Treatment

Once a diagnosis of prostate cancer has been made a decision needs to be made for the steps to take next for management and treatment. The decision will depend on a number of factors including:

  • Gleason score – high (more aggressive), intermediate (Gleason 7), or low grade

  • stage of the cancer – localised in the prostate gland or spread to other parts of the body

  • level of PSA in the blood and the rate of change of PSA over time (velocity)

  • age and general health

  • side-effects of treatment

  • personal preference.

To help with making decisions about treatment, patients can be placed into high, intermediate or low risk groups with respect to likely cancer outcome. This is done using a combination of factors.

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