Image result for prostate cancerProstate Cancer is when cancer is found in the prostate and is categorized as an adenocarcinoma.

Prostate is an organ found in the male reproductive system

It is one the most common cancers in older men – typically in men older then 50

Rectal exam is essential in diagnosis as well as on yearly exams

PSA or Prostate Specific Antigen is a blood work important to early detection.

Cancer in the prostate can spread or metastasize to other parts of the body including the lymph nodes and bones among others.

Symptoms:

  • Rectal, Sacral, or Perineal pain
  • Fever
  • Chills
  • Difficulty voiding
  • Pain with voiding
  • Painful ejaculation
  • Low back pain
  • Painful urination
  • Burning to urinate
  • Urinary frequency
  • Frequency of urination at night
  • Hesitation – taking awhile to start urination
  • Intermittency
  • Blood in urine
  • Erection difficulty

Diagnosis

  • Blood work and rectal exam are essential
  • Prostate biopsy is definitive for diagnosis
  • CT and MRI can help determine spreading of cancer

Treatment:

Watchful waiting

Surgery

Chemotherapy

  • Docetaxel
  • others

Radiotherapy

Cryosurgery

Hormonal therapy

  • goal of hormone therapy is to block a certain hormone called “dihydrotestosterone (DHT)”
  • this hormone is essential for prostate cancer growth and spread.
  • also to block Testosterone
  • Flutamide
  • Cyproterone
  • Bicalutamide
  • Nilutamide

Removal of the testicles – Orchiectomy

Palative Care

  • Abiraterone Acetate – treats advance stages of prostate cancer
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