Patient's question:
6 check-up found dark areas in the prostate, no symptoms in the body, PSA test found elevated, the value was 60 ng/ml, MRI examination suggested abnormal signals in the left peripheral zone of the prostateDoctor's answer:
1. Currently, it is believed that neoadjuvant therapy has limited effectiveness for patients with prostate cancer who are preparing to undergo surgery, and it does not significantly improve survival rates.2. After neoadjuvant therapy, the prostate gland is generally more adhered to surrounding tissues, which increases the difficulty of surgery.
3. Generally, a PSA level above 20 indicates a higher risk of metastasis, so it is suspected that micro-metastatic lesions may exist, which are not detectable by imaging tests.
4. Prostatectomy can be considered. Even if metastasis occurs postoperatively, local tumor control will be relatively good. Whether radiation therapy is needed depends on postoperative pathology and PSA changes.
5. Prostatectomy radiotherapy can also be considered.