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Is prostate cancer a silent cancer?

Prostate cancer is known as a silent killer because the prostate sits deep in the pelvis under the urinary bladder, and cancer can grow silently there for months to years.

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Stress can compromise a person’s immune system and lead to many physical issues, including cancers. However, it is not considered a strong risk factor for prostate cancer. Yes, there is some evidence that long-term smokers have an increased risk for prostate cancer amongst other cancers as well. Riding a bike may put pressure on the prostate gland and slightly raise the PSA blood test. But there is no evidence that it actually causes damage to the prostate or leads to prostate cancer. Alcohol is causally related to several cancers. However, prostate cancer is not one of them. There is some evidence that hard liquor may increase the risk of prostate cancer, but in general, light to moderate alcohol intake may be protective of your prostate as well as your heart. The consumption of excessive amounts of red meat has been associated with an increased risk of prostate cancer. A number of years ago, it was thought that a vasectomy may increase the risk of prostate cancer. However, subsequent studies have disproven this. Today we know that it is highly unlikely that getting a vasectomy increases the risk of prostate cancer. Prostate cancer can run in the family, especially in families that have germline mutations such as BRCA one and BRCA two and other genetic mutations or hereditary syndromes. Prostate cancer is known as a silent killer because the prostate sits deep in the pelvis under the urinary bladder, and cancer can grow silently there for months to years. Eventually, it can cause trouble with urination or blood in the urine. But these are signs of later disease. If it spreads outside of the prostate, it can cause pain, such as if it settles into a bone. 5% to 10% of prostate cancers may be genetic or hereditary. For example, black men and those with a family history have an increased risk for prostate cancer. All other occurrences of prostate cancer are sporadic and are likely due to exposure to testosterone, environmental factors, diet, or race. Researchers don’t fully understand the connection between prostate cancer and diet. However, studies suggest incorporating the foods below might reduce your risk of getting prostate cancer. You can’t exercise or diet your way out of prostate cancer. However, physical activity with moderate exercise can be very effective in lowering cancer growth rates and recurrence rates. Exercise can improve your immune system, reduce inflammation, and fight some of the negative health effects of a sedentary lifestyle; all of which can help prevent cancer.

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Symptoms in the prostate itself are uncommon. Once cancer starts growing outside of the prostate, such as if it is in bones or other organs it can then cause pain. Prostate cancer in later stages, when it’s far advanced or when it’s spread to other parts of the body, can cause different symptoms. Prostate cancer in its earliest stages does not cause any symptoms. That’s why it’s important to have your prostate checked and to also encourage your family members and friends to get checked as well. Prostate cancer, when diagnosed at an early stage, is very curable.

Diagnosis & Treatment

Diagnosis

The key is a blood test called PSA or prostate-specific antigen combined with a good history and a digital rectal examination. The PSA is a simple blood test that detects excessive amounts of protein being made by the prostate gland and released into the bloodstream. This can occur with any prostate disease, including benign growth, infection, or cancer. The ultimate diagnosis is based on a biopsy wherein samples are taken of the prostate using a special needle, and these are examined under the microscope. Once the PSA is elevated, further testing needs to be done, including a feel of the prostate with a digital rectal examination. Depending on the results of the digital rectal exam, other tests may then follow. Once a man has prostate cancer, a CT scan can look for enlarged lymph nodes or even bone changes.

How can you detect prostate cancer early?

You can detect prostate cancer early by taking a blood test called prostate-specific antigen or PSA.

How important is early detection of prostate cancer?

There is evidence that early detection can save lives. It can also decrease the severity of the disease because treatments can be more focused, including active surveillance.

What do PSA numbers mean in prostate cancer?

PSA stands for prostate-specific antigen and not prostate cancer-specific antigen. Therefore, the number needs to be taken in combination with other variables such as the size and feel of the prostate, the age of the man, and other risk factors. Very high PSA numbers, such as greater than 20, are an increased indication of prostate cancer.

What is the Gleason scale for prostate cancer?

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The Gleason score and/or scale are based on the appearance of cancer cells and how they are growing. When a pathologist looks at the cancer cells under the microscope, they will assign an evaluation or grade to the most common appearance and a second grade to the second most common appearance. These two grades from one to five are then added together to create a score. For example, Gleason grade three plus four equals Gleason score of seven. The higher the score, the more aggressive cancer’s behaviour will be, and the prediction of the outcome becomes more accurate.

Can a prostate biopsy cause cancer or cause it to spread?

There is no evidence that a biopsy can cause cancer or cause it to spread.

Can you test for prostate cancer yourself?

It is not possible to check for cancer yourself, but it is essential to know your family history. If possible, ask your father and grandfather, while they are still alive, whether anyone on the male side of the family has had prostate issues.

Treatment

When the cancer is caught early on, if it has a very low Gleason score and a low or very low risk, it can be monitored without any treatment other than modifying diet and lifestyle. Surgery to remove the prostate and radiation treatments are common treatments for more aggressive cancers that are inside the prostate. One type of surgery that is becoming more common is robot-assisted prostatectomy due to it being minimally invasive. When cancer has spread beyond the prostate, hormone therapy may be recommended. Hormone therapy uses special medication to stop the testicles from making testosterone and is very effective. Radiation treatments work by altering the DNA in cells as they divide, causing those cells to die.

Can you cure prostate cancer?

If prostate cancer is caught at an early stage when it is still confined to the prostate, it can be cured in the majority of cases.

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