Understanding Prostate Cancer

A Comprehensive Guide for Patients and Caregivers

Oncology

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Last updated: Mar 24, 2025

What is Prostate Cancer?

Prostate cancer develops in the prostate gland, a small walnut-shaped organ in men that produces seminal fluid. It's one of the most common cancers in men, particularly those over 50.

Risk Factors

  • Age: Risk increases after age 50
  • Family history: Genetic factors play a significant role
  • Race: More common in African American men
  • Lifestyle factors: Diet and obesity may contribute

Common Symptoms

  • Difficulty urinating
  • Weak or interrupted urine flow
  • Blood in urine or semen
  • Pelvic area discomfort
  • Erectile dysfunction
  • Bone pain (in advanced cases)

Diagnosis

Initial Screening

  • PSA Test: Measures prostate-specific antigen levels
  • Digital Rectal Exam (DRE): Physical examination of the prostate

Confirmation

  • Prostate Biopsy: Tissue sample analysis
  • Imaging: MRI and other scans when needed

Treatment Options

Active Surveillance

For low-risk, slow-growing cancers:

  • Regular monitoring
  • Periodic PSA tests
  • Repeated biopsies

Surgery

  • Radical prostatectomy
  • Robotic-assisted procedures
  • Nerve-sparing techniques when possible

Radiation Therapy

  • External beam radiation
  • Brachytherapy (internal radiation)

Other Treatments

  • Hormone therapy
  • Chemotherapy
  • Immunotherapy
  • Cryotherapy

Living with Prostate Cancer

  • Regular follow-up care
  • Lifestyle modifications
  • Support groups
  • Management of side effects

Prevention and Screening

  • Regular check-ups after age 50
  • Earlier screening for high-risk groups
  • Healthy lifestyle choices
  • Balanced diet rich in fruits and vegetables

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