This document discusses prostate cancer awareness and provides information about prevention, symptoms, treatment options and stages. It notes that prostate cancer is the second leading cause of cancer death in American men and that early detection is vital for survival. It describes exams like the digital rectal exam and PSA testing that are used to detect prostate cancer early before symptoms appear. If cancer is found, it explains treatment options depending on the stage, like watchful waiting, surgery, radiation and hormone therapy. It stresses the importance of education and consulting doctors to make informed healthcare decisions.

1. Quality Assurance Lunch and Learn Sessions:
Prostate Cancer Awareness -
Quality of Work - Quality of Life
Prevention, Symptoms and
Treatment
What’s
wrong with
my prostate?
? ?
?
Sponsored by the Chief Engineer’s Team and
Quality Assurance Dept in conjunction with BC Hydro Lifestyle Group

2. Why Quality Assurance?
Quality of Work - Quality of Life
QA is your in-house DRE
check we do the dirty
work so your projects come
out clean
I’m scared of
cancer so I won’t
check for it
In QA we are your pre-emptive
response unit
We promote quality of Work
and quality of life

3. Quality of Work - Quality of Life
Your thoughts….
What are my chances of
getting prostate cancer?
Where is this damned
prostate, anyways?
Who gets prostate cancer?
What are some risk factors?

4. What are my chances of getting
prostate cancer?
Quality of Work - Quality of Life
2nd leading cause of cancer
death in American men
1 in 6 men will be
diagnosed with prostate
cancer in their lifetime
If locally confined, 5-yr
survival rate is 100%
Chances of getting prostate
cancer: HIGH
In case of metastasis, 5-yr Chances of Survival: High IF
survival rate is 35% CAUGHT EARLY

5. Where is this damned prostate,
Quality of Work - Quality of Life
anyway?
Can’t see it
here!

6. Where is this damned prostate,
anyway?
Quality of Work - Quality of Life
Prostate is…
A sex gland in men
Size of a walnut
Responsible for producing fluid that sperm travels in
Located in front of the rectum, below the bladder
Wraps around the urethra

7. Jerry Sir Alec
Guinness John Kerry
Orbach
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Robert Deniro
Frank Zappa
Ayatollah
Khomeini
Who
gets Arnold Palmer
Timothy Leary prostate Nelson Mandela
Telly cancer? Colin Powell
Savala
s
Pierre
Trudeau
Bob Dole
Charles
de Gaulle

8. Quality of Work - Quality of Life
Prostate Cancer Risk Factors
Age
If you live long enough you will get prostate cancer
Race
African American men 60% more likely to have prostate cancer
Asian men Less likely to have prostate cancer
Family History
2 relatives with prostate cancer 5 times the risk
3+ relatives with prostate cancer guaranteed to have prostate cancer
Lifestyle Choice
Obesity
little physical activity
Smoking
high intake of fatty foods

9. Quality of Work - Quality of Life
Your thoughts….
What are symptoms?
How do I make sure I NEVER die
from prostate cancer?
What kinds of exams will I have
to take?

10. Prostate Cancer Symptoms
Quality of Work - Quality of Life
Early Stages
CAN BE ASYMPTOMATIC
Aching pains in genitals, lower abdomen, lower back
Problems with sexual function
Painful, frequent, urgent urination
Slow urine stream and retention
Blood in the urine
Advanced Stages
Loss of energy
Persistent swelling in legs
Pain in the back, spine, rib or hip
Hard growth on prostate
Enlarged lymph nodes

11. But I’m in great shape and
don’t feel sick
Quality of Work - Quality of Life
Do I really need my prostate
examined?
If you’re over 50 HELL
YES!! If you’re over 40
it doesn’t hurt
(figuratively speaking)

12. Quality of Work - Quality of Life
What kinds of
exams do I have
to take to make
sure I NEVER
die from
prostate
cancer?

13. Prostate Cancer Detection
Stage 1: Annual Digital Rectal Exam
Quality of Work - Quality of Life
Your doctor will insert a
gloved, lubricated finger
into your rectum
He will try to feel for
enlargement, lumps and
tenderness of the
prostate

14. Prostate Cancer Detection
Stage 1: Annual Digital Rectal Exam
Quality of Work - Quality of Life
Early
detection
of prostate
cancer is
VITAL for
survival

15. Prostate Cancer Detection
Stage 2: Prostate Specific Antigen
Quality of Work - Quality of Life
(PSA) Testing
Cell activity in the
prostate produces PSA
Higher than average PSA
levels in the bloodstream
is a sign of abnormal cell
multiplication in the
prostate

16. Prostate Cancer Detection
Stage 3: Prostate Biopsy
Quality of Work - Quality of Life
A thin needle is
inserted into
suspect areas
and small
sections of
tissue are
retrieved for
analysis

17. Quality of Work - Quality of Life
Your thoughts….
So what happens if they find
cancer?
What are the stages?
What are treatment options?

18. Quality of Work - Quality of Life
What are the stages?
Stage I Stage II Stage III Stage IV
Early stage: Locally Locally Advanced:
confined cancer advanced: spread to
spread to bladder,
seminal vesicles rectum,
spine

19. Quality of Work - Quality of Life
Watchful Waiting
For: Early stage, slow
growing, localized
cancer
Procedure: Monitor
growth regularly

20. Quality of Work - Quality of Life
Radical Prostatectomy
For: Stages I & II, accelerated growth
Procedure: Surgical removal of
the entire prostate
Procedure: ~ 3 hours, invasive

21. Laparoscopic Radical
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Prostatectomy
Less invasive,
faster recovery

22. Prostate Brachytherapy
Quality of Work - Quality of Life
For: Stages I & II,
accelerated growth
Procedure:
Templates and
ultrasound guidance
are used to place
radioactive
seeds/catheters into
the prostate to
irradiate the gland
Procedure:
~ 1 hours, minimally
invasive

23. Quality of Work - Quality of Life
Other Treatments
Treatment Stage Description Duration
External Any stage X-rays 30mins, 7-8
Beam directed from weeks, not
external source invasive
Cryosurgery Reserved for Nitrogen to 1 hour,
salvage freeze prostate minimally
cells invasive
Thermal Under research HIFU to burn 3 hours, very
Ablation prostate cells invasive
Hormonal Late stage, Chemicals Indefinite, life
(chemo) metastasis used to slow long, not
therapy progression invasive

24. Our Recommendations
Quality of Work - Quality of Life
Keep calm
Get educated
Get a good doctor & talk to
him
Talk to others with experience
Have any operation in a large
urban centre

25. Moral of the story….
Quality of Work - Quality of Life
Stop being stubborn and in
denial
GET TESTED!!
Any questions….