Prostate cancer is the second most frequently diagnosed cancer in men, right after lung cancer. In recent years, the incidence of prostate cancer has been increasing in Poland, as well as - albeit to a lesser extent - mortality. This is the opposite of the West. How to change it? First of all, men should be encouraged to undergo regular examinations that will allow to detect prostate cancer at an early stage of development - experts argued during the conference "Prostate cancer 2015".

Prostate canceris the second most frequently diagnosed cancer in men, after lung cancer, and the fifth most common cause of death. Annually, 1.1 million new cases are diagnosed in the world. The highest incidence is recorded in Australia and New Zealand (112 per 100,000 men), while mortality in African countries, among dark-skinned people. It is the black race that is one of the risk factors for developing this disease, as well as age. Prostate cancer is most often diagnosed after the age of 65 (71% of cases), with the highest incidence occurring in 80-84. year of life.

Prostate cancer in Poland - morbidity and mortality increase

The incidence of prostate cancer has been increasing in recent years, as well as - although to a lesser extent - mortality. According to Dr. Urszula Wojciechowska from the National Cancer Registry and the Oncology Center-Institute in Warsaw, in 2015, 14,000 patients will be detected. new cases of prostate cancer, and 5 thousand. patients with previously diagnosed disease will die. For comparison - in 2012, 10,948 men fell ill with prostate cancer, and 4,199 died. The opposite tendency is observed in Western Europe and the United States, where the incidence and mortality of this cancer are decreasing. All thanks to the use of the latest treatment methods and early diagnosis.

Prostate cancer - what are the symptoms?

In most cases, prostate cancer is an early, "mute" cancer that does not give symptoms - notes Dr. Krzysztof Antoni Bardadin from the Department of Pathomorphology of the Medical University of Warsaw. That is why you need to persuade men over 60 to regularly check their PSA - she adds.

This will be useful to you

PSA - standards. Test results - how to interpret them?

  • 0-4 ng / l - norm
  • 4-12 ng / l - "gray area"
  • 12-20 ng / l - it may be prostate cancer, so further tests need to be done quickly
  • >20 ng / l - you can almost be sure it's prostate cancer. Confirmation needed

Prostate cancer - when is a core needle biopsy?

As Dr. Bardadin emphasized, thanks to the finger examination of the prostate gland and the PSA test, a man can be sure that prostate cancer does not threaten him yet. However, in case of doubt, a transrectal ultrasound examination (TRUS) and the so-called core needle biopsy of the prostate gland. Depending on the doctor's suspicions, a biopsy is performed:

  • extended (mapped, topographic) - performed when the doctor suspects a high probability of cancer
  • targeted (six-line, sextant) - performed when prostate cancer is suspected or when it is known that it is cancer, but its extent is clinically undefined
  • formal biopsy - when PSA is>100 ng / l - it is certain that it is prostate cancer

Category:

Oncology