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WHAT IS THE PROSTATE GLAND?
The prostate gland is about the size of a walnut and surrounds the neck of a man's bladder and urethra—the tube that carries urine from the bladder. It's partly muscular and partly glandular, with ducts opening into the prostatic portion of the urethra. It's made up of three lobes, a center lobe with one lobe on each side.
As part of the male reproductive system, the prostate gland's primary function is to secrete a slightly alkaline fluid that forms part of the seminal fluid (semen), a fluid that carries sperm. The growth and function of the prostate depends on the male sex hormone testosterone, which is produced in the testes.
It's common for the prostate gland to become enlarged as a man ages, and it's also likely for a man to encounter some type of prostate problem in his lifetime.
As men get older their prostate gland often enlarges. This is usually not due to cancer. It is a condition called benign prostatic hyperplasia (BPH). BPH does not usually develop into cancer but an enlarged prostate may sometimes contain areas of cancer cells.
Very early prostate cancer generally does not cause any symptoms at all. Many prostate cancers start in the outer part of the prostate gland, away from the urethra. If a tumour is not large enough to put much pressure on the tube that carries urine out of the body (the urethra), you may not notice any effects from it.
The symptoms of growths in the prostate are similar whether they are non cancerous (benign) or cancerous (malignant). The symptoms include
Very rarely you may get
These are more often a symptom of non cancerous prostate conditions.
Cancer of the prostate gland often grows slowly, especially in older men. Symptoms may be mild and occur over many years. Sometimes the first symptoms are from prostate cancer which has spread to your bones but this is not common. Prostate cancer cells in the bone may cause pain in your
Cancer that has spread to other areas of the body is called metastatic or secondary prostate cancer. Other symptoms that may occur are weight loss, particularly in elderly men.
Age | |
A family history of cancer | |
Genes | |
Ethnicity | more common in black Caribbean and black African men than in white or Asian men. |
A previous cancer. | |
Hormones | |
IGF-1 (insulin like growth factor) | |
Vasectomy | |
Cadmium | |
Inflammation of the prostate |
Recently, though, reviews of the evidence have found that foods containing lycopene and selenium probably reduce the risk of prostate cancer.
Men with diabetes mellitus may have a lower risk of prostate cancer than the average man.
AspirinThere is some evidence that taking aspirin regularly may slightly reduce the risk of prostate cancer. It is important to remember that doctors and scientists don't recommend taking aspirin or other NSAIDs regularly. These drugs can damage the lining of your stomach and cause bleeding. Don't take aspirin or other NSAIDs regularly without checking with your doctor first.
Physical activitySome, but not all, the studies looking at physical activity and prostate cancer have found that men who are more physically active have a lower risk of getting prostate cancer.
90% | Acinar adenocarcinoma |
10% | Ductal adenocarcinoma |
Transitional cell (or urothelial) cancer | |
Squamous cell cancer | |
Carcinoid | |
Small cell cancer | |
Sarcomas and sarcomatoid cancers |
The PSA test PSA stands for prostate specific antigen. It is a protein produced by prostate cells and can be measured with a blood test. PSA levels can be raised if a man has prostate cancer. But the levels can also be raised when a man has other medical conditions, such as an enlarged prostate that is not cancer called benign prostatic hyperplasia or BPH. PSA can also be raised by prostate infection (prostatitis), exercise and sex. Some drugs used to treat a benign enlarged prostate can lower PSA. The PSA level also naturally tends to get higher as men get older.
If you have the test you should not have
The main treatments for prostate cancer are surgery, radiotherapy and hormone therapy. Doctors also sometimes use chemotherapy.
The main treatments for prostate cancer are surgery, radiotherapy and hormone therapy. Doctors also sometimes use chemotherapy.
Radical Prostatectomy
Surgery that completely removes the prostate gland, as well as the seminal vesicles and part of the urethra within the prostate.
There are 3 main types:
Nerve-sparing techniques can be used to try to preserve the nerves that control erections, rather than removing them with the prostate. If you have a more advanced or aggressive cancer, this may not be recommended as there is increased risk that cancer cells may remain. Most men have minimal pain and discomfort after surgery.