In prostate cancer, the incidence of which has increased in Turkey in recent years, genetic factors and increasing age, as well as unhealthy lifestyle habits such as a cholesterol-rich Western diet, obesity, inactivity, smoking and alcohol are important risk factors. While early diagnosis is of great importance in prostate cancer, the second most common cancer in men after lung cancer, early diagnosis in our society is hindered by the concern that both the way of testing and the treatments used can harm sexuality. Radiation oncology specialist Prof. Dr. Enis Özyar stated that according to statistics about 30,000 men are diagnosed with prostate cancer every year and 3 out of 100 men die today due to this cancer:
“All men are at risk for prostate cancer, and the incidence increases with age. Since the tumor progresses insidiously, it is extremely important to have a PSA test, which is checked in the blood and indicates prostate cancer, especially from the age of 45, in terms of early diagnosis. Prostate cancer in the family, especially on the paternal side, is extremely important. Whoever has this should also undergo these tests from the age of 40.”
This can occur with complaints
Prostate cancer, which does not cause any symptoms in the early stages, manifests itself in an advanced stage due to the pressure of the tumor mass on the urinary tract. However, these findings and any rising PSA do not mean a tumor, but there are also aggressive cancers that do not produce much PSA. Dr. For this reason, Enis Özyar said that regardless of the PSA value, if there is stiffness in the prostate tissue, a biopsy should be performed after the necessary imaging.
Noting that prostate cancer can be successfully treated with surgery and radiotherapy in the early stages, hormonal treatments and new systemic treatments are applied in the advanced stages. Dr. Enis Özyar emphasized that thanks to rapid technological progress, very successful results can be achieved with new generation treatment methods. Radiation oncology specialist Prof. Dr. Enis Özyar explained the method that hits the prostate, which is moved by bowel movements and the amount of urine in the bladder, and largely prevents damage to the surrounding organs:
“MRIdian, also known as MR Linac, is a radiation method that has been widely used in recent years. Magnetic resonance (MR), integrated into the radiotherapy device, provides a direct and clear view of the tumor while providing a better view of the prostate and better protection of surrounding organs. The treatment planning is made with the MR images taken before each treatment session, and the target’s radiation success increases with the personalized treatment plan, while causing less damage to the surrounding organs.
Early treatment alone
prof. Dr Enis Özyar said: “This method is used in prostate cancer in a variety of situations. In the early limited stage, treatment is completed in 1.5 weeks with the treatment of 5 fractions applied every other day.
It allows the patient to come to the hospital less often than the treatments that took 1.5-2 months in the past. It is used in treatments of 25-33 sessions in operated patients. In addition, if there is a disease in limited parts of the body, such as bones, adrenal glands, lymph nodes, success can be achieved with short-term (1-5 sessions) treatment. Prof. Dr. Enis Özyar said MRIdian, which allows radiation oncologists to irradiate with the rigor of a surgeon, is the only treatment option in the early stages.