Manifestations of prostate cancer
That this is the biggestthe problem of cancer - the disease begins to disturb the person only when it has already gone too far and the chances for a cure declined significantly. Prostate cancer can be manifested frequent urination, pain in the perineum, blood in the urine and semen. But he can not celebrate any of these symptoms. Then, the first manifestation of the disease will become metastatic cancer. It can be a pain in the bones (in the pelvis, hips, spine), chest pain. In advanced cases may develop acute urinary retention, as well as symptoms of cancer intoxication - dramatic weight loss, weakness, pale skin with an earthy tone.
What will the urologist, when his turn a patient with prostate cancer
At the first treatment the patient feels a urologistthe prostate through the rectum (digital rectal examination). This simple and useful method allows to suspect prostate cancer. Unfortunately, if the tumor can be felt that the more often it is already one of the late stages of the disease, in which the operation will not help. Further, in cases of suspected cancer conducted a number of analyzes.
The best and most progressive method toToday is the determination of PSA in the blood - the so-called prostate-specific antigen. Is a substance, the amount of blood which drastically increases in the event of prostate cancer. The advantage of this method lies in the fact that today it is almost the only way to suspect prostate cancer at an early stage when it can still be removed. The method is very simple and for the patient looks like an ordinary blood test. The disadvantages of the method are its very low prevalence in Russia and its relatively high cost.
Other studies - ultrasound, x-ray techniques only allow to better define the size of the tumor and other organs of the state.
The definitive diagnosis of prostate canceris placed after the prostate biopsy - a special needle through the perineum or rectum takes a small piece of the prostate for examination.
Early diagnosis of prostate cancer?
Prostate cancer can be found atearly stage by examining the blood for the presence of prostate-specific antigen (PSA). In addition, the tumor can be detected by digital research body through the rectum. Thus it is possible to identify nodules or seal in the gland. These findings will provide the basis for further investigation. With an annual use of one of these methods can detect prostate cancer at an early, treatable stage.
When prostate cancer is detected inyoung age, he can reduce the lifetime, of course, if not diagnosed early. In case of detection of a tumor in the elderly, it can not be a big problem, because in this period of life the tumor usually grows very slowly.
Recommended PSA determination andof the prostate through the rectum annually for men 50 years of age. Men at high risk (if close relatives: father, brother, son had the disease at a young age) examination should begin with 45 years old.
If the risk of prostate cancerhigher (a few close relatives have suffered the disease at a young age), the examination should begin with a 40-year-olds.
Determination of PSA is also useful for evaluating the effectiveness of the treatment and detection of disease recurrence.
Ultrasonography (US), prostateprostate through the rectum helps not only identify the tumor, but also can help to biopsy the suspicious area. However, early diagnosis of prostate cancer this method is usually not used.