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Clinical Practice Guidelines for the management of locally advanced ...

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Complementary and<br />

alternative <strong>the</strong>rapies<br />

Castrate-resistant prostate<br />

cancer<br />

Computed tomography<br />

(CT, also CAT Scan)<br />

Combined androgen<br />

blockade (CAB)<br />

Complete remission (also,<br />

complete response)<br />

Complementary medicine is any intervention that is used in conjunction<br />

with standard western health practices.<br />

Integrative medicine is an approach that combines standard western<br />

health interventions and evidence based complementary medicines.<br />

For example: <strong>the</strong> use <strong>of</strong> a course <strong>of</strong> relaxation <strong>the</strong>rapy in conjunction<br />

with standard radio<strong>the</strong>rapy or chemo<strong>the</strong>rapy regime to reduce stress<br />

Alternative medicine is an intervention or product <strong>of</strong>fered as an<br />

alternative treatment to standard western medical practices.<br />

Progressive disease despite castrate levels <strong>of</strong> testosterone.<br />

A series <strong>of</strong> x-ray pictures are taken in a circle around <strong>the</strong> body which are<br />

processed by a computer.<br />

Anti-androgen and medical or surgical castration.<br />

This is <strong>the</strong> term used when, after treatment, <strong>the</strong>re is no sign <strong>of</strong> any<br />

cancer. It is not necessarily <strong>the</strong> same as ‘cure’, as some cancer cells may<br />

be hidden.<br />

Confidence interval (CI) Quantifies <strong>the</strong> uncertainty in measurement. When reported as 95% CI, it<br />

is <strong>the</strong> range <strong>of</strong> values within which we can be 95% sure that <strong>the</strong> true<br />

value <strong>for</strong> <strong>the</strong> whole population lies.<br />

Coping strategies Mental strategies or behaviours used to help a person deal with stressful<br />

situations. Coping strategies may be influenced by personality style and<br />

<strong>the</strong> specific situation, and may change over time.<br />

Cystitis Inflammation <strong>of</strong> <strong>the</strong> bladder, <strong>of</strong>ten caused by infection.<br />

Cystoscope A tiny tube with a lighted end which slides along <strong>the</strong> urethra and is used<br />

to examine <strong>the</strong> bladder.<br />

Depression A general and long-lasting feeling <strong>of</strong> being down, <strong>of</strong>ten associated with<br />

tearfulness, guilt or irritability. O<strong>the</strong>r features include loss <strong>of</strong> interest or<br />

pleasure in activities, lowered energy levels, poor concentration and<br />

troubles with sleep and appetite.<br />

Digital rectal examination<br />

(DRE)<br />

An examination <strong>of</strong> <strong>the</strong> prostate through <strong>the</strong> wall <strong>of</strong> <strong>the</strong> rectum. The<br />

doctor inserts a finger in <strong>the</strong> rectum and feels <strong>the</strong> shape <strong>of</strong> <strong>the</strong> prostate.<br />

Irregularities may be caused by cancer.<br />

Dissemination The act <strong>of</strong> communicating, distributing or spreading a message or piece<br />

<strong>of</strong> in<strong>for</strong>mation. The term ‘passive dissemination’ is <strong>of</strong>ten used to refer to<br />

<strong>the</strong> distribution, by hand or in mass mailings, <strong>of</strong> printed education<br />

materials, such as clinical practice guidelines.<br />

Dry ejaculation After a radical prostatectomy, a man may achieve orgasm, but produce<br />

no ejaculate. This is because <strong>the</strong> glands which produce much <strong>of</strong> <strong>the</strong> fluid<br />

in <strong>the</strong> ejaculate are removed. See also reverse ejaculation.<br />

<strong>Clinical</strong> practice guidelines <strong>for</strong> <strong>the</strong> <strong>management</strong> <strong>of</strong> <strong>locally</strong> <strong>advanced</strong> and metastatic prostate cancer<br />

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