Prostate Cancer

01 — Prostate Cancer

Overview

Prostate cancer develops in the prostate gland and is one of the common cancers affecting men. Many prostate cancers grow slowly, while some can be more aggressive and require active treatment.

Treatment decisions depend on factors such as the cancer’s grade, stage, PSA level, overall health and whether the disease has spread beyond the prostate. A detailed assessment is therefore important before deciding on the most appropriate management approach.

  • Where it startsThe prostate gland, a common cancer in men
  • GrowthMany grow slowly, some are more aggressive
  • Treatment depends onGrade, stage, PSA level, overall health and spread

02 — Prostate Cancer

Common Signs & Symptoms

  • 01Difficulty or straining when passing urine
  • 02Weak or interrupted urine flow
  • 03Frequent or urgent urination
  • 04Blood in the urine or semen
  • 05Persistent pelvic, back or bone discomfort in advanced disease
  • 06Some prostate cancers may cause no symptoms in their early stages

These signs do not always mean cancer, but any new or persistent symptom should be assessed by a doctor.

03 — Prostate Cancer

Diagnosis & Staging

Assessment may include a medical history, physical examination, PSA testing and other prostate investigations. A biopsy is used to confirm prostate cancer and assess its grade and characteristics. Imaging and staging tests may be recommended to determine whether the cancer remains localised or has spread elsewhere. These findings help the multidisciplinary team determine the appropriate treatment pathway.

  1. 1

    Medical history & examination

    A medical history and physical examination.

  2. 2

    PSA testing & prostate investigations

    PSA testing and other prostate investigations.

  3. 3

    Biopsy

    Used to confirm prostate cancer and assess its grade and characteristics.

  4. 4

    Imaging & staging tests

    Determine whether the cancer remains localised or has spread elsewhere.

  5. 5

    Multidisciplinary review

    The findings help the team determine the appropriate treatment pathway.

04 — Prostate Cancer

Treatment Options

Depending on the stage and characteristics of the cancer, treatment may include active surveillance, surgery, radiation therapy, hormone therapy, chemotherapy or other systemic treatments. Not every patient requires the same combination of treatments, and the sequence may vary according to the disease.

Active surveillance

One of the options, depending on the stage and characteristics of the cancer.

Surgery & radiation therapy

Selected according to the individual’s disease.

Systemic treatments

  • Hormone therapy
  • Chemotherapy
  • Other systemic treatments

Treatment is selected according to

  • Cancer characteristics
  • Overall health
  • Clinical circumstances

Ongoing assessment may also be required during treatment and follow-up.

Dr. Pranay Girdhari Taori
Dr. Pranay Girdhari TaoriSpecialist Medical Oncologist

05 — Prostate Cancer

Dr. Taori’s Approach

Dr. Taori has longstanding experience in medical oncology and has contributed to professional and public education on prostate cancer, including an invited academic presentation on carcinoma prostate. His role may include systemic treatment planning and coordination with other specialists involved in prostate cancer care. The treatment approach is based on the cancer’s stage and characteristics rather than a one-size-fits-all plan. This allows medical oncology to be integrated appropriately with surgery, radiation or other care.

  • Based on the cancer’s stage and characteristics, not a one-size-fits-all plan
  • Systemic treatment planning and coordination with other specialists
  • Medical oncology integrated with surgery, radiation or other care

06 — Prostate Cancer

Consultation

A specialist consultation can help patients understand their prostate cancer diagnosis, stage and treatment options. Dr. Taori can review the available clinical information and explain where medical oncology may fit within the overall treatment plan.