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What are the treatments for stage IV prostate cancer?

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  • In this stage, you should consider the following treatments: Hormone therapy, which is often combined with surgery, radiation, or chemotherapy
  • Surgery to relieve symptoms such as bleeding or urinary obstruction and to remove cancerous lymph nodes
  • External radiation with or without hormone therapy
  • Chemotherapy, if standard treatments don’t relieve symptoms and the cancer continues to grow. The drugs will shrink cancer cells and slow their growth.
  • Bisphosphonate drugs, which can help slow the growth of cancer in the bone and help prevent fractures
  • The vaccine sipuleucel-T (Provenge), which boosts your immune system so it will attack the cancer cells. This might be used when hormone therapy doesn’t work.
  • Palliative care, which offers you relief from symptoms like pain and trouble peeing
  • Clinical trials are testing new treatments. They can give you state-of-the-art cancer treatments or newer ones that aren’t available yet. Ask your doctor if a clinical trial might be right for you.

SOURCES:

National Cancer Institute: “Prostrate Cancer Treatment.”

American Cancer Society: “Understanding Radiation Therapy,” “Initial treatment of prostate cancer by stage.”

Prostate Cancer Foundation: “Treatment Options.”

Center to Advance Palliative Care: “Prostate Cancer and Palliative Care.”

Reviewed by Laura J. Martin on May 12, 2018

SOURCES:

National Cancer Institute: “Prostrate Cancer Treatment.”

American Cancer Society: “Understanding Radiation Therapy,” “Initial treatment of prostate cancer by stage.”

Prostate Cancer Foundation: “Treatment Options.”

Center to Advance Palliative Care: “Prostate Cancer and Palliative Care.”

Reviewed by Laura J. Martin on May 12, 2018

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What should someone do if their prostate cancer comes back?

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