A 65-year-old male is diagnosed as having prostatic cancer based on transrectal biopsy of a 1 cm palpable nodule. Which of the following statements is true concerning his management?Question 42Select one:a.There is currently no role for orchiectomy in the management of prostatic cancer.b.External beam radiation is not an appropriate treatment if the tumour is confined to the prostate.c.Radical prostatectomy is invariably associated with impotence.d.If positive lymph nodes are detected on laparoscopic pelvic lymph node dissection (stage Dl), radical prostatectomy is indicated.e.If the tumour is confined within the prostatic capsule (stage A or B), radical prostatectomy is an appropriate option.
Question
A 65-year-old male is diagnosed as having prostatic cancer based on transrectal biopsy of a 1 cm palpable nodule. Which of the following statements is true concerning his management?Question 42Select one:a.There is currently no role for orchiectomy in the management of prostatic cancer.b.External beam radiation is not an appropriate treatment if the tumour is confined to the prostate.c.Radical prostatectomy is invariably associated with impotence.d.If positive lymph nodes are detected on laparoscopic pelvic lymph node dissection (stage Dl), radical prostatectomy is indicated.e.If the tumour is confined within the prostatic capsule (stage A or B), radical prostatectomy is an appropriate option.
Solution
The correct answer is:
e. If the tumour is confined within the prostatic capsule (stage A or B), radical prostatectomy is an appropriate option.
Explanation:
a. Orchiectomy, or surgical castration, is a treatment option for advanced prostate cancer. It is not the first line of treatment, but it is used when other treatments are not effective.
b. External beam radiation is indeed an appropriate treatment for prostate cancer, even if the tumor is confined to the prostate. It is often used as a primary treatment for early-stage prostate cancer.
c. While impotence is a potential side effect of radical prostatectomy, it is not an inevitable outcome. The risk of impotence depends on a number of factors, including the patient's age, overall health, and the skill and technique of the surgeon.
d. If positive lymph nodes are detected, this indicates that the cancer has spread beyond the prostate. In such cases, treatment options would typically include hormone therapy or chemotherapy, rather than surgery.
e. If the tumor is confined within the prostatic capsule (stage A or B), radical prostatectomy is indeed an appropriate option. This surgery involves the removal of the entire prostate gland and some of the tissue around it. It is a common treatment for localized prostate cancer.
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