How many needle biopsies of the prostate should be done to detect prostate cancer?
The standard number of biopsies is 6-8; however, more biopsies do detect more organ-confined prostate cancer. When the standard 6-8 biopsies do not detect prostate cancer in the face of an elevated PSA, then (extreme/saturation biopsies) 18-20 should be done under local anesthesia. Q: What are the treatment options for prostate cancer? A: The treatment choice takes into account the patient’s age, overall health, grade, stage, and Gleason score of the prostate cancer. In general for organ-confined cancer the choices are expectant, surgery, radiation (external)/(internal)(brachytherapy), hormonal and cryotherapy. Each modality has advantages and disadvantages. Outcomes for surgery and brachytherapy are similar for low stage and grade disease. Cryotherapy has primarily been reserved for radiation failures. Hormonal therapy has primarily been used for advanced disease or as adjuvant therapy. KIDNEY STONES Due to advances in shockwave lithotripsy and endoscopic instrumentation, the majority
