This requires full consideration of individual patient factors to decide whether to do radical prostatectomy.
Specifically:
For clearly diagnosed early-stage limited prostate cancer, the preferred treatment is radical prostatectomy, which involves resection of the prostate gland with intact envelope, the seminal vesicles, and regional lymph node dissection to achieve complete removal of tumor tissue for cure.
The term prostatectomy is often used by patients to refer to radical prostate cancer surgery for curable prostate cancer.
Because there are more treatment options for the prostate, as well as the disease itself progresses more slowly, patients have a longer survival period. Radical prostate cancer surgery is very invasive and has many postoperative complications, so in addition to the requirement for an early limited tumor it is generally important to consider whether the patient’s physical condition can tolerate the surgery, whether the patient has a longer life expectancy, and whether they can face complications such as urinary incontinence.
The question of whether prostate cancer diagnosed with metastases is still worthy of radical prostatectomy needs to be considered as a choice depending on the patient’s circumstances.
- If the patient is young, in good health, has a high degree of malignancy, has metastases but few metastases and is in a treatable site, such as a small number of bone metastases (oligometastases) or a single organ metastasis, palliative tumor reduction surgery, followed by endocrine therapy or radiotherapy and chemotherapy, can be considered, with a better survival benefit than endocrine therapy alone.
- Some patients with metastases may also undergo salvage radical surgery if the tumor is controlled after endocrine and radiotherapy treatment.
But these procedures should be performed with full consideration of individual patient factors to maximize outcomes.
So, the patient’s age, physical condition, life expectancy, localization of the tumor, and the site and number of metastases are all factors that influence the decision to do radical prostatectomy.