Prostate Cancer

Prostate cancer is the most common malignancy in American men.
  • In 2006, there will be about 234,460 new cases of prostate cancer in the United States
  • About 27,350 men will die from prostate cancer in 2006.
  • 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). By making one call to the Marin Cancer Institute, we will put you in touch with our Cancer Center Coordinator who will schedule your Clinic Day - a day for you to meet with your specialists and you primary care physician to discuss your treatment options. Your spouse and family are encouraged to attend and learn how to help support your recovery.

*Statistics provided by the American Cancer Society. Revised May 2006.




Dr. Grossfeld consulting a patient




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