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PCa%20PowerPoint%20Presentation

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Title: PCa PowerPoint Presentation Subject: Prostate Cancer Introduction Author: Ralph A. Valle Last modified by: Barbara Parker Created Date: 3/3/2000 1:36:37 AM – PowerPoint PPT presentation

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Title: PCa%20PowerPoint%20Presentation


1
HEY YOU!
Wake-up man
2
Hey Smart Guy!
Can you guess who can get prostate cancer?
Not you?
Well, guess again any male can get prostate
cancer
3
What do you know about prostate cancer?
Not Much!
  • Facts That Every Man Over 40 Should Know about
    Prostate Cancer

4
What 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)

5
What 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
6
What 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

7
How 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

8
How much of a threat?
  • Prostate cancer is the most diagnosed non-skin
    cancer in American men and the second leading
    cause of cancer death .

9
How 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

10
Who 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

11
Prostate 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.

12
Race 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
13
Family 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)

14
Diet 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

15
So 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.

16
Prevention
  • 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

17
How to Avoid an Advanced Stage Diagnosis
PSA
Early Detection is the AnswerMen are assuming
more responsibilityfor their health

18
No 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!

19
What 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.
20
Why 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

21
Testing 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)

22
Be 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.

23
Get checked at your health fair
  • Date
  • Time
  • Room
  • For more Information contact

24
What 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.
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