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Prostate Cancer

How common is prostate cancer?

The 2017 estimates for prostate cancer are 161,360 cases diagnosed, about 1 man in 7 will be diagnosed with prostate cancer during his lifetime. The death estimate is 26,730 men from prostate cancer, which works out to about 1 in 39 men dying from the disease. 

 

What are the risk factors for prostate cancer?

  • Age, especially older than 65
  • Family History of prostate cancer
  • Race, occurring more often in African Americans

 

What are the symptoms of prostate cancer?

Many times there are no symptoms with prostate cancer until the disease has spread outside the prostate
Symptoms of the disease include

  • trouble urinating or weak urination
  • Frequent urination
  • blood in the urine or semen
  • urine retention
  • bone pain
  • edema and leg swelling

 

How do you diagnose prostate cancer?

Diagnosis is done through:

  • Digital Rectal Exam-The doctor inserts a gloved, lubricated finger into the rectum to feel for the prostate, allowing the examiner to estimate the size as well as feel for abnormalities.
  • Prostate Specific Antigen (PSA)- A blood test that measures PSA in the blood. PSA is a protein produced by the prostate, and found in the blood. It is higher in men who have prostate cancer, or other prostate conditions.

If either of those two tests are seen to be abnormal, further testing is then warranted (ex. Prostate biopsy).

 

How do you manage prostate cancer?

Management of prostate cancer is decided on after extensive discussion with a urologist. Options for management include: watchful waiting (doing nothing), Active surveillance (close follow up with intervention when needed), and Active intervention (surgery, radiation, systemic therapy)

 

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