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44

NCCN Guidelines for Patients

®

Prostate Cancer, Version 1.2016

4

About Prostate cancer

Review

High-intensity focused ultrasound

HIFU (

h

igh-

i

ntensity

f

ocused

u

ltrasound) is a

treatment that is gaining interest. This treatment kills

cancer using a machine that emits strong sound

waves. It only treats a confined area of cancer. HIFU

isn’t recommended by NCCN experts at this time

unless it’s part of a clinical trial.

Vascular-targeted photodynamic

VTP (

v

ascular-

t

argeted

p

hotodynamic) destroys

blood vessels of prostate tumors. It consists of a drug

that is first injected into your vein. Then, the drug is

activated by light. The light is emitted from tiny laser

fibers that are inserted into your prostate. VTP isn’t

recommended by NCCN experts at this time unless

it’s part of a clinical trial.

Complementary and alternative medicine

CAM (

c

omplementary and

a

lternative

m

edicine) is a

group of treatments that aren’t often given by doctors.

There is much interest today in CAM for cancer.

Many CAMs are being studied to see if they are truly

helpful.

Complementary medicines are treatments given

along with usual medical treatments. While CAMs

aren’t known to kill cancer cells, they may improve

your comfort and well-being. Two examples are

acupuncture for pain management and yoga for

relaxation.

Alternative medicine is used in place of usual

medicine. Some alternative medicines are sold as

cures even though they haven’t been proven to work.

If there was good proof that CAMs or other treatments

cured cancer, they would be included in this book.

It is important to tell your treatment team if you are

using any CAMs. They can tell you which CAMs

may be helpful and which CAMs may limit how well

medical treatments work.

Review

• A radical prostatectomy removes the prostate and

the seminal vesicles.

• A PLND removes lymph nodes near the prostate.

• Radiation from a machine or “seeds” is used to kill

cancer cells or stop new cancer cells from being

made.

• Cryosurgery kills cancer cells by freezing them.

• Hormone therapy treats prostate cancer by either

stopping testosterone from being made or stopping

the action of testosterone.

• Immunotherapy activates your body’s disease-

fighting system to destroy prostate cancer cells.

• Chemotherapy stops cancer cells from completing

their life cycle so they can’t increase in number.

• Radiopharmaceuticals are radioactive drugs used

to treat cancer in the bones.

• Clinical trials give people access to new tests

and treatments that otherwise can’t usually be

received. These new tests and treatments may, in

time, be approved by the FDA.

• More research on cryosurgery, HIFU, VTP, and

CAM is needed.