We aim to deliver the most precise suite of available assessments to fully characterize Prostate Cancer from genomic/molecular fingerprinting to histological statistical concordance among our consulting experts. We make a difference by estimating individual risk and probabilities of success as relevant for the individual patient
Why?
Prostate Cancer Facts
Prostate Cancer is the leading solid Cancer tumor in Males raised in North America or Western Europe. An everlasting source of research and inspiration for Charles B. Huggins, M.D. only Urological Nobel Prize to date in Physiology or Medicine 1966 - It’s quite an intriguing disease, source of spirited debates among scientist, clinicians, patients, healthcare industry and advocacy groups.
What’s so intriguing about it?
Its knowledge promptly advances from several points of view and not infrequent breaks of its perceived paradigms. For example, just over the last 5 years, significant developments in prostate cancer research shed tremendous light for prostate cancer patients.
- We learned that PSA by it-self improves survival
- However, the benefit is somewhat small, and for too many
- The cost in term of quality of life is more prefund than the treats for the disease
What can be done about it?
Empower yourself !!!
Understand the type of prostate cancer that is being dealt with. It’s different for any one person. Some may share architectural elements – Gleason patterns – others may share pathological stage – extent of disease - for others it may look the same yet they harbor significant molecular heterogeneity
Understand the available treatments for prostate cancer
- Active Surveillance –an insightful expectant management approach
- Focal Therapy – Treatment of visible lesions without complete destruction of the gland
- Surgery – removal of the prostate, seminal vesicles and pelvic lymph nodes
- Radiation – delivery to destruct the prostate either by external rays or seeds or both
- Hormonal Deprivation – castrating or non-castrating / medically or surgically
- Immunotherapy – preparing own lymphocytes to attack cancer cells
- Chemotherapy – agents used to stop cell replication and or induce cell death
Understand the consequences from treatments for prostate cancer in term of Quality of Life (QOL). Know the possible vs. probable effects of the treatments above in regard to: an does the type of treatment
- Urinary Function – Risks of incontinence? Bleeding? Incremental risks of lower urinary symptoms Exacerbation? Improvement?
- Sexual Function – Preservation of Ejaculation? Erections? Sexual Desire?
- Bowel Function – Risks of fecal incontinence? Pain? Bleeding?
- Wellbeing – Association with regret? Weight Gain? Loss? Depression? Happiness?
- Cancer Control – Remission and Survival rates associated to each modality. Likelihood of treatment failure and how can it be rescued. Cost in QOL terms and benefits of recue “salvage” treatments. Pros and cons of treatment sequences