PROSTATE CANCER

Prostate is a glandular body organ provide only in men.  It encompasses the throat of renal & the first aspect of urethra and condributes a release to the ejaculation. The human gland is conical in appearance and actions 3 cm in straight dimension and 4 cm in transversus dimension.It has got five lobes anterior,posterior,two side and a average lobe.Since  the first aspect of the urethra finish through it any sore in the prostate will generate problems in urinating.

Diseases of the prostate gland:-

1) Prostatitis:-

This is the inflamation of the prostate due to illness.

2) Harmless growth of the prostate:-

This is a non cancer tumor of  the prostate seen after the age of 50.  3,Cancer of the prostate:-This is the 4th most common cause of dying from dangerous illnesses in men.

Cancer of the prostate.

Cancer of the prostate is immediately attached with the men sex hormones(androgens).If the stages of sex hormonal agent improves the amount of development of cancer malignancy also improves.It is found that after the removel of testes there is noticeable decrease in the dimension tumor.

Site of tumour:-

Prostate cancer malignancy is seen mainly in the rear lobe.Non cancer growth is seen in other lobes.

Changes in the human gland in cancer:-

The human gland becomes hard with infrequent exterior with loss of regular lobulation .Histologically prostate cancer malignancy is an adeno carcinoma(cancer of the epithelial cells in the gland)

Growth :-

Growth amount is very fast in prostate cancer malignancy .The tumor squeezes the urethra and generate problems in peeing.

Spread of tumour:-

Metastasis in cancer malignancy of prostate is very beginning.

1) Local spread:-

From the rear lobe the cells of cancer malignancy go to the side lobes and seminal vesicles.Tumour cells also shift to the throat and platform of the bladder renal.

2) The lymphatic system spread:-

Through the lymph boats cancer malignancy cells arrive at the inner and exterior illiac list of lymph nodes.From there cells shift to retroperitonial(Behind the peritonium) and mediastinal lymph nodes(in the chest)

3) Propagate through the blood:-

Spread of cancer malignancy cells takeplace through the periprostatic venous plexus and gets to the vertebral blood vessels while hacking and coughing and sneezing and lastly enders the vertebral systems of the back backbone.

Signs and symptoms and symptoms of prostate cancer:--

Signs and symptoms rely on the level of cancer malignancy. The following symptoms may be seen.

1) No symptoms:-

Tumour is small and only in the rear lobe.  This is recognized accidentely.

2) Minor problems in urination:-

Here the tumor is increased and urethra is a little bit pressurized.Shortly there will be consistent desire for peeing with difficult peeing.

3) When the tumor spread to all close by places such as throat of renal and urethra there will be hurtful peeing with blood loss.Urine comes fall by fall.

4) Storage of urine:-

When the urethra is absolutely pressurized there will be retention of pee.This can cause to hydronephrosis, renal failing ect.In this situation individual may get withdrawal leading to convulsions due to renal failing and lastly coma.

5) Indication of metastasis:-

Some people come with the symptoms and symptoms of metastasis.

a) Lumbo sacral discomfort due to spread of cancer malignancy cells to back and sacral backbone.

b) Cuboid fracture of back due to tumor in the back.

c) Inflammation, discomfort and liquid selection in the belly due to sore in the belly.

d) Breathing problems due to cancer malignancy of mediastinal lymphnodes and respiratory system.

e) Common weak point due to spread of cancer malignancy to different places of the body.

f) Anaemia due to involment of bone marrow and improved devastation of RBCs.

Clinical evaluation :-

Includes per arschfick evaluation to experience the prostate,palpation of belly to experience the swelling in renal system and any tumours.Patient is analyzed from head to feet to find out any patches.

Investigations:-

1) Complete system investigations;-

RBC,WBC,Platlets,ESR,bleeding time ,clotting time ect.

2) Urine analysis:-

Microscopic evaluation to recognize pus cells,occult system,casts,Crystals ect.

3) Renal operate tests:-

Blood urea level,serum creatinine level,electrolyte level ect.

4) Serum acidity phosphatase:-

Increased in cancer malignancy of prostate.

5) x-ray of the spine:-

To recognize any tumor or fracture.

6) Super sonography;-

Gives concept about prostate,bladder,kidney ect.

7) C T scan:-

More details about body places and tumor.

8) MRI of the spine:-

Gives details about back ,disc and close by smooth cells.

9) Lymphangiography:-

Gives concept about lymphatic spread of cancer malignancy.

10) Biopsy to validate cancer:-

Biopsy is taken from the tumor and is deliver for histopathological evaluation under the minute lense.This will recognize the use of cancer malignancy cells.

Treatment:-

1) If there is retention of pee catheterisation is required.
2) Dialysis if renal failing.
3) If there is coma tracking of all important features along with parentral diet and electolyte provide.
4) Particular treatments is prostatectomy(removal of prostate)

Partial prostatectomy :-

Here only the impacted lobe is eliminated.

Radical prostatectomy :-

Total treatments of prostate along with close by lymphnodes.

5, Hormone treatments :-

Stilbestrol is given to decrease tumor development.Since this treatement improves the opportunity for cardiac arrest phosphorylated diethyle stilbesterol is used these days.

6) Chemotherapy:-Drugs like cyclophosphamide, cisoplatim ect are given.

7) Radiotherapy is also done for some situations.

8) Homoeopathy:-

Homoeopathic medication like carcinocin, conium, sabal, crotalus, thuja, iodum, selinium, staphysagria, sulphur ect can be given according to symptoms.Constitutional homoeopathic remedies will give great comfort and can improve the life.

9) Yoga exercises and relaxation is also healpful.