|Over 10 methods of treatment for localized prostate cancer have been described in the last years - radical prostatectomy; freezing -cryotherapy treatment; external three-dimensional radiation; implantation of temporary radiation sources such as gold and iridium; brachytherapy- implantation of permanent inner radiation sources such as iodine and palladium; radiation by protons, neutrons etc.|
This vast variety requires an instructive reading of the published information, at times -information of clear economical interest, in order to narrow the list and custamize it to a certain patient.
Obviously, those physicians with experience in most options have the ability to choose and match the optimal treatment for the patient and his disease.
The American Urological Association and the radiation oncologists in the USA alike, acknowledge the surgical, internal- and external- radiation treatments as methods in which safety and efficiency had been proven, each with its own advantages and disadvantages, merits and demerits. As for the exact place of neutron radiation, proton radiation and cryotherapy treatment, the information is lacking and short termed to enable educated decisions.
|While surgery, due to anatomical and technical limitations, can successfully treat a man with cancer confined to the gland, if there is even a microscopic expansion outside the prostate surgery will fail. Hence , the explanation to the fact that even in the most skilled hands and best institutions such as JOHN HOPKINS the success rate reaches 70-75%, in a 10 year range. Similar data have been published from other experience rich centers, such as MAYO CLINIC and SLOAN KETTERING in New York. |
|Since brachytherapy relates to localized prostate cancer, one must be reminded of the definition of localized tumors. Clinical decision is made based on a finger examination (DRE) , blood PSA analysis, a transrectal ultrasound guided biopsy, and sometimes a CT and a bone scan . Please remember that the last two tests aren’t always mandatory, unless in cases of a probable extra- prostatic disease, like in cases with high PSA values or poor differentiation of the tumor (Gleason scores 8 to 10). |
|Radiation treatment might treat even the outer boundaries of a tumor, which microscopically busted out of the prostate.However, the amount of radiation used in external sources – such as three dimensional radiation is limited by tissues wrapping the prostate, e.g. urinary bladder and rectum as well as the skin . Therefore, the radiation inside the prostate does not reach its maximum. Brachytherapy using radioactive seeds dimplanted directlu into the gland does not suffer from this limitation. A combination of external and internal radiation – Brachytherapy might be the treatment of choice when discussing a specific tumor with high odds of microscopic extension outside the prostate. |
|Those considerations for the optimal treatment decisions, should best to be dealt with by those with radiation and surgical tools and experienced with both treatments. |
We put at your disposal and your patient 's best interest, over ten year surgical and oncological experience along with experience gained in over 300 Brachytherapy cases done by us in the last three years.
|While our experience is based on the use of iodine radioactive treatment, Prof. Matzkin, being an educator- clinical proctor chosen in European countries for the of Brachytherapy, has experience in the use of palladium too (more suitable for dealing with tumors of worse differentiation while and combining it with external radiation). We offer this unique alternative in the PROSCARE medical center in Tel-Aviv for the selective patient group that, in our opinion, will benefit from the use of this element in particular. |
|Cooperation with a senior oncologist in the team enables a inner-group discussion along with a discussion with the patient about the standard external radiation treatment and its efficiency in specific cases. |
|All the information you may need is easily reached at the Internet site with links to several leading articles on the subject. We cordially invite you to contact us and discuss the technique and its suitability for your specific patient. We also invite you to refer patients for an early consultation and treatment. |