Sir my father age 79 year psa level found13 in routine checkup. After consultation of urologist/oncologist biopsy done in biopsy result found~:adenocarcinoma of prostate te (gleason's grade iv score 8) with evidence of perineural invasion involving right lobe of prostate. Doctor suggest hormone therapy or operation. Please advice me regarding further treatment.

Dr. S.K. TandonGeneral Physician41yrs exp

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Treatment depends on stage some types of prostate cancer grow slowly. In some of these cases, monitoring is recommended. Other types are aggressive and require radiation, surgery, hormone therapy, chemotherapy or other treatments. Supportive care palliative care and monitoring for changes or improvement medical procedure particle therapy, teletherapy, brachytherapy and radiation therapy surgery laparoscopic radical prostatectomy, radiosurgery, prostatectomy, radical retropubic prostatectomy and laparoscopic surgery medications hormone associated therapy, bone health, chemotherapy, hormone and urinary retention medication.  

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