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cover of episode How long can I live with advanced prostate cancer?

How long can I live with advanced prostate cancer?

2025/5/29
logo of podcast The Dose

The Dose
AI Deep Dive AI Chapters Transcript
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B
Brian Goldman
L
Lawrence Klotz
Topics
Lawrence Klotz: 在医学领域，我们通常区分局部前列腺癌和转移性前列腺癌。转移意味着癌细胞已经扩散，通常扩散到淋巴结或骨骼，因为前列腺癌是一种嗜骨性癌症。'晚期'一词通常指已发生转移的癌症，但也可能指癌细胞在局部区域广泛生长的患者。因此，'晚期'一词的定义有些模糊，我们尽量避免使用它。重要的是，大多数晚期或转移性前列腺癌患者通常被认为无法治愈，尽管我们可以通过治疗来控制病情，有时可以控制很长时间。

Deep Dive

Chapters
This chapter explores the definition of advanced prostate cancer, its bone-seeking nature, and diagnostic methods. It discusses the two scenarios of diagnosis: synchronous (bone metastasis as the first sign) and asynchronous (diagnosis after initial treatment). The role of PSA testing and other factors in diagnosis are also touched upon.
  • Advanced prostate cancer is often referred to as metastatic prostate cancer, meaning it has spread to other parts of the body, usually the bones or lymph nodes.
  • Prostate cancer is a bone-seeking cancer due to interactions between cancer cells and bone marrow cells.
  • Diagnosis can occur synchronously (bone metastasis as initial symptom) or asynchronously (after initial treatment, PSA continues to rise).
  • PSA testing, family history, and race are factors affecting diagnosis and risk assessment.

Shownotes Transcript

Former U.S. president Joe Biden's advanced prostate cancer has raised some questions, like how it could have gone undiagnosed for so long, and what the future holds. Dr. Laurence Klotz, chief of urology at Sunnybrook Health Sciences Centre, explains how prostate cancer is diagnosed, why some forms are more aggressive than others, and the extensive array of treatments available.

 

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