an informative and, dare i say, entertaining view of prostate cancer

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Prostate Cancer...and Why You Prostate Cancer...and Why You Needn’t Be Afraid to Drop Your Needn’t Be Afraid to Drop Your

TrousersTrousers

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

The Prostate

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

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One of These Men Will Face Prostate Cancer

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Known Risk Factor: Age

Age

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Known Risk Factor: Family History

Known Risk Factor: African Descent

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Known Risk Factor: High Fat Diet

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Possible Risk Factors: Inherited Genes

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Possible Risk Factor: Toxic Chemicals

Possible Risk Factor: STDs and Genital Warts

Possible Risk Factor: Lack of Vitamin D

Family history

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Possible Risk Factor: Obesity and Lack of Exercise

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Possible Risk Factor: Infrequent Ejaculation

Not Risk Factors

Benign prostate disease

Alcohol

Vasectomy

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Signs and Symptoms: Urgent, Frequent Urination

Signs and Symptoms: Blood in Urine

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Signs and Symptoms: Burning Urination

Signs and Symptoms: Weak, Interrupted Urination

Signs of Late Stage Prostate Cancer

Bone pain

Weight loss

Fatigue

Anaemia

WARNING

WARNING

WARNING

WARNING

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

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Diagnosing Prostate Cancer: Medical History

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Diagnosing Prostate Cancer: Digital Rectal Exam

Diagnosing Prostate Cancer: Digital Rectal Exam

Diagnosing Prostate Cancer: Digital Rectal Exam

Lumps Changes in size Changes to the feel of the gland

tissue

Average risk men 50-70+ years High-risk men start earlier

Identifies up to 60% of cancers DRE plus PSA identifies 26% more

cancers than PSA alone

What is the doctor looking for?

Who should have a DRE?

How effective is a DRE?

Diagnosing Prostate Cancer: PSA Test

Identifies 63-82% of cancers

Can identify cancer up to 4 years earlier than clinically detected

Excellent method to monitor cancer treatment

DRE plus PSA identifies 26% more cancers than PSA alone

High false positive rate Less specific in older men Leads to unnecessary

investigations Leads to unnecessary

treatment

ConsPros

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Diagnosing Prostate Cancer: Tests

Prostate Cancer Prognosis

PSA level Gleason score

(aggressiveness) Stage

Age Other health issues (co-

morbidity)

Main factors

Other factors

Treatment

Watchful waiting (active surveillance)SurgeryRadiation therapyChemotherapyHormonal therapy

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

Your “To-do” List

SEE YOUR FAMILY DOCTOR!Eat less fatEat a diet high in vegetables and fruitEat foods that contain lycopene and soyTake Vitamin D supplement (1000 IU/day)

At least 50% of cancer cases can be prevented through healthy living!

Dr. Tom Greavette, MD CCFPMcMaster Niagara Family Health Centre

22 Ontario StreetSt. Catharines, Ontario L2R 7M3

Tel: 905.984.3335

www.pagingdrtom.comtom@pagingdrtom.com