Meet the Experts

Dr. Marcio Fagundes

Medical Director of Radiation Oncology at Miami Cancer Institute

Videos

Stages of Prostate Cancer

Dr. Marcio Fagundes, Medical Director of Radiation Oncology at Miami Cancer Institute, says there are three levels: low risk level, intermediate level, and high risk level. "Then you have the PSA." He explains if PSA is less than 10, it is good, intermediate level is between 10 and 20 and over 20 is high.

Prostate Cancer: Risk Factors

Age, race, nationality, family history, genetics, diet, obesity, and chemicals in the workplace are some of the risk factors for prostate cancer. Dr. Marcio Fagundes, Medical Director of Radiation Oncology at Miami Cancer Institute, recommends if you have immediate relatives with prostate cancer history, you should start doing screening at the age of 40.

Treating Prostate Cancer

Active surveillance, chemotherapy, hormone therapy, surgery, radiation therapy, and proton therapy are some of the treatments for prostate cancer. Dr. Marcio Fagundes, Medical Director of Radiation Oncology at Miami Cancer Institute, explains active surveillance is for stage one cancer that has a low aggressive appearance under the microscope. He says it is active monitoring and it is not treatment, but it is staying on top of it.

Different Treatments for Breast Cancer

Breast cancer can be treated with different options, such as surgery, chemotherapy, radiation therapy, hormonal therapy, targeted therapy, and immunotherapy. Dr. Marcio Fagundes, Medical Director of Radiation Oncology at Miami Cancer Institute, explains hormonal therapy is used to treat tumors that have estrogen receptor positivity. That means it will block the receptors and will decrease the chances of cancer recurrence.

Breast Cancer Treatment: Biopsy

Dr. Marcio Fagundes, Medical Director of Radiation Oncology at Miami Cancer Institute, explains the radiologist would do a biopsy of the lesion guided by a procedure, such as a mammogram or an ultrasound, for sampling the lesion that is suspicious for cancer. He also says if the patient seems to have involvement of lymph nodes, they will do a biopsy of the lymph nodes to confirm it is positive. Depending on the size and stage the physician will decide which method of treatment comes first: surgery chemotherapy and radiation.

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