How is prostate cancer treated?

  The specific treatment plan should be based on the patient’s age, systemic condition, tumor TNM stage and Gleason score.  1.Surgical treatment.  (1) Indications for surgery: ① Suitable for limited prostate cancer, clinical stage T1 to T2C, for clinical stage T3 there are advocates for radical surgery after neoadjuvant therapy.  ②Life expectancy R10 years.  ③Health status: Only patients in good physical condition without serious cardiopulmonary disease are suitable for radical surgery.  ④Management of patients with high risk of PSA or Gleason score: For limited prostate cancer with PSA > 20ng/ml or Gleason score 8 that meets the above staging and life expectancy, other adjuvant treatment can be given after radical surgery.  ⑤ Palliative surgery is feasible for metastatic prostate cancer.  (2) Surgical procedures: ① Radical surgery for trans-perineal prostate cancer.  ②Radical surgery for retropubic prostate cancer.  ③Laparoscopic radical prostate cancer surgery.  ④Palliative surgery: including transurethral electrodesiccation/laser/cryotherapy of the prostate, bilateral orchiectomy, etc.