Name of the Procedure:

Goserelin Acetate Implant (J9202)

Summary

The Goserelin Acetate Implant is a small, biodegradable implant injected under the skin that releases the medication Goserelin over a specific period. It is used to treat certain types of cancer and other medical conditions by regulating hormone levels in the body.

Purpose

The Goserelin Acetate Implant is designed to treat hormone-sensitive cancers including prostate cancer and breast cancer. It helps to control the progression of these diseases by reducing the levels of hormones that can stimulate cancer growth.

Indications

• Prostate Cancer
• Breast Cancer (particularly in premenopausal women)
• Endometriosis

Patient criteria:

• Diagnosed with hormone-sensitive cancer.
• Deemed appropriate candidates by their healthcare provider based on medical history and current health status.

Preparation

• Patients may be advised to stop taking certain medications before the procedure.
• No specific fasting is necessary.
• Basic blood tests or imaging studies may be conducted to assess the patient's overall health.

Procedure Description

1. The patient will lie down, and the injection site (usually the abdomen) will be cleaned and sterilized.
2. A local anesthetic might be applied to numb the area.
3. The healthcare provider will insert a needle containing the Goserelin Acetate implant into the subcutaneous tissue.
4. The needle is removed, leaving the implant in place, which slowly releases the medication over time.
5. A small bandage may be applied to the injection site.

Tools and Equipment:

• Goserelin Acetate Implant
• Sterile syringe and needle
• Local anesthetic (if used)

Duration

The procedure typically takes about 10-15 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a doctor's office.

Personnel

• A licensed healthcare provider such as a physician or a nurse.

Risks and Complications

Common Risks:

• Pain at the injection site
• Bruising or redness
• Temporary local irritation

Rare Complications:

• Infection at the injection site
• Allergic reaction to the implant material

Management of complications involves symptomatic treatment and, if necessary, removal of the implant.

Benefits

• Effectively manages hormone-sensitive cancers.
• Reduces or halts cancer progression.
• Minimally invasive with quick recovery.

Benefits are typically seen within a few weeks to a few months after the implant.

Recovery

• Patients can resume normal activities immediately.
• Keep the injection site clean and dry for 24 hours.
• Follow-up appointments will be scheduled to monitor progress and administer subsequent implants as needed.

Alternatives

• Oral hormone therapy medications.
• Surgical removal of hormone-producing organs (e.g., orchiectomy in prostate cancer).
• Radiation therapy or chemotherapy.

Each alternative has its own pros and cons, including varying effectiveness, side effects, and invasiveness.

Patient Experience

• Patients might experience mild discomfort during and after the procedure.
• Pain can usually be managed with over-the-counter pain relievers.
• Most patients find the procedure quick and relatively stress-free.