Prostate Cancer Treatment Guidelines Racgp
This resource has been developed reviewed or revised within the last five years.
Prostate cancer treatment guidelines racgp. Prostate cancer is now the commonest cancer diagnosed in australia. 8 this recommendation is supported by the urological society of australia and new zealand usanz. The management of prostate cancer has changed significantly in recent years particularly the use of imaging with the introduction of prostate magnetic resonance imaging as routine in the diagnostic pathway and the increasing use of prostate specific membrane antigen positron emission tomography for early stratification in the salvage setting for failure of primary treatment in. Racgp by the end of this online qi cpd activity you should be able to.
1 this remains the case following recent large trials. The royal australian college of general practitioners racgp recommends against psa screening but acknowledges that the psa debate remains unclear and open to individual interpretation. 1 however that year there were only 980 deaths from prostate cancer in nsw and so prostate cancer dropped to be the fourth commonest cause of cancer death ahead of breast cancer with 877 deaths. Use evidence based tools and resources to determine patients risk of prostate cancer and to help asymptomatic patients.
Options for treatment of localised prostate cancer include active surveillance radical prostatectomy curative external beam radiation therapy and brachytherapy. These guidelines were developed through a partnership of the prostate cancer foundation of australia and cancer council australia. Low dose rate brachytherapy utilizes radioactive seeds that are implanted based of pretreatment and intraoperative image guidance according to a computer plan. 7 the prostate cancer foundation of australia and cancer council australia guidelines from 2016 recommend psa testing every two years for men aged 50 69 years at average risk of prostate cancer.
The nccn guidelines are free. High dose rate brachytherapy uses temporary catheters implanted in the prostate to allow for the delivery of a high activity radiation source. Screening of asymptomatic low risk men for prostate cancer by prostate specific antigen psa testing is not recommended because the benefits have not clearly been shown to outweigh the harms. In 2005 there were 5913 men diagnosed with prostate cancer in new south wales alone 31 of male cancers.
Register for a free account then click on the cancer types below to display a drop down of options. Some men may have individual concerns about prostate. Nccn guidelines for treatment of cancer by site nccn guidelines for detection prevention risk reduction nccn guidelines for supportive care nccn guidelines for specific populations nccn guidelines for patients. 1 therefore gps have no obligation to offer prostate cancer screening to asymptomatic men.
17 of all cancers. Describe the current evidence related to prevention early detection presentation initial investigations and referral for prostate cancer 2. Androgen deprivation therapy in combination with radiation therapy has been shown to increase survival in men with high and high intermediate risk of occult metastases.