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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Prostate Cancer. Bone Scan Found Prostate Cancer Spread To Bones. Will It Be Cured By Bilateral Orchiectomy?

sir,my father 78 years old is suffering from prostate cancer since 2009.In 2009,completed IGRT treatment and psa falls to 0. .Now from 2011 his psa rises from 0 to 15.5, then performed bone scan and found that prostate cancer is spread to bones. Then injections Zoladed quarterly,lupride quarterly but now psa rises to 61. Now doctor advices for Bilateral orchidectomy.I am very much worried .My father is heart patient. Whether this operation orchidectomy is necessary for him. Whether cancer will be stopped growing after this operation .Please help and guide me. Thanks
Mon, 23 Dec 2013
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Oncologist 's  Response
yes, orchidectomy helps him. Prostrate cancer is driven by masculine harmones and cutting down the production of harmones slows down the progression of disease. Lupride also does the same job, but orchidectomy is simple and more effective. But remember since the disease has already progressed, complete cure is not possible now and we are aiming at best possible survival with good quality of life. he might soon require chemotherapy also
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Suffering From Prostate Cancer. Bone Scan Found Prostate Cancer Spread To Bones. Will It Be Cured By Bilateral Orchiectomy?

yes, orchidectomy helps him. Prostrate cancer is driven by masculine harmones and cutting down the production of harmones slows down the progression of disease. Lupride also does the same job, but orchidectomy is simple and more effective. But remember since the disease has already progressed, complete cure is not possible now and we are aiming at best possible survival with good quality of life. he might soon require chemotherapy also