The Clinical and Financial Implications of Immediate or Deferred Treatment in Patients with Advanced Prostatic Cancer
Cancer of the prostate may be diagnosed because of symptoms of outflow obstruction, the effect of the local tumour on surrounding organs including the bladder (haematuria) and rectum (constipation or a feeling of fullness), by extension to the peritoneum producing discomfort, or by symptoms from metastases (occult cancer). It may come to light coincidentally following a prostatectomy for what was thought to have been benign disease (latent cancer) and is increasingly being diagnosed in Western Europe and the United States following routine health screening. Once diagnosed, the management will be determined by the stage of the disease and the therapeutic inclination of the surgeon.
KeywordsPlacebo Urea Europe Estrogen Testosterone
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