Prostate cancer occurs as a result of the abnormal course of some cells that make up the prostate tissue, forming tumor structures. Early diagnosis of prostate cancer, which ranks second among cancer-related deaths, is very important. Some problems experienced in daily life can be a warning about prostate cancer.
ATTENTION TO STRESS WHEN URINATION
prof. Dr. Yılmaz Aslan on prostate cancer: “The prostate is a gland that exists in men and grows with age. It can cause some urinary complaints such as frequent urination, difficulty in urination, bifurcation, feeling of not being able to empty the bladder completely, waiting while urinating, dripping at the end of the urine. Urinary problems can be seen in almost 20-30 percent of patients over the age of 50, 50 percent in their 60s, and nearly 100 percent in their 70s and 80s. Both benign enlargement and cancer can occur in the prostate at the same time. However, prostate cancer can be detected as a result of tests performed due to benign growths.
COMPLAINTS DEPEND ON THE AGE OF THE PATIENT
If the patient applies to the doctor with urinary complaints and PSA elevation is detected in his routine examinations, the presence of cancer other than benign growth should be investigated in this patient. PSA alone is not decisive in the diagnosis. Because PSA can be affected by urinary infections, interventions or sexual intercourse. For this reason, it is not very healthy to subject the patient to an intervention based on PSA only. PSA value varies from person to person. While a 40-year-old patient may have a high PSA value of 3.0 ng/ml, a 3.0 ng/ml PSA value may be normal in a 70-year-old patient.
FAMILY STORY IS IMPORTANT
Assessment should be done on a patient basis. It is important to individualize sensitive balances such as the patient’s examination findings, complaints and family history for the patient. While trying to protect the patient from unnecessary examinations, it is necessary not to miss an insidious disease that will threaten life. There are a number of artificial intelligence applications and algorithms used by urologists to avoid unnecessary biopsy. However, none alone is sufficient. A personalized assessment should be made for the patient. “
BREAK EXAMINATION IS VERY IMPORTANT
In prostate diseases, rectal examination is very important and should not be neglected, said Dr. Yılmaz Aslan continued his words as follows:
“Because, in the rectal examination of a patient with a normal PSA, cancer can be detected. If this cancer has advanced enough to be palpable in the rectal examination, it should be taken seriously and evaluated accordingly. Anescal examination is a subject that patients often hesitate, but it is vital. PSA and rectal examination are the two basic principles used together. The sensitivity of the rectal examination is 60 percent. The rectal examination has the feature of detecting cancer alone in 18 of 100 patients, regardless of PSA. It is a fast, easy and inexpensive method that takes 30 seconds on average.
MEN ARE AT A 17 PERCENT RISK OF ACCESSING PROSTATE CANCER
A man has a 17 percent lifetime risk of developing prostate cancer. 3-4% of men die from prostate cancer. However, 13-14% of men can live with cancer and the cancer does not threaten their life. However, it is important to identify that 3-4 percent.