NCCN Guidelines for Patients
Prostate Cancer, Version 1.2016
About Prostate cancer
High-intensity focused ultrasound
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.
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
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
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
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.
• 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
• 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.