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Prostate Cancer

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Prostate cancer is the most common malignancy, next to skin cancers, in American men.

  • Prostate cancer is responsible for more deaths than any other cancer in men, except for lung cancer.
  • About 1 in 6 American men will be diagnosed with prostate cancer in his lifetime.
  • About 2 out of every 3 prostate cancers are found in men over the age of 65.
Risk Factors
Incidence of prostate cancer increases with age.
  • Median age at diagnosis in Caucasian males is 71.
  • African-American men have the highest incidence of prostate cancer in the world.
  • Heredity accounts for 5 to 10 percent of cases.
PSA Screening For Prostate Cancer
According to the American Cancer Society, men aged 50 or older should be offered a digital rectal exam (DRE) and a PSA blood test. However, it is a good idea to visit your doctor earlier to establish a baseline PSA level so you can monitor changes.
  • Prostate Specific Antigen (PSA) is a valuable marker for prostate cancer although BPH or infection may also cause a rise in PSA.
  • Normal level is 2.5. A PSA above 3 in men younger than 50 may be considered abnormal.
  • African-American men and men with a family history of prostate cancer should be examined beginning at an earlier age.
Learn about all screenings and tests available at the Marin Cancer Institute.

Diagnosing Prostate Cancer
Prostate cancer is most often diagnosed through a blood test measuring the amount of prostate specific antigens (PSA) in the body. There are usually no symptoms when caught early. However, signs and symptoms of prostate cancer can include:
  • Changes in urinary flow: frequency, urgency, hesitancy
  • Frequent night time urination
  • Painful urination
  • Blood in urine
Other conditions that may cause these symptoms include an enlarged prostate (benign prostatic hypertrophy or BPH) or infection.

Treating Prostate Cancer
After a diagnosis of prostate cancer has been established with a biopsy, it is recommended that you discuss your treatment options with your primary care physician, and prostate care specialists (urologists and radiation oncologists).

*"What are the Key Statistics About Prostate Cancer?," American Cancer Society, www.cancer.org
Dr. Grossfeld consulting a patient
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