frequent urge to urinate
The neoplasm in the prostate gland is small, there are no metastases.
Prostate cancer is a malignant neoplasm in the prostate gland. It is diagnosed mainly in men aged 55-65 years.
Currently, prostate cancer is one of the most common oncological diseases. According to the World Health Organization, more than 1 million new cases and 300 thousand deaths from it are confirmed in the world every year. In the USA, prostate cancer ranks first among oncological pathologies in men - more than 160 thousand patients annually and 26 thousand deaths. In Ukraine, the prevalence of the disease is lower, but 6.5 thousand new cases are still registered annually.
Prostate cancer develops slowly and does not manifest itself in the early stages. Due to the absence of symptoms, the disease is diagnosed mainly in the late stages, when the tumor increases and causes deterioration of well-being.
Methods and effectiveness of cancer treatment directly depend on the time of diagnosis of the disease. The earlier the tumor is detected, the greater the likelihood of recovery.
The prostate is an exocrine gland located in the lower part of the pelvis in men, below the bladder and in front of the rectum. It consists of glandular and muscular tissues that provide 2 main functions. The first produces substances that make up seminal fluid. The second ensures the release of fluid from the glands during ejaculation and the blocking of the urethra during erection.
When cancer develops, a tumor forms in the peripheral parts of the prostate. Increasing in size, it begins to squeeze the urethra. Because of this, a man has problems urinating. The tumor can also grow into the bladder and rectum, causing bleeding from them. Prostate cancer can metastasize throughout the body.
Many people confuse prostate cancer with adenoma. The latter is a benign disease. During its development, the walls thicken and the prostate increases in size due to an increase in the number of normal cells. In connection with this, in recent years the disease has been called not adenoma, but benign prostatic hyperplasia.
However, although prostate adenoma is a benign disease, it requires treatment under the supervision of a urologist.
In the early stages, prostate cancer develops asymptomatically. A small tumor
does not cause functional impairment or pain, so the patient does not notice its appearance.
Symptoms occur when the tumor becomes large and begins to compress the urethra, or
grows into adjacent organs and metastasizes.
These symptoms are not specific. They can occur with prostatitis, prostate adenoma
and other diseases. To determine the diagnosis, you should consult a doctor and undergo diagnostics.
As the tumor grows, the following may occur:
frequent urge to urinate
feeling of incomplete bladder emptying
discomfort, straining during urination, interruption of the stream
urinary incontinence and blood impurities – may occur when the tumor grows into the urethra or bladder
Pain in the perineum – occurs when the tumor grows into the pelvic floor muscles
erectile dysfunction – occurs when the vessels and nerves of the pelvis are affected
swelling of the external genitalia – develops when the tumor grows into the pelvic lymph nodes
There are 4 stages of prostate cancer. They depend on the degree of differentiation of the tumor cells, its size, spread to lymph nodes and adjacent organs, and the presence of distant metastases.
Features of cancer at different stages:
The neoplasm in the prostate gland is small, there are no metastases.
The tumor occupies more than one lobe of the prostate, there are no metastases.
The tumor grows beyond the prostate, most often affecting the seminal vesicles, there are no metastases in the lymph nodes and distant organs.
The tumor can grow into adjacent organs, metastasize to regional and distant lymph nodes or other organs.
A urologist can diagnose a prostate tumor, but an oncologist is needed to determine the nature of the tumor. The doctor may also order other tests depending on the symptoms and examination results.
The following are used to diagnose prostate cancer:
The doctor determines the presence of a seal in the organ during palpation.
It is secreted in large quantities during tumor development (may increase with prostatitis, adenoma, and some other diseases).
Allows you to visualize the tumor and determine its size.
Taking a tissue sample for microscopic examination and determining the nature of the tumor.
It is prescribed to determine the exact size of the tumor, its spread to adjacent organs, and the presence of metastases.
The method of cancer treatment depends on the stage of the disease.
For oncological pathologies, the following may be prescribed:
The oncologist selects the optimal treatment program for each patient individually. For cancer, not one method is usually used, but a complex. For example, the patient may be prescribed a course of chemotherapy or radiation therapy before and after surgery.
Oxford Medical is a modern medical center with a high-tech oncology department and a surgical hospital. The clinic offers thorough diagnostics and treatment of prostate cancer in accordance with national and international protocols. We have installed new expert-class equipment and employ oncologists and surgeons who are rightfully considered among the best in Kyiv and Ukraine. Specialists have many years of experience and are familiar with all modern methods of treating cancer.
To make an appointment, call our contact center or write to the chat on the website.
To prevent prostate cancer, it is recommended to engage in physical activity and maintain a normal weight, eat a balanced diet - reduce the amount of fatty and meat products, increase the amount of plant foods. It is also advised to give up smoking, drinking alcohol and other bad habits.
Men after 45 years of age are recommended to visit a urologist once a year and take a blood test for prostate-specific antigen (PSA).
Prostate cancer is a fairly common disease among older men, so it is very important to undergo preventive examinations. With early diagnosis, the disease is successfully treated.
Prostate cancer usually develops slowly and without symptoms. The patient may not notice the disease for several years if he does not conduct a self-examination and does not visit a urologist. Symptoms appear when the tumor significantly increases in size, affects the lymph nodes and other organs.
When cancer is diagnosed at stage 1, more than 90% of cases can be cured. In patients who start treatment at stage 2, the 5-year survival rate is 80%, at stage 3 - about 40%, and at stage 4 - less than 20%.
Depending on the stage of prostate cancer, chemotherapy may be given either before or after surgery. In the first case, it is necessary to slow down the growth of the tumor and achieve its reduction, which will allow for a radical operation to remove prostate cancer. In the second case, chemotherapy is used to destroy the remaining malignant cells in the body, prevent relapse and treat metastases. It is also possible to prescribe chemotherapy for palliative purposes.