Can prostate sarcoma be cured in the early stage? How to care for patients with prostate sarcoma

Prostate sarcoma not only causes great harm to patients' health, but also has a significant impact on their normal life. In order to better restore their health, prostate sarcoma patients introduce the clinical manifestations, main treatment methods, and nursing methods of this disease.

Clinical manifestations of prostate sarcoma

Due to the rapid growth of sarcomas, the tumor body can undergo bleeding, necrosis, or degenerative changes. The appearance of the tumor is mostly elliptical, with a flexible texture. If it occurs in the elderly, the tumor body is relatively hard. Under a microscope, rhabdomyosarcoma can have different cell types. The cells are small circular in shape, large in volume, with horizontal stripes and edge vacuoles. Cells can also grow, including vertically arranged nuclei. There are often mucinous edema and poorly differentiated cells in the tumor body, with active fission. Smooth fibroid cells are elongated and have blunt end nuclei.

This disease does not show symptoms in the early stages, and the tumor is quite large when symptoms appear. The general initial symptom is bladder neck obstruction, where tumors compress the bottom of the bladder or invade the urethra, which can affect urination. Frequent urination, painful urination, and difficulty urinating. When there is less hematuria with the naked eye, it compresses the rectum and makes it difficult to defecate. In the later stage, the symptoms are pain, obvious emaciation, anemia, and cachexia, which can easily transfer to the lungs and liver bones.

Treatment methods for prostate sarcoma

1. Surgical treatment for early lesions is optimal. For patients limited to the prostatic capsule without local infiltration, radical prostatectomy is preferred.

2. If there is local invasion of the bladder, urethra, or rectum and no distant displacement, pelvic contour clearance surgery is allowed.

3. For those who have difficulty in fixed resection due to metastasis or local infiltration, palliative surgery may be performed to alleviate symptoms, including transurethral resection of the prostate.

4. Radiation therapy is an important adjuvant treatment measure that can be applied in conjunction with preoperative or postoperative procedures. Among them, leiomyomas are moderately sensitive, and rhabdomyomas should not be treated with radiation.

5. Interventional chemotherapy and lymphatic chemotherapy can not only increase the dosage of chemotherapy drugs in tumor tissue, but also reduce toxic side effects. Actinomycin D, vincristine, cyclophosphamide, etc. have certain therapeutic effects and have synergistic effects when combined with radiotherapy.

Nursing methods for prostate sarcoma

1. Preventing cold weather from late autumn to early spring: The weather is unpredictable, and cold often exacerbates the condition. So patients must pay attention to cold prevention, prevention of colds and upper respiratory tract infections, etc.