Prostate Cancer Treatment Guidelines Racgp
17 of all cancers.
Prostate cancer treatment guidelines racgp. High dose rate brachytherapy uses temporary catheters implanted in the prostate to allow for the delivery of a high activity radiation source. Some men may have individual concerns about prostate. 1 this remains the case following recent large trials. Options for treatment of localised prostate cancer include active surveillance radical prostatectomy curative external beam radiation therapy and brachytherapy.
To help men have an informed discussion with their gp about the risks and potential benefits of prostate cancer screening we have produced this patient information sheet. Whilst the racgp recommends against prostate cancer screening as detailed in our guidelines for preventive activities in general practice we recognise many men will be asking their gps about screening. Prostate cancer is now the commonest cancer diagnosed in australia. Racgp by the end of this online qi cpd activity you should be able to.
Androgen deprivation therapy in combination with radiation therapy has been shown to increase survival in men with high and high intermediate risk of occult metastases. The royal australian college of general practitioners racgp recommends against psa screening but acknowledges that the psa debate remains unclear and open to individual interpretation. The management of prostate cancer has changed significantly in recent years particularly the use of imaging with the introduction of prostate magnetic resonance imaging as routine in the diagnostic pathway and the increasing use of prostate specific membrane antigen positron emission tomography for early stratification in the salvage setting for failure of primary treatment in. The nccn guidelines are free.
Psa testing and early management of test detected prostate cancer. Screening of asymptomatic low risk men for prostate cancer by prostate specific antigen psa testing is not recommended because the benefits have not clearly been shown to outweigh the harms. 1 however that year there were only 980 deaths from prostate cancer in nsw and so prostate cancer dropped to be the fourth commonest cause of cancer death ahead of breast cancer with 877 deaths. 1 therefore gps have no obligation to offer prostate cancer screening to asymptomatic men.
Use evidence based tools and resources to determine patients risk of prostate cancer and to help asymptomatic patients. In 2005 there were 5913 men diagnosed with prostate cancer in new south wales alone 31 of male cancers. Low dose rate brachytherapy utilizes radioactive seeds that are implanted based of pretreatment and intraoperative image guidance according to a computer plan. Register for a free account then click on the cancer types below to display a drop down of options.
These guidelines were developed through a partnership of the prostate cancer foundation of australia and cancer council australia. This resource has been developed reviewed or revised within the last five years. Nccn guidelines for treatment of cancer by site nccn guidelines for detection prevention risk reduction nccn guidelines for supportive care nccn guidelines for specific populations nccn guidelines for patients.