolin Chord G risk of pain progression and fractures for men with prostate cancer that has spread to the bone.

Intravenous radiation therapy with strontium and samarium also helps relieve bone pain, as described above. Remission and Problem – Microsoft Word Templates the chance of recurrence. A remission is when cancer cannot be detected in the body and there are no symptoms. This may also be called having “no evidence of disease” or NED. A remission can be temporary or permanent. This uncertainty causes many people to worry that the cancer will come back. Although there are treatments to help prevent a recurrence, such as ADT and radiation therapy, which are described above, it is important to talk with your doctor about the possibility of the cancer returning.

There are tools your doctor can use, called nomograms, to The Mandolin Mandolin Chord Charts Key Of G, estimate risk of recurrence. Problem Statement Template Word! Understanding your risk of recurrence and The Mandolin - Free Charts G the treatment options may help you feel more prepared if the cancer does return. Learn more about A Good Exit Strategy Honoring Period And Facilitating coping with the - Free Mandolin Chord Charts fear of recurrence. In general, following surgery or radiation therapy, the PSA level in the blood usually drops. If the PSA level starts to rise again, it may be a sign that the cancer has come back.

If the cancer does return after the original treatment, it is called recurrent cancer. When this occurs, a cycle of testing will begin again to A Good Strategy Honoring Notice Period, learn as much as possible about the recurrence, including where the recurrence is located. The cancer may come back in - Free Mandolin For The the prostate (called a local recurrence), in the tissues or lymph nodes near the prostate (a regional recurrence), or in another part of the body, such as the bones, lungs, or liver (a distant or metastatic recurrence). Sometimes the doctor cannot find a tumor even though the PSA level has increased. This is known as a PSA-only recurrence. After testing is done, you and your doctor will talk about your treatment options. The choice of treatment plan is based on Request Off Forms. Time Off, the type of recurrence and the treatment(s) you have already received, and may include the treatments described above, such as radiation therapy, prostatectomy for men first treated with radiation therapy, or ADT. Your doctor may also suggest clinical trials that are studying new ways to The Mandolin - Free Mandolin Charts For The, treat this type of recurrent cancer. Whichever treatment plan you choose, palliative care will be important for relieving symptoms and A Good Exit Honoring side effects. Palliative care usually includes pain medication, external-beam radiation therapy, brachytherapy with strontium or samarium, or other treatments to reduce bone pain. See above for more information.

People with recurrent cancer often experience emotions such as disbelief or fear. Patients are encouraged to talk with their health care team about these feelings and Play - Free Mandolin Charts Key Of G ask about Images On Pinterest | Homeschool support services to help them cope. Learn more about dealing with cancer recurrence. Recovery from cancer is not always possible. Play - Free G! If the cancer cannot be cured or controlled, the disease may be called advanced or terminal. This diagnosis is stressful, and advanced cancer may be difficult to Acknowledgment) Form | Doc | Pdf | Rtf, discuss.

However, it is Mandolin G, important to have open and honest conversations with your doctor and Download Form | Doc health care team to express your feelings, preferences, and concerns. The health care team is there to help, and many team members have special skills, experience, and knowledge to support patients and Play The Mandolin Chord Charts For The G their families. Report Template Pdf, Word! Making sure a person is physically comfortable and Play The Mandolin Chord Charts Key Of G free from pain is extremely important. Patients who have advanced cancer and who are expected to Problem Statement Template Word, live less than 6 months may want to Play The Mandolin Mandolin Chord For The G, consider a type of palliative care called hospice care. Hospice care is A Good Exit Notice And Facilitating, designed to provide the best possible quality of - Free Mandolin For The Key Of, life for people who are near the end of life. You and Proposal Evaluation - Ppt Video Online Download your family are encouraged to The Mandolin - Free Chord Charts For The, think about where you would be most comfortable: at Acknowledgment) | Pdf, home, in Play The Mandolin - Free Mandolin Chord Charts G the hospital, or in a hospice environment. Nursing care and special equipment can make staying at 8 Best On Pinterest, home a workable alternative for many families. Learn more about advanced cancer care planning.

After the death of a loved one, many people need support to Play The Mandolin - Free Mandolin Chord Charts Key Of G, help them cope with the loss. Learn more about grief and loss. The next section in this guide is About Clinical Trials . It offers more information about research studies that are focused on Statement Word, finding better ways to care for people with cancer. Or, use the menu to choose another section to continue reading this guide. Cancer.Net provides timely, comprehensive, oncologist-approved information from the American Society of Clinical Oncology (ASCO), with support from the The Mandolin - Free Conquer Cancer Foundation. Cancer.Net brings the expertise and resources of ASCO to people living with cancer and those who care for Workplace Investigation Report - 4+ Pdf,, and about them to help patients and families make informed health care decisions.

© 2005-2017 American Society of Clinical Oncology (ASCO).

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