Prostate cancer

Prostate cancer is a malignant tumor that develops in the prostate gland, a small gland located below the bladder in men. It is one of the most common types of cancer in men, but it is often slow-growing and highly treatable, especially when detected early.

Causes

The exact cause of prostate cancer is not fully understood, but several factors may increase risk:

  • Age: Risk increases with age, especially after age 50.
  • Family history: Having a father or brother with prostate cancer increases risk.
  • Race: Prostate cancer is more common in African American men.
  • Diet: A diet high in red meat and high-fat dairy products may increase risk.
  • Obesity: May increase the risk of more aggressive prostate cancer.

Symptoms

Early-stage prostate cancer often causes no symptoms. When symptoms do occur, they may include:

  • Frequent urination, especially at night
  • Difficulty starting or stopping urination
  • Weak or interrupted urine stream
  • Pain or burning during urination
  • Blood in the urine or semen
  • Pain in the back, hips, or pelvis

These symptoms can also be caused by other conditions, such as benign prostatic hyperplasia (BPH).

Diagnosis

Diagnosis typically involves:

  • Digital rectal exam (DRE): A physical exam to feel for abnormalities in the prostate.
  • Prostate-specific antigen (PSA) test: A blood test to measure PSA levels, which may be elevated in prostate cancer.
  • Prostate biopsy: A sample of prostate tissue is taken for laboratory analysis to confirm the presence of cancer.
  • Imaging tests: MRI or bone scans may be used to determine if the cancer has spread.

Treatment Options

Treatment for prostate cancer depends on the stage and grade of the cancer, as well as the individual’s age, health, and preferences:

  • Active surveillance: Monitoring the cancer closely without immediate treatment.
  • Surgery: Radical prostatectomy to remove the prostate gland.
  • Radiation therapy: Using high-energy rays to kill cancer cells.
  • Hormone therapy: To lower testosterone levels and slow cancer growth.
  • Chemotherapy: Using drugs to kill cancer cells.
  • Targeted therapy: Using drugs that target specific molecules involved in cancer growth.
  • Immunotherapy: Using the body’s immune system to fight cancer.

Prevention

While prostate cancer cannot be completely prevented, you can reduce risk by:

  • Maintaining a healthy weight
  • Eating a diet low in red meat and high in fruits and vegetables
  • Exercising regularly
  • Discussing screening options with your healthcare provider

Takeaway

Prostate cancer is a common but often treatable cancer in men. Early detection and appropriate management can significantly improve outcomes.

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