Title: PCa%20PowerPoint%20Presentation
1HEY YOU!
Wake-up man
2Hey Smart Guy!
Can you guess who can get prostate cancer?
Not you?
Well, guess again any male can get prostate
cancer
3What do you know about prostate cancer?
Not Much!
- Facts That Every Man Over 40 Should Know about
Prostate Cancer
4What is the Prostate Gland?
- The prostate is part of the male reproductive
system - Its major function is to secrete a fluid to
nourish semen during intercourse - The prostate is about the size of a walnut but it
can grow with age - It is located below the urinary bladder, in front
of the rectum surrounding the urethra (the canal
for the discharge of urine that extends from the
urinary bladder to the outside)
5What Is Prostate Cancer?
- In prostate cancer, as in other types of cancer,
cells grow out of control and form tumors - If the tumor is within the gland, the cancer is
said to be localized and curable - If the cancer escapes the gland it is considered
incurable - Early detection before the cancer escapes the
gland becomes very important
EARLY DETECTION CAN POSSIBLY SAVE YOUR LIFE
6What are the symptoms of prostate cancer?
- You might not have any at all!
- Often there are none, or they are not recognized
- Major symptoms
- Urinary frequency
- Slow urinary flow
- Painful urination
- Blood in urine or semen
- Impotence
- Lower back or thigh pain
7How Significant Is Prostate Cancer?
- In the USA, 230,110 men will be diagnosed with
prostate cancer. That is one man diagnosed every
3 minutes - Prostate cancer deaths are estimated at 29,900
That is one death every 18 minutes - Source Cancer Facts and Figures 2004- American
Cancer Society
8How much of a threat?
- Prostate cancer is the most diagnosed non-skin
cancer in American men and the second leading
cause of cancer death .
9How does early detection help?
- Survival rate at 5 years is 99 for those whose
cancer is still just in the prostate gland
(localized). - Survival rate at 5 years for those whose cancer
has spread beyond the gland (late diagnosis) is
only 31
10Who Is at Most Risk?
- Prostate cancer is almost twice as common in
African-American men than in Caucasian men - African Americans are more than twice as likely
to die when diagnosed than Caucasian men - Although all men are at risk
11Prostate cancer risk factors
- Age The risk increases with age, but 25 of
diagnoses are made under age 65. - Race African-Americans have a rate of incidence
double that of Caucasian men - Family history of prostate cancer Men with a
family history have two- to three-fold increase
in the risk of prostate cancer - Diet A diet high in saturated animal fat can
double the risk of developing prostate cancer.
12Race as a Risk Factors
Incidence Death Afr.-Am. 230.3
55.0 Cauc. 153.5 24.1 Hisp. 106.7
16.8 Asian 91.3 11.1
Source Rates per 100,000 and age-adjusted.
SEER incidence and U.S. cancer death rates,
1990-95, in Cancer 82 1197-207, 1998 (SEER NCI
Surveillance, Epidemiology, and End-Results
Program
13Family History as a Risk Factor
- 2.4 times increased risk for men with a
first-degree relative - (Spitz, et al, Familial patterns of prostate
cancer A case-control analysis, J Urol, 1991,
1461305-1307)
14Diet As A Risk Factor
- Eating red meat increases the risk of developing
prostate cancer 2.64 times - Red meat and dairy products are high in
saturated fat rich in arachidonic acid (a fatty
acid) - Vegetable oil is rich in alpha linolenic acid (a
fatty acid) - By-products of these fats promote the growth and
seriousness of prostate cancer - Eating a diet high in fats also lowers the
bodys defenses
15So what CAN I eat?
- A balanced diet rich in fruits and vegetables! (5
servings/day) - Lower your intake of red meat, processed and
fried foods. Eat more plant-based food like soy
protein. - Watch portion sizes (3 oz meat/serving)
- Eat foods with lycopene (tomatoes, watermelon and
red grapefruit) which may be associated with a
decreased risk of prostate cancer.
16Prevention
- Selenium supplements in the organic form
grown in yeast. (200 mcg) - --In randomized studies this dose reduced the
incidence of prostate cancer 63 - Natural vitamin E (50 IU)
- --Shown in clinical trials to reduce the risk
of prostate cancer by 40
17How to Avoid an Advanced Stage Diagnosis
PSA
Early Detection is the AnswerMen are assuming
more responsibilityfor their health
18No Warning!
- Since symptoms can be caused by other conditions
annual testing is KEY! - Prostate Specific Antigen (PSA), a blood test
- Digital Rectal Examination (DRE), a physical exam
- Basic tools to find Prostate Cancer EARLY!
19What You Should Know About the PSA Test
- PSA is checked by a fingerstick blood test
screening - Please note that an out-of-range results could be
caused by other problems so check with your
doctor - A follow-up visit to the doctor for a physical
prostate check (DRE) improves the value of your
PSA testing in early disease detection
DRE and PSA together are often able to detect
prostate cancer better and sooner than either
test alone.
20Why do I have to have a DRE?
- In the DRE the doctor examines you by feeling the
prostate gland through the rectum with his finger
(digit) - DRE improves the value of PSA testing in early
disease detection - DRE and PSA together are often able to detect
prostate cancer better and sooner than either
test alone
21Testing Guidelines
- DRE 40 years and older every year
- (American Cancer Society guidelines)
- PSA 50 years and older every year
- (American Cancer Society
guidelines) - If family history of prostate cancer and/or
African-American 40 years and
older every year (American Cancer Society
guidelines)
22Be a man!
- Take responsibility for your health!
- The normal range for PSA is 0.0 to 4.0 ng/ml.
(This is just a guideline range) - Knowing your PSA number lets you help track
your own health.
23Get checked at your health fair
- Date
- Time
- Room
- For more Information contact
24What if my PSA is high?
- See your doctor for a thorough examination.
Infection needs to be ruled out. - Antibiotics are often prescribed to rule out
infection - A free-PSA ratio test may be ordered if PSA
remains high after antibiotics. It helps detect
the presence of prostate cancer. A free-PSA ratio
of 15 or less indicates a high probability of
prostate cancer. Ultrasound and biopsy
examination may be ordered if the Free-PSA ratio
indicates possible cancer.