What is prostate cancer?
Prostate cancer occurs
when abnormal cells develop in the prostate. These abnormal cells can
continue to multiply in an uncontrolled way and sometimes spread outside
the prostate into nearby or distant parts of the body.
Prostate cancer is generally a slow growing disease and the majority
of men with low grade prostate cancer live for many years without
symptoms and without it spreading and becoming life-threatening.
However, high grade disease spreads quickly and can be lethal.
Appropriate management is key.
WHAT IS THE PROSTATE?
Only men have a prostate. It is a small gland that sits below the
bladder near the rectum. It surrounds the urethra, the passage in the
penis through which urine and semen pass.
The prostate gland is part of the male reproductive system. It
produces most of the fluid that makes up semen that enriches sperm. The
prostate needs the male hormone testosterone to grow and develop.
The prostate is often described as being the size of a walnut and it
is normal for it to grow as men age. Sometimes this can cause problems,
such as difficulty urinating. These problems are common in older men and
not always symptoms or signs of cancer.
WHAT ARE THE SYMPTOMS?
In the early stages, there may be no symptoms. In the later stages, some symptoms of prostate cancer might include:
- Feeling the frequent or sudden need to urinate
- Finding it difficult to urinate (for example, trouble starting or
not being able to urinate when the feeling is there or poor urine flow)
- Discomfort when urinating
- Finding blood in urine or semen
- Pain in the lower back, upper thighs or hips.
These symptoms may not mean you have prostate cancer, but if you experience any of them, go and see your doctor.
WHAT ARE THE RISK FACTORS?
Factors that are most strongly linked to an increased chance of developing prostate cancer:
- Age: Prostate cancer is an age-dependent disease,
which means the chance of developing it increases with age. The risk of
getting prostate cancer by the age of 75 is 1 in 7 men. By the age of
85, this increases to 1 in 5.
- Family history: If you have a first degree male
relative with prostate cancer, you have a higher chance of developing it
than men with no such history. The risk increases again if more than
one male relative has prostate cancer. Risks are also higher for men
whose male relatives were diagnosed when young.
Men over age 50, or 40 with a family
history of prostate cancer, should talk to their doctor about testing
for prostate cancer using the PSA test and DRE as part of their annual
health check-up. Men should make an individual informed decision about
testing based on the latest available evidence on the benefits and
potential harms of testing and subsequent treatment for prostate
cancer.
•••
OTHER FACTORS THAT MAY INCREASE THE RISK OF DEVELOPING PROSTATE CANCER:
Factors that are most strongly linked to an increased chance of developing prostate cancer:
- Genetics: Genes are found in every cell of the
body. They control the way the cells in the body grow and behave. Every
person has a set of many thousands of genes inherited from both parents.
Changes to genes can increase the risk of prostate cancer being passed
from parent to child. Although prostate cancer can’t be inherited, a man
can inherit genes that can increase the risk.
- Diet: There is some evidence to suggest that eating
a lot of processed meat or food that is high in fat can increase the
risk of developing prostate cancer.
- Lifestyle: There is evidence to show that environment and lifestyle can affect the risk of developing prostate cancer.
HOW IS PROSTATE CANCER DETECTED AND DIAGNOSED?
A doctor will usually do a blood test and/or physical examination to check the health of the prostate.
- Blood test (Prostate Specific Antigen (PSA) test):
The result shows whether there is an increase in this specific protein.
Depending on the result, you might need further investigation by a
specialist. A high PSA test result does not necessarily mean cancer.
Prostate diseases other than cancer can also cause a higher than normal
PSA level.
- Digital Rectal Examination (DRE): Because of where
the prostate is located, the doctor inserts a gloved, lubricated finger
into the rectum to check the size of the prostate and assess if there
are any abnormalities. A normal DRE result does not rule out prostate
cancer.
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