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Understanding prostate changes : a health guide for all men (SuDoc HE 20.3158:P 94 2 999)
A risk factor is something that can raise your chances of having a problem or disease. It just means that your risk of disease is greater. Being 50 or older increases risk of prostate cancer. African-American men are at highest risk of prostate cancer—it tends to start at younger ages and grows faster than 20 21 in men of other races.
After African-American men, it is most common among white men, followed by Hispanic and Native American men. Asian-American men have the lowest rates of prostate cancer. Aside from race, all men can have other prostate cancer risk factors aging, family history, and diet. See the For More Information section to request the booklet about African-American men and prostate cancer screening. Prostate cancer risk is 2 to 3 times higher for men whose fathers or brothers have had the disease.
For example, risk is about 10 times higher for a man who has 3 immediate family members with prostate cancer. The younger a man is when he has prostate cancer, the greater the risk for his male family members. Prostate cancer risk also appears to be slightly higher for men whose mothers or sisters have had breast cancer. The risk of prostate cancer seems to be higher for men eating high-fat diets with few fruits and vegetables.
Can prostate cancer be prevented? National research studies are looking at how prostate cancer can be prevented. There is some proof that the drug finasteride lowers your risk of getting prostate cancer, but whether it decreases the risk of dying of prostate cancer is still unclear.
To find out more, see the For More Information section on page Prostate Cancer Screening Screening means testing for cancer before you have any symptoms. A screening test can often help find cancer at an early stage. When found early, cancer is less likely to have spread and may be easier to treat.
By the time symptoms appear, the cancer may have started to spread. If they are found by a screening test, the cancer may then be treated. Talk with your doctor about your risk of prostate cancer and your need for screening tests. They can help you find the best care, answer your questions, and address your concerns.
Your health history also includes any risk factors, pain, fever, or trouble passing urine. You may be asked to give a urine sample for testing. With a gloved and lubricated finger, your doctor feels the prostate from the rectum. The test lasts about 10—15 seconds. Talking openly with your doctors can help you learn more about your prostate changes and the tests to expect.
A PSA test is another way to help your doctor check your prostate. What do PSA results mean? PSA levels are measured in terms of units per volume of fluid tested. Doctors often use a score of 4 nanograms ng or higher as the trigger for further tests, such as a prostate biopsy. Rapid increases in PSA readings can suggest cancer. It is found in the blood and can be measured with a blood test. PSA tests are often used to follow men after prostate cancer treatment. PSA testing is still being studied to see if finding cancer early lowers the risk of dying from prostate cancer.
If your symptoms or test results suggest cancer, your doctor will refer you to a specialist a urologist for a prostate biopsy. Other things can also make PSA levels go up.
These may give a false positive test result. These include having BPH or prostatitis, or if the prostate gland is disturbed in any way riding a bicycle or motorcycle, a DRE, orgasm within the past 24 hours, and prostate biopsy or surgery can disturb the prostate. Also, some prostate glands naturally produce more PSA than others. PSA levels go up with age.
African-American men tend to have higher PSA levels in general than men of other races. For a biopsy, small tissue samples are taken directly from the prostate. Your doctor will take samples from several areas of the prostate gland. This can help lower the chance of missing any areas of the gland that may have cancer cells.
Like other cancers, doctors can only diagnose prostate cancer by looking at tissue under a microscope. Most men who have biopsies after routine exams do not have cancer. A man's decision to have a prostate biopsy requires a thoughtful discussion with his physician, considering not only the PSA level, but also his other risk factors, his overall health status, and how he perceives the risks and benefits of early detection. This test is used for men who have higher PSA values. The test looks at a form of PSA in the blood. More testing should be done.
Free PSA may help tell what kind of prostate problem you have. It can be a guide for you and your doctor to choose the right treatment. You and your doctor should talk about your personal risk and free PSA results. Then you can decide together whether to have follow-up biopsies and, if so, how often. If a biopsy is positive A positive biopsy means prostate cancer is present.
A pathologist will check your biopsy sample for cancer cells and will give a Gleason score. The Gleason score ranges from 2 to 10 and describes how likely it is that a tumor will spread. The lower the number, the less likely the tumor is aggressive and may spread. These items will be available from your doctor and are listed on your pathology report. Reaching a decision about treatment of your prostate cancer is a complex process.
Many men find it helpful to talk with their doctors, family, friends, and other men who have faced similar decisions. There are many organizations that can provide more information and support to you, your partner, and family. It is a good idea to get a copy of your pathology report from your doctor and carry it with you as you talk with your health care providers.
You can find out more from these free NCI services. Chat Online The opposite of acute is chronic. Alphablockers are used to treat BPH. Benign tumors do not spread to tissues around them or to other parts of the body. When doctors remove only a sample of tissue, it is called an incisional biopsy or core biopsy.