Is prostaatkanker te genezen? Arts legt uit

Is prostate cancer curable? If caught early, the chance of a cure is very high. When are you considered cured? What about life expectancy? What does your PSA look like after prostate cancer surgery? And after radiation therapy? Explanation by Dr. Paul Kil, urologist and medical director of Andros Clinics. Read more about prostate cancer treatments at www.andros.nl/prostaatkanker/behandeling/ V77 00:00 Is prostate cancer curable? 00:10 High chance of a cure if caught early 00:22 Prostate cancer surgery 00:33 Radiation therapy for prostate cancer 00:45 When you are cured 01:04 Life expectancy with prostate cancer 01:18 PSA after prostate cancer treatment 02:13 With rising PSA: PSMA scan Is prostate cancer curable? If you have been diagnosed with prostate cancer in time and it is an aggressive form requiring treatment, the chance of a cure is very high. There are various treatments to expel that prostate cancer from the body. One possibility is surgery; that is truly expulsion because you remove everything. You remove the prostate. And so you remove all cancer cells, provided they are located only within that prostate. And you can also irradiate the prostate, whereby you destroy those prostate cells by radiation from a distance or internally. And the results regarding a cure are the same. If you are cured of prostate cancer, the question is asked: 'What does that actually mean? Am I cured of prostate cancer?' Then we say: you are cured of prostate cancer. That means that your chance of dying from prostate cancer is just as high as that of someone who has never had it in their life. So your life expectancy is the same as if you had not had that cancer. So that is a cure. And how do you know if you are cured? The good thing is, once you have had the prostate removed and operated on, your PSA must become 0. And as long as your PSA becomes 0, you say: sir, with all the diagnostic means at our disposal, we cannot demonstrate anything. Rest assured, your PSA is 0. You do not need to worry about anything else. Normally, we monitor that PSA for 5 years. If it is still 0 after 5 years, then we say further check-ups are actually no longer necessary, because the chance of it returning now is extremely low. But sometimes, after prostate cancer treatment, it goes like this: PSA was initially 0. But over time, it rises a little. Then we know that something might be going on. Because it is PSA, Prostate Specific Antigen. Then we conduct further research: we perform a PSMA scan. To see if there is something in the body where PSA is produced. Either in the area where you were operated on, in which case you can undergo adjuvant radiation. Or somewhere else in the body. In that case, you have a very small, often only microscopically sized metastasis. Which, if caught in time, you can also irradiate or attempt to remove. With radiation, you leave the prostate intact, so your PSA does not become 0, but it does drop. Suppose it is 7 before the operation; it usually drops via 4 to 2 to 1.5. And as long as it is 1.5, we say that is the same as 0 during a prostate operation. As long as it remains stable, that is fine too. But of course, it can also start to rise. And then you also have to check again whether it hasn't returned somewhere. Either in that prostate or elsewhere. More info: https://www.andros.nl/   / androsclinics     / androsclinics