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What Does Prostate Cancer Mean to You?
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What is the Prostate ?

• Male Sex gland, makes and stores seminal fluid, a
  milky fluid that nourishes sperm
• Makes PSA (Prostate Specific Antigen)
• Gets bigger with age BPH (Benign Prostatic
  Hyperplasia)

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Where is the Prostate ?

• Surrounds the upper part of the urethra
• Located below the bladder and in front of the
  rectum
• About the size of a walnut

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What is Prostate Cancer ?

• Abnormal growth of
• glands that have the
• ability to invade locally
• and spread to distant sites
• Disease of growing old
• in men
• Often in advanced stage by the time symptoms
  develop

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How does Prostate Cancer impact lives ?
Spouse and Family
Work place and Colleagues
Mental Health and Spirituality
Intimacy and Erectile Dysfunction
Incontinence
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What are the Risk Factors ?

• Age 1 in 6 lifetime risk
• Any man over 40 is at risk
• 80 of men over 80 have the disease
• Race African-Americans have 60 higher
• incidence than Caucasian-Americans
• Family history Risk goes up with each first
  degree relative affected
  one 2X two 5X
  three 100

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Prostate Cancer Risk Factors
Implicated and Under Investigation

• Diet and food processing
• Alcohol
• Vitamins / antioxidants
• Occupation
• Smoking

• Sexual and physical activity
• Insulin
• Obesity
• BPH (benign hyperplasia)

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Prostate Cancer Celebrities

• Survivors
• Harry Belafonte
• Bob Dole
• Robert Goulet
• Rudy Guiliani
• Jerry Lewis
• Michael Milken
• Mavericks Coach Don Nelson
• Arnold Palmer
• Sidney Poitier
• Gen. Norman Schwarzkopf

Fallen Heroes Bill Bixby Prime Minister Francois
Mitterand Steve Roff, CEO of Time Warner Telly
Savalas Prime Minister Pierre Trudeau Hank Zappa
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How common is Prostate Cancer ?
Most common solid tumor in men over 50
In Arkansas, leading cause of cancer deaths in
men
Year 2002 Incidence Mortality National 189,000
30,000 Arkansas 2,300 400
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How do you detect Prostate Cancer ?

• Serum PSA (Prostate Specific Antigen)
• DRE (Digital Rectal Exam)
• TRUS (Transrectal Ultrasound) and biopsyif
  either or both the DRE or PSA are abnormal

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Does early detection save lives ?
YES

• Mortality rate for Caucasian men down 14 from
  1990 to 1995
• Rates continue to decrease 1.6 per year
• Abnormal DREs 90 organ confined
• Pre -PSA 1/ 3 to 1/ 2 of cancer had spread

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Early Stages of Prostate Cancer Most Easily
Treated

• Stage I Cancer cannot be felt during DRE. No
  evidence cancer has spread.
• Stage II Tumor can be felt during DRE or is
  found in biopsy done because high PSA. No
  evidence cancer has spread.

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Later Stages of Prostate Cancer Harder to Treat

• Stage III Cancer has spread outside the
  prostate to nearby tissues.
• Stage IV Cancer has spread to lymph nodes or to
  other parts of the body.

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Treatments

• Surgery (nerve sparing)
• Brachytherapy radioactive seeds
• External Beam Radiation Therapy
• Hormonal Therapy
• Combinations
• Watchful Waiting

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• Formed by six prostate cancer survivors and a
  strong medical advisory board
• Established to raise the awareness of the high
  risk of prostate cancer, to facilitate early
  diagnosis and to improve treatment

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Early Detection Program

• Provide free prostate cancer testing
• Screened nearly 400 men in 2001, our first year,
  and hope to double that number this year.

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Top Priority Education

• Membership Program
• Exhibits at Health Fairs throughout Arkansas
• Presentations to Community Groups
• Web Site www.arprostatecancer.org
• Multimedia Resource Center

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Advocacy
Prostate and Testicular Cancer Act of
2001 States Commitment to Mens
Heath Appropriation of 500,000
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September is Prostate Cancer Awareness Month
Mayors Who Joined the Governor in Proclaiming
September as Prostate Cancer Awareness Month in
2000 and/or 2001
ArkadelphiaCamdenBentonBauxiteBryantDardanell
eFayettevilleHarrison
HelenaJacksonvilleJonesboroLittle RockNorth
Little RockSaline CountySpringdale
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How Can We Help You ?

• Free prostate cancer testing check web site
• Membership Program
• Web Site www.arprostatecancer.org
• Resource Center
• APCF Office, 2nd Floor
• Pulaski Bank, 5800 R Street
• Little Rock, AR

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How Can You Help Us?

• The Arkansas Prostate Cancer Foundation is
  privately funded.
• Individual contributions help to make our work
  possible.

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Special Events

• Car Show and Cruise
• featuring
• Classic, Vintage, Custom Street Rods, Muscle Cars
  Motorcycles
• Held in September

Annual Silent Auction Held in Early Summer
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Volunteer We Need You !

• Spokesperson
• Help with Special Events
• Encourager
• Material Distribution
• Early Detection Program

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Help Us Spread the Word
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Closing Thoughts

• All men aged 40 and over should talk to their
  doctor about their risk for prostate cancer.
• We encourage all men 40 and over to have an
  annual DRE and PSA test.

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Closing Thoughts

• All men need to be informed about
• prostate cancer
• early detection
• treatment options

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Closing Thoughts

• The Arkansas Prostate Cancer Foundation is here
  to help all men in Arkansas have access to
  information they need so they will be better
  equipped and encouraged to take an active role in
  their own healthcare decisions.

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www.arprostatecancer.org