PROSTATE CANCER TREATMENT OPTIONS INCLUDE
Drugs
- HORMONE THERAPY – (Androgen Deprivation Therapy)
- Provenge (sipuleuci-T) – Cell based personalized immunotherapy for PCa
- Zytiga (abiraterone) – Deprives tumors of testosterone so it is quite different from the usual hormone deprivation therapy
- Xtandi (enzalutamide)” – androgen receptor inhibitor
- Zofigo (radium 223) – used for PCa which has spread to the bones
- Erleada (apalumide) – used for non-metastatic PCa
Surgery
- RADICAL OPEN PROSTATECTOMY
- LAPROSCOPIC RADICAL
- DaVINCI.ROBOTIC.RADICAL
- ROBOTIC.LASER.(CO2)
- ROBOTIC.LUMPECTOMY
Radiation
- BRACHYTHERAPY – seed implant (up to Gleason 7 in Ontario)
- HIGH DOSE BRACHYTHERAPY
- EXTERNAL BEAM RADIATION THERAPY (EBRT): variations are IMRT(Intensity Modulated RT), SBRT (Stereotactic Body RT), VMAT (Volumetric Arc T), Tomotherapy (a variation of CT guided IMRT), IGRT (Image Guided RT)
- CYBERKNIFE: Robotic EBRT (Hamilton, Ottawa and Montreal)
- RADIUM 223 is a new therapy for prostate cancer bone metastases but quite different from the other forms of radiation therapy
- PROTON BEAM THERAPY (PBT) – France, Germany, Switzerland, USA, Japan
Other
ACTIVE SURVEILLANCE
- CHEMOTHERAPY
- CABAZITAXEL is a form of chemotherapy
- HORMONE THERAPY (Androgen Deprivation Therapy)
- CRYOTHERAPY (Cryoablation)
- FOCAL THERAPY ( Laser ablation – MRI guided robotic) (Clinical Trial)
- IMMUNOTHERAPY uses either a vaccine such as Provenge or some other drug to stimulate the body’s immune system to attack the cancer (Clinical Trial)
- PHOTODYNAMIC Therapy injects a drug which seeks out the cancer and when irradiated with a laser or some form of light the drug then becomes activated to attack the cancer (Clinical Trial)
- HIFU (High Intensity Focused Ultrasound) (not covered by OHIP)
- HYPERTHERMIA –(Transurethral Hyperthermia – Germany)
- HYPERTHERMIA, whole body version (Germany)