Adolescent
13 - 17 years of age
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- Early detection is key to successful treatment
- Types of tests – DRE, PSA, TRUS, Biopsy and MRI
- Timing of tests to be performed….
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- Second most common cancer among men in the United States
- African American men are more likely to be….
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- Race
- Genetic factors BRCA1 and BRCA2 genes HOXB13, MSR1, and ETV1 genes….
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- Age
- Diet
- Exposure to certain chemicals
- Medications Non-steroidal anti-inflammatory drugs (NSAIDs), Statins….
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- Smoking
- Hormone therapy
- Vitamin D….
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- 55 to 69 years of age
- DRE and PSA
- No routine screening for 70 or….
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- DRE digital rectal examination
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- detection of lumps, hard spots, or other changes in the prostate indicating the presence of cancer
- enlargement of the prostate, sign of benign prostatic hyperplasia
- tenderness, sign of prostatitis
- not reliable method of diagnosing prostate cancer
- in case of any abnormality, further testing needed to confirm the diagnosis
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- PSA protein produced by the prostate measured in blood
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- discuss over-diagnosis and over-treatment with your primary healthcare provider
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- TRUS transrectal ultrasound, non-invasive imaging technique
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- used to monitor the progression of prostate cancer and to assess the effectiveness of treatment
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- Biopsy sample of tissue from the prostate and examines it under a microscope to look for cancer cells
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- most accurate way to diagnose prostate cancer
- helps to rule out other conditions that may be causing symptoms similar to those of prostate cancer
- complications can include infection, bleeding, and pain; can be uncomfortable and may require a few days of recovery
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- MRI magnetic resonance imaging
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- more sensitive than other imaging techniques, such as transrectal ultrasound (TRUS) and computed tomography (CT), in detecting prostate cancer
- helps to identify the stage of the cancer
- can be used in conjunction with DRE and PSA to provide a more comprehensive assessment of the prostate
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Pros: Early Detection, Improved Quality of Life and Cost Savings
Cons: False Positives, Over-diagnosis and Costs