Sunday, February 25, 2024

How Can You Tell If You Have Prostate Cancer

Recurrent Prostate Cancer Symptoms

Is Prostate Cancer Fatal? | Ask A Prostate Expert, Mark Scholz, MD

Prostate cancer that returns after treatment is considered recurrent. When it returns to the area around the prostate, the disease is classified as a local recurrence. If the cancer is found in another part of the body, the recurrent cancer is considered metastatic. If the cancer metastasizes outside the prostate, it most likely develops in bones first. Metastatic prostate cancer most often spreads to the liver, bones and lungs.

After initial treatment for prostate cancer, PSA levels are expected to drop dramatically. The first sign of recurrent prostate cancer may be a rise in the PSA level. Other symptoms of recurrent cancer may depend on whether and where the cancer has spread. Symptoms include:

  • Blood in the urine
  • Difficulty breathing

Patients should discuss any symptoms with their doctor and ask about scheduling regular PSA tests after treatment.

What Should You Do If You Have The Symptoms Of Prostate Cancer

If you are presenting one or more of the warning signs of prostate cancer, then it would be wise to promptly consult with a qualified physician. Your symptoms may indicate another, less serious condition and even if you do receive a diagnosis of prostate cancer, it is much easier to treat this disease when detected early on.

To learn more, contact our team of medical professionals at Care New England today.

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When Prostate Cancer Symptoms Are Not Related To Voiding

Prostate cancer.Creativecommons.org/licenses/by/4.0/ Wikimedia Commons

Only when prostate cancer metastasizes to the bones and other organs do secondary and systemic symptoms of bone pain, weight loss and fatigue develop.

It is important to remember that the majority of men diagnosed with prostate cancer will die with itnot from it.

Yet early detection and appropriate management will help to achieve the best outcome and quality of life for each individual.

If you are a man of African descent or have a family history of prostate cancer, you should discuss with your physician about the option of screening starting at age 40, explains Dr. Lutz.

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Questions To Ask The Doctor

  • What treatment do you think is best for me?
  • Whats the goal of this treatment? Do you think it could cure the cancer?
  • Will treatment include surgery? If so, who will do the surgery?
  • What will the surgery be like?
  • Will I need other types of treatment, too?
  • Whats the goal of these treatments?
  • What side effects could I have from these treatments?
  • What can I do about side effects that I might have?
  • Is there a clinical trial that might be right for me?
  • What about special vitamins or diets that friends tell me about? How will I know if they are safe?
  • How soon do I need to start treatment?
  • What should I do to be ready for treatment?
  • Is there anything I can do to help the treatment work better?
  • Whats the next step?

A Suggested Psa Screening Protocol

Men should not ignore signs, symptoms of prostate cancer: Linda Rhodes ...

Its reasonable to start checking PSA yearly in men over the ages of 45. Men with a family history of prostate cancer or men who are African-American should start annual testing at age 40. Men over age 75 who are in good health should continue screening.

So what is the trigger level of PSA that should lead to performing a scan? As noted above, younger men who have small prostate glands should consider doing a scan if the PSA is over 2.5. In an older man, particularly if the prostate gland as determined by the finger exam is big, a PSA over 4.0 is a reasonable threshold for obtaining imaging . The PSA blood test has far surpassed the wildest dreams of the doctors who discovered it. Like any powerful tool, however, misuse can lead to over-treatment and unnecessary harm.

So much of the misinformation on the internet implies that every ache, pain, or problem located near the prostate could be caused by cancer. The fact that the most frequently asked question related to prostate cancer is about prostate cancer symptoms indicates that the public is being led into all kinds of unnecessary anxiety.

Know this: As long as the PSA is in the normal range, in general, men can rest assured that any prostate-related symptoms they are experiencing are most likely originating from something unrelated to cancer. PSA testing detects early stage prostate cancer so reliably that when the PSA is normal, one can be sure that any prostate-related symptoms are due to some other cause.

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You Can Take Action Now To Reduce Your Risk Of Prostate Cancer Later On

You cant control your genes or what the future may hold. But you can take steps to reduce your risk of prostate cancer through lifestyle choices. For starters:

  • Maintain a healthy diet. A diet full of fruits, vegetables, whole grains, lean proteins and healthy fats can contribute to your overall health.
  • Exercise regularly. Exercise not only improves your physical health, but also your mood and mental health. Plus, there is some evidence that men who exercise are at a lower risk of developing prostate cancer.
  • Try to maintain a healthy weight. Obesity is a risk factor for prostate cancer.
  • Talk proactively with your doctor about your risk for prostate cancer. If youre over 40 and havent discussed your risk level with your doctor or urologist, I suggest you make an appointment. Depending on your risk factors, you and your doctor can work together to create an action plan that works best for you, which may include a prostate cancer screening.

Also, if youve been experiencing any unusual urinary or erectile symptoms, dont ignore them. Make a primary care appointment, for starters.

Your doctor will talk with you about your symptoms, answer your questions and recommend treatment next steps if needed. They may also recommend you see a urologist like me. Urologists are experts in urinary and male reproductive health, including prostate cancer diagnosis and treatment.

Sentinel Test Success Data

In its September, 2020 issue, the Journal of Urology published a paper by Wang, et al. demonstrating greater than 90% overall accuracy Thats WAY BETTER than standard TRUS biopsies!!

There are three Sentinel tests:

  • The Sentinel PCa test had 94% sensitivity/ 92% specificity
  • The Sentinel CS test had 93% sensitivity/90% specificity
  • The Sentinel HG test had 94% sensitivity/96% specificity

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Bladder And Urinary Troubles

A prostate tumor that has grown significantly in size may start to press on your bladder and urethra. The urethra is the passage the carries urine from your bladder out of your body. If the tumor is pressing on your urethra, you might have trouble passing urine.

One of the common areas for prostate cancer to spread to is the bladder, because the two organs are close. This can cause additional problems with urination and bladder function.

Some symptoms your bladder and urethra are being affected by cancer include:

  • urinating more frequently
  • getting up in the middle of the night to pee
  • feeling like you have to urinate often and not actually passing anything

Its not as common, but prostate cancer can also spread to your bowel. The cancer first spreads to the rectum, which is the part of your bowel closest to the prostate gland.

Symptoms of cancer thats spread to the bowels include:

How Is Prostate Cancer Diagnosed

Why Prostate Cancer Survivor John Shearron Thinks Itâs Important To Do Your Research | PCRI

A biopsy is when a small piece of tissue is removed from the prostate and looked at under a microscope.

A biopsy is a procedure that can be used to diagnose prostate cancer. A biopsy is when a small piece of tissue is removed from the prostate and looked at under a microscope to see if there are cancer cells.

A Gleason score is determined when the biopsy tissue is looked at under the microscope. If there is a cancer, the score indicates how likely it is to spread. The score ranges from 2 to 10. The lower the score, the less likely it is that the cancer will spread.

A biopsy is the main tool for diagnosing prostate cancer, but a doctor can use other tools to help make sure the biopsy is made in the right place. For example, doctors may use transrectal ultrasound or magnetic resonance imaging to help guide the biopsy. With transrectal ultrasound, a probe the size of a finger is inserted into the rectum and high-energy sound waves are bounced off the prostate to create a picture of the prostate called a sonogram. MRI uses magnets and radio waves to produce images on a computer. MRI does not use any radiation.

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What Will Happen After Treatment

Youll be glad when treatment is over. But its hard not to worry about cancer coming back. When cancer comes back it is called a recurrence. Even when cancer never comes back, people still worry about it. For years after treatment ends, you will see your cancer doctor. At first, your visits may be every few months. Then, the longer youre cancer-free, the less often the visits are needed.

Be sure to go to all follow-up visits. Your doctors will ask about your symptoms, examine you, and might order blood tests and maybe other tests to see if the cancer has come back.

Having cancer and dealing with treatment can be hard, but it can also be a time to look at your life in new ways. You might be thinking about how to improve your health. Call us at 1-800-227-2345 or talk to your doctor to find out what you can do to feel better.

You cant change the fact that you have cancer. What you can change is how you live the rest of your life, making healthy choices and feeling as good as you can.

Screening For Prostate Cancer

There are no tests available with sufficient accuracy to screen populations of men for early signs of prostate cancer. However, early detection and treatment can significantly improve prostate cancer survival.

The test most commonly used to aid early detection of prostate cancer is the prostate specific antigen blood test. This is not a diagnostic test as it can only indicate changes in the prostate. If you are concerned about prostate cancer you should talk to your doctor and make an informed choice about whether to have one of the tests designed to find early signs of prostate cancer, in view of the potential risks and benefits.

There are no proven measures to prevent prostate cancer.

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Who Is At Risk For Prostate Cancer

Certain men are at higher risk than others for prostate cancer, which may affect when they should start being screened. The risk increases with age, particularly after age 50. Some risk factors include:

  • African American men are twice as likely as white men to develop the disease.
  • Having a family history a father or a brother diagnosed with prostate cancer, particularly if it is at a relatively early age increases the risk.
  • Having a family history of breast and ovarian cancer may also be associated with an inherited risk of developing prostate cancer
  • High-fat diet and/or obesity

Are There Significant Side Effects Of Treatment

Prostate Cancer

Prostate cancer treatment, whether involving surgery or radiation, can cause a host of short- and long-term side effects. Transient side effects are generally tolerated well. Long-term problems with incontinence and or erectile dysfunction, however, can have a major impact on a mans quality of life. Though estimates vary widely, it is reasonable to assume that such long-term or permanent side effects may occur in significant percentage5 of all patients.

When surgery is performed, a nerve associated with sexual function can be severed. A skilled surgeon may be able to spare the nerve, but there are no assurances. Radiation often damages the nerve, though the onset of symptoms may be delayed by as much as one to two years. You should actively question your physicians about their outcomesspecifically the frequency with which their patients experience long-term problems with incontinence and/or impotency.

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What Are The Symptoms Every Man Needs To Know

In most cases, prostate cancer doesnt have any symptoms until the growth is big enough to put pressure on the urethra that tube you pee through.

Symptoms include:

  • Straining and taking a long time while peeing
  • Feeling that your bladder hasnt emptied fully

Many mens prostates get larger as they age because of the non-cancerous conditions, prostate enlargement, and benign prostatic hyperplasia.

In fact, these two conditions are more common than prostate cancer but that doesnt mean the symptoms should be ignored.

The signs that cancer has SPREAD include bone, back, or testicular pain, loss of appetite, and unexplained weight loss.

What Happens To Corpses Donated To Science

When you donate your body to science, there is no casket, embalming or any funeral expenses in the traditional sense. There are charges to move the body from the place of death to the medical school, to file the death certificate, to notify social security and to assist the family with scheduling any memorial services.

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What Are The Stages Of Prostate Cancer

Your healthcare provider uses the Gleason score and Grade Groups to stage prostate cancer based on its projected aggressiveness. To get this information, the pathologist:

  • Assigns a grade to each type of cell in your sample. Cells are graded on a scale of three to five . Samples that test in the one to two range are considered normal tissue.
  • Adds together the two most common grades to get your Gleason score .
  • Uses the Gleason score to place you into a Grade Group ranging from one to five. A Gleason score of six puts you in Grade Group 1 . A score of nine or higher puts you in Grade Group five . Samples with a higher portion of more aggressive cells receive a higher Grade Group.

Are There Prostate Cancer Risk Factors To Consider

10 Warning Signs of Prostate Cancer

Cancer researchers have identified several factors that could increase a mans risk of developing prostate cancer. In considering whether any of these risk factors apply to you, remember that having one or more of them does not mean you will get the disease. However, you should be sure to get all the prostate cancer screenings your physician recommends. It is also important to know that men without these risk factors may also have prostate cancer.

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Can Prostate Cancer Treatment Affect Your Quality Of Life

Your age and overall health will make a difference in how treatment may affect your quality of life. Any health problems you have before youre treated, especially urinary, bowel or sexual function problems, will affect how you recover. Men can experience urinary incontinence or erectile dysfunction as a result of surgery or radiation therapy.

High Intensity Focused Ultrasound

HIFU is sometimes used to treat men and anyone with a prostate with localised prostate cancer that has not spread beyond their prostate.

An ultrasound probe inserted into the rectum releases high-frequency sound waves through the wall of the rectum. These sound waves kill cancer cells in the prostate gland by heating them to a high temperature.

The risk of side effects from HIFU is usually lower than other treatments.

However, possible effects can include impotence or urinary incontinence . Back passage problems are rare.

Fistulas are also rare, affecting less than 1 in every 500. This is because the treatment targets the cancer area only and not the whole prostate.

However, HIFU treatment is still going through clinical trials for prostate cancer. In some cases, doctors can carry out HIFU treatment outside of clinical trials. HIFU is not widely available and its long-term effectiveness has not yet been conclusively proven.

Read further information:

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How Can Treatment Affect Your Quality Of Life

Your age and overall health will make a difference in how treatment may affect your quality of life.

Both surgery and radiation can cause side effects. Radiation is more likely to cause bowel problems. Surgery is more likely to cause leaking urine or erection problems.

Medicines and mechanical aids may help men who have erection problems after surgery. And there are ways to target the radiation and protect the rectum during radiation.

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So What Causes Prostate Cancer

Stages of Prostate Cancer: What Do Stages 1 Through 4 Mean?

The exact cause of prostate cancer is unknown. Most prostate cancers happen by chance, or due to shared environmental and common genetic factors. But what we do know is that prostate cancer happens when some prostate cells become abnormal.

Abnormal cells grow and multiply more quickly than normal cells. And as abnormal cells continue to accumulate, normal cells die and a tumor forms. That tumor can grow and spread to nearby tissue, and those abnormal cells can also spread to other parts of the body.

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What About Other Treatments I Hear About

When you have cancer you might hear about other ways to treat the cancer or treat your symptoms. These may not always be standard medical treatments. These treatments may be vitamins, herbs, special diets, and other things. You may wonder about these treatments.

Some of these are known to help, but many have not been tested. Some have been shown not to help. A few have even been found to be harmful. Talk to your doctor about anything youre thinking about using, whether its a vitamin, a diet, or anything else.

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