Prostate cancer is cancer that occurs in a man’s prostate.
It is a small gland that produces the seminal fluid which nourishes and
transports the sperm. Prostate cancer is one of the most common types of cancer
in men. Prostate cancer usually grows slowly and primarily remains limited to
the prostate gland, where it may not cause serious harm. While some types of
prostate cancer grow gradually and may need minimal or no treatment, other
types are aggressive and can spread quickly. Here are a few things all men
should know about prostate cancer:
What is prostate cancer and what are the symptoms?
The prostate is a walnut-sized gland situated below the
bladder and in front of the rectum in men. Almost all forms of prostate cancer
start with small deviations in the size and shape of the prostate gland cells.
These cells can grow uncontrollably, creating tumors. In most cases, these
tumors grow very slowly; however, in a small percentage of cases, they can be
more aggressive. Regrettably, prostate cancer in the early, slow-growing stages
is almost always symptom-free. Bone pain or blood in the urine may direct an
advanced stage of prostate cancer. But the majority of men have no signs or
symptoms. That’s why it is vital to be screened regularly.
What do prostate screenings entail?
There are two mechanisms. One is the PSA blood test, which
measures the level of Prostate Specific Antigen in the blood. Elevated levels
may indicate the presence of cancer. The second component is the digital rectal
exam performed by a urologist. While this is the test that many men are anxious
about, for the majority it is a fast and painless procedure, lasting just a few
seconds. During this exam, the urologist checks for irregularities, asymmetry
and hard areas in the prostate. It is important to do both exams because it is
possible for a person to have low PSA levels yet still have prostate cancer.
Combined, the screenings are highly effective in early detection — important
because when caught early, prostate cancer is highly treatable.
Who should get screened?
Men should speak with their physician to determine if
screening is appropriate for them. However, it is difficult for a patient to
make an informed decision about his prostate health unless he knows his PSA
level.
What are the risk factors for prostate cancer?
The risk factors include:
Race: African Americans have higher rates than the rest of
the population.
Age Risk increases with age.
Family history: If your father, brother or grandfather had
prostate cancer, your risk may be higher.
Diet: The high-fat, high-calorie western diet is a factor.
Agent Orange exposure: Past exposure to this chemical brings
elevated risk.
Viruses and infections: Researchers believe there may be a
link between certain illnesses and prostate cancer.
What are the treatment options?
Perhaps the most important thing a man can do upon diagnosis
is to find a urologist who he trusts. A good urologist is not only up-to-date
on the available options, but also can help a patient choose the most
appropriate course for his individual situation, taking into account his age,
general health and the stage of the cancer.
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