Treatment

PROSTATE CANCER TREATMENT OPTIONS
Revised 24 Nov. 2012

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)
  • PROVENGE boosts the immune system so could be a form of immunotherapy
  • ABIRATERONE (Zytiga) deprives tumors of testosterone so it is quite different from the usual hormone deprivation therapy
  • ENZALUTAMIDE (Xtandia) blocks the ability of testosterone to promote prostate cancer growth so it too is not the usual hormone 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)
Clinical Trials in Ontario http://www.ontario.canadiancancertrials.ca