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Paralysis of the lower body is actually a metastatic doctor of prostate cancer: a family history began to test at the age of 45

 Prostate cancer is the fifth most common cancer in men and the fifth leading cause of death in men. Physician Huang Zhaoyuan, the chief physician of the Department of Urology of National Taiwan University Hospital, said that, unlike in the West, in Taiwan, for every 100 prostate cancer patients on average, nearly 30 have already metastasized. He once encountered a patient with paralysis of the lower body and was rushed to the hospital and was found to be highly malignant. metastatic prostate cancer. Reminder that when there is abnormal urination or even back pain, bone pain, you should pay attention to the possibility of prostate cancer!

With the prolongation of life expectancy of Chinese people and the influence of westernized diet, prostate cancer has become a threat to men's health that cannot be ignored. Dr. Huang Zhaoyuan said that there are some young cases clinically without any symptoms, and it was only found that the PSA exceeded the standard from routine health examinations. Recently, he encountered a patient in his early fifties. The first health check found that the prostate-specific antigen (PSA) value was hundreds of times higher than the normal value. It is not expected to be early-stage prostate cancer. At the same time, in Taiwan, the phenomenon of prostate cancer metastasis is very common. On average, for every 100 patients, nearly 30 prostate cancer patients have metastasized. Both are rather unpleasant situations.

Dr. Huang Zhaoyuan explained that the diagnosis of prostate cancer patients can be based on the degree of malignancy, Gleason score, stage, etc. to formulate treatment strategies. No medication was given. Once metastasis occurs, the most important thing is to block male hormones as soon as possible, because cancer cells will be stimulated and deteriorated by male hormones, and you can choose castration surgery or medical castration treatment. However, because most patients cannot undergo castration surgery, medical castration through injection of antihormonal drugs has become an important mainstay of treatment.

Dr. Huang Zhaoyuan said that there are currently one-month, three-month, and six-month dosage forms of hormone therapy. You can try the one-month dosage form first. If the side effects are acceptable and the condition is stable, you can choose long-acting hormones. According to the research, the three dosage forms have the same effect. With long-acting hormone therapy, there is no need to travel to and from the hospital frequently. For older prostate cancer patients who often need family members to accompany them for medical treatment, they can reduce the hardship of traveling and get better medical care. , and at the same time reduce the risk of infection during the epidemic.

Long-acting hormone therapy has the same side effects as the short-acting type, including fatigue, heat and sweating, bone loss, and pain at the injection site. Among them, bone loss will increase the risk of fracture. It is recommended to supplement calcium tablets or use other bone-strengthening treatments, which should be evaluated by a physician.

Dr. Huang Zhaoyuan called for men over 50 years old to have a PSA test every year, and if necessary, it can be combined with digital rectal examination to reduce misdiagnosis. Once a direct blood relative (brother, father) has been diagnosed with prostate cancer, be sure to start testing as early as the age of 45. Early detection and early treatment can have a better prognosis!

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