Prostate Cancer
Prostate cancer is the most commonly diagnosed cancer in men in the U.S.
Prostate cancer is the second leading cause of cancer deaths in men, following lung cancer. The prostate is a walnut-sized gland located in front of your rectum and underneath your bladder.
Prostate cancer is common in men older than 65. It usually grows slowly and can take years to grow large enough to cause any problems. As with other cancers, treatment for prostate cancer works best when the cancer is found early. Often, prostate cancer that has spread responds to treatment.
Treatment Options
Detection & Testing
Screening for prostate cancer can help check if you have cancer. Screening tests often include a digital rectal exam (DRE) and a prostate-specific antigen (PSA) blood test. Talk with your health care provider about the pros and cons of regular screening starting at age 50 or earlier if you are at higher risk. A prostate biopsy may be done if your provider thinks you have prostate cancer. A thin needle is used to remove small samples of prostate tissue to check for cancer. Your health care provider may recommend an MRI fusion prostate biopsy in certain circumstances.
After the diagnosis of prostate cancer, you will likely have other tests to help your medical team learn more about your cancer. These tests might include:
- Bone scan: This test shows whether cancer has spread to your bones.
- CT scan: This test helps find out it prostate cancer has spread into lymph nodes, the pelvis or other organs.
- MRI: This scan is used to view the prostate and other organs and tissues nearby.
- MRI fusion prostate biopsy: A biopsy is the removal of small pieces of tissue to test. After an MRI of the prostate is performed to detect any lesions or suspicious areas, it can be "fused" with the live ultrasound during the biopsy. This technology allows the physician to directly target prostate tissue samples for better detection and treatment options.
- Lymph node biopsy: Lymph node biopsies are not that common in prostate cancer. A biopsy may be done if tests show that you may have cancer in your lymph nodes or other areas of your body. A biopsy may also be done if scans show that lymph nodes are larger than normal. Treatment for prostate cancer is different if it has spread to the lymph nodes or other areas of your body.
Know the Warning Signs
- Needing to urinate frequently, especially at night
- Difficulty starting urination
- Weak or interrupted flow of urine
- Painful or burning urination
- Difficulty in having an erection
- Blood in urine or semen
- Painful ejaculation