Prostate Cancer Information

Cancer is a disease characterized by the uncontrolled growth and potential spread of abnormal cells. The human body is made up of billions of cells that normally divide to reproduce themselves. Occasionally, cells abnormally divide too quickly.  Rapidly dividing cells can create a mass called a tumor. Some tumors are benign (noncancerous, no potential to spread). Others are malignant (cancerous). The growth of a benign tumor may interfere with body functions, such as urinating, but these tumors are seldom life threatening. On the other hand, malignant tumors, invade and destroy normal tissue. By a process called metastasis, cells break away from a cancerous tumor and spread through the blood and lymphatic system to other parts of the body, where they form new tumors. Sometimes cancer grows and spreads rapidly. In other cases, it develops and spreads slowly.

 

What is prostate cancer?

The prostate is a walnut-shaped gland that wraps around the urethra like a small donut (the tube that carries urine from the bladder out through the tip of the penis). As with many other organs of the body, cancer cells can grow inside the prostate. In certain more advanced cases, the cancer can spread beyond the prostate. Prostate cancer is the most commonly diagnosed type of cancer among all Americans (excluding basal and squamous skin cancers).  The incidence of prostate cancer increases with age. Some studies have shown an overall 2- to 3-fold increase in the risk of prostate cancer in men who have a history of this disease in their family. Family history is defined as prostate cancer in a brother, father, or an uncle.  It is more significant if a family member was diagnosed with prostate cancer at a younger age (less than 60 years old). The incidence rate of prostate cancer is nearly two times higher in African-American men than Caucasian men.

 

What causes prostate cancer?

The exact cause of prostate cancer is unknown. Prostate cancer is a group of cancerous cells (a tumor) that begins most often in the back portion of the prostate. A fatty diet, family history, older age and African American ethnicity are the only factors currently know to increase one’s risk for prostate cancer.  Sexual activity (or lack there of), vasectomy, smoking, and benign prostatic hyperplasia do not appear to be risk factors for prostate cancer. If left untreated, prostate cancer may spread from the prostate to nearby lymph nodes, bones, or other organs. This spread is called metastasis. As a result of metastases, many men experience aches and pains in the bones, pelvis, hips, ribs, and back.

 

Symptoms

Unfortunately, there are often no early warning signs of prostate cancer and without regular screening; prostate cancer can go undetected for years. In some cases, as the tumor grows it may exert pressure on the urethra, blocking the flow of urine from the bladder causing urinary symptoms. Occasionally the first warning sign may be blood in the urine.

 

Note: symptoms may not occur until the cancer has developed to an advanced stage.

Typical symptoms of prostate cancer:

  • NONE

  • Frequent urination (especially at night)

  • Weak urinary stream

  • Inability to urinate

  • Interruption of urinary stream (stopping and starting)

  • Pain or burning on urination

  • Blood in the urine or ejaculate

  • Bone pain in the hips, ribs or back

  • Back pain

 

Facts and Figures

New Cases: An estimated 220,000 new cases of prostate cancer will occur in the United States this year. Prostate cancer incidence rates remain significantly higher in African-Americans and in men with a family history of the disease.

Deaths: An estimated 27,000 deaths will occur this year due to prostate cancer, the second leading cause of cancer death in men. Although mortality rates are declining among white and African-American men, rates in African-American men remain more than twice as high as rates in white men.

Early Detection: Men age 40 and older who have at least a 10-year life expectancy should talk with their health care professional about having a digital rectal exam of the prostate gland and a prostate-specific antigen (PSA) blood test every year. Men who are at high risk for prostate cancer (African-American men and/or men who have a history of prostate cancer in close family members) should consider beginning these tests at age 35.

Survival: Ninety-one percent (91%) of all prostate cancers are discovered in the local (confined to the prostate) and regional stages; the 5-year relative survival rate for patients whose tumors are diagnosed at these stages approaches 100%. Over the past 20 years, the five year survival rate for all stages combined has increased from 67% to 98%. According to the most recent data, 84% of men diagnosed with prostate cancer survive 10 years and 56% survive 15 years.

Referenced: American Cancer Society Cancer Facts and Figures 2007

 

Download a copy of the American Cancer Society's Cancer Facts and Figures 2007.

 

For additional information on diagnosis, staging and treatment options for prostate cancer, you can download our detailed information sheet by clicking here.

 

Clinical articles available for download:

Long-Term Outcomes

Variations in Prostate Treatment

Relapse Free Survival in Clinical Stage T1 - T3 Prostate Cancer

 

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