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mediately shrink the cancer Whats your opinion DEAR READER Treatment for prostatic cancer is governed by sever al factors Including the patients age and general health severity of the cancer and its staging that is whether the tumor is contained within the prostate gland or has spread to other organs metastasized Your husbands doctor has evident ly concluded that a bladder examina tion cystoscopy with a lighted tube and bone scan to Identify possible metastases should be performed I suspect your husbands cancer either involved large portions of the pros tate gland or had Invaded tissues sur rounding the gland Thus efforts to identify the extent of the problem are in order Also ra diation therapy Is often a good way of treating metastasis these Xray treatments usually relieve pain and shrink areas of tumor I wish the doctor would take the time to discuss the problem with you Radiation therapy is doing something and despite your husbands age he has other options too For example female hormone pills often suppress tumors of the male reproductive tract including prostatic cancer even if it has spread In addition the second doctor is correct castration alters cancer- growth and should be considered if the malignancy has metastasized making radiation treatments techni cally difficult and potentially danger ous because of the high doses of Xray required Castration medically termed or colectomy is not ordinarily mended for men who are sexually ac live it causes impotence Hence your husband has at least three choices of treatment radiation medication andor orchiectomy Of course he may choose to do nothing until he develops symptoms of metas tases such as pals Some prostatic cancers are slowgrowing and when discovered early do not require mediate treatment If your husband is in poor health treatment programs may be limited or simply Illadvised For instance hormone therapy can sometimes worsen the symptoms of heart dis ease Further since many treatments for prostatic cancer are they relieve symptoms but do not cure patients may choose to avoid the inconvenience expense and dis comfort of therapy preferring fa stead to obtain limited treatment as the need arises