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Prostate Cancer

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Most prostate cancer begins in the gland cells in the prostate. Known as a silent killer because men often do not have symptoms, prostate cancer is the most common form of cancer other than skin cancer among men in the United States and a leading cause of cancer deaths among men. Early detection is critical to survival and if prostate cancer is detected early and before the cancer spreads, patients have a nearly 100 percent chance of survival after five years. With early diagnosis and treatment improvements over the past 25 years, survival rates have increased dramatically for all stages of prostate cancer.

Statistics 

  • One in seven men will be diagnosed with prostate cancer in his lifetime.
  • One in 36 men will die from the disease, making it the second most common cause of cancer death in men.
  • In 2014, 233,000 new cases of prostate cancer will be diagnosed in the United States, with 29,480 deaths.
  • In Texas, it is estimated that 17,991 men will be diagnosed with prostate cancer in 2014, and 2,113 men will die from the disease.

Risk Factors 

  • Age: Men age 65 and older account for about 60 percent of all prostate cancer cases diagnosed.
  • Family History: Men with close relatives (father or brother) who have had prostate cancer are twice as likely to develop the disease.
  • Race: African Americans have the highest rate of prostate cancer in the United States and are more likely to die from the disease than any other racial group.
  • Genetic Factors: A gene mutation on BRCA-1 or BRCA-2 may denote an increased risk, but it is only a small percentage of cases.
  • Diet: Men who consume high amounts of red meat or dairy products and few fruits and vegetables have a higher risk of prostate cancer.

Symptoms 

The following may be symptoms of prostate cancer, but could be linked to other health conditions. If these symptoms are present, men are encouraged to consult their physician for proper testing:

  • Weak or interrupted urine flow
  • Difficulty controlling urination
  • Painful or burning urination
  • Blood in urine or semen
  • Frequent pain or stiffness in spine, hips, ribs, upper thighs, and other bones
  • Painful ejaculation
  • Frequent urination, especially at night
  • Difficulty having an erection

Prevention 

  • Eat five or more servings of fruits and vegetables daily. Tomatoes, cauliflower, and broccoli are rich in substances that may help prevent prostate cancer.
  • Reduce consumption of processed meat and dairy products.
  • Consumption of soy products may reduce risk of prostate cancer.
  • Regular exercise may decrease the risk of prostate cancer.
  • Maintain a healthy body weight, as obesity can further complicate prostate cancer.

Screening 

Men should discuss with their physicians the risks and benefits of prostate cancer screening to make an informed decision about testing. Most men should consider yearly prostate screenings beginning at age 50. Men at high risk (African Americans and men with a family history of prostate cancer before age 65) should consider testing beginning at age 45. Consider screening at age 40 if more than one first-degree relative is diagnosed before 65. Prostate screenings can include the PSA (prostate-specific antigen) blood test and DRE (digital rectal exam).

Treatment Options 

Prostate cancer may be treated by different members of the cancer care team. Treatment options vary depending on how advanced the cancer is and if it has spread to other body parts. Physicians will determine the most appropriate treatment for each patient, including surveillance, surgery, radiation therapy, hormone therapy, and chemotherapy.

Sources: American Cancer Society, National Cancer Institute, Prostate Cancer Foundation, and Texas Cancer Registry