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An informative and, dare I say, entertaining view of prostate cancer

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I put this presentation together for my husband, a family doctor who presents to small community groups.

This marks my first attempt at following the Slide:ology approach.

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An informative and, dare I say, entertaining view of prostate cancer

  1. 1. Prostate Cancer...and Why You Needn’t Be Afraid to Drop Your Trousers
  2. 2. What is on Your Mind? What is Prostate Cancer? Am I at risk? How does one fight Prostate Cancer? What can I do today?
  3. 3. The Prostate
  4. 4. What is on Your Mind? What is Prostate Cancer? Am I at risk? How does one fight Prostate Cancer? What can I do today?
  5. 5. One of These Men Will Face Prostate Cancer
  6. 6. Known Risk Factor: Age Age
  7. 7. Known Risk Factor: Family History
  8. 8. Known Risk Factor: African Descent
  9. 9. Known Risk Factor: High Fat Diet
  10. 10. Possible Risk Factors: Inherited Genes
  11. 11. Possible Risk Factor: Toxic Chemicals
  12. 12. Possible Risk Factor: STDs and Genital Warts
  13. 13. Possible Risk Factor: Lack of Vitamin D Family history
  14. 14. Possible Risk Factor: Obesity and Lack of Exercise
  15. 15. Possible Risk Factor: Infrequent Ejaculation
  16. 16. Not Risk Factors <ul><li>Benign prostate disease </li></ul><ul><li>Alcohol </li></ul><ul><li>Vasectomy </li></ul>
  17. 17. Signs and Symptoms: Urgent, Frequent Urination
  18. 18. Signs and Symptoms: Blood in Urine
  19. 19. Signs and Symptoms: Burning Urination
  20. 20. Signs and Symptoms: Weak, Interrupted Urination Weak, Interrupted Urination
  21. 21. Signs of Late Stage Prostate Cancer <ul><li>Bone pain </li></ul><ul><li>Weight loss </li></ul><ul><li>Fatigue </li></ul><ul><li>Anaemia </li></ul>WARNING WARNING WARNING WARNING
  22. 22. What is on Your Mind? What is Prostate Cancer? Am I at risk? How does one fight Prostate Cancer? What can I do today?
  23. 23. Diagnosing Prostate Cancer: Medical History
  24. 24. Diagnosing Prostate Cancer: Digital Rectal Exam
  25. 25. Diagnosing Prostate Cancer: Digital Rectal Exam
  26. 26. Diagnosing Prostate Cancer: Digital Rectal Exam <ul><li>Lumps </li></ul><ul><li>Changes in size </li></ul><ul><li>Changes to the feel of the gland tissue </li></ul><ul><li>Average risk men 50-70+ years </li></ul><ul><li>High-risk men start earlier </li></ul><ul><li>Identifies up to 60% of cancers </li></ul><ul><li>DRE plus PSA identifies 26% more cancers than PSA alone </li></ul>What is the doctor looking for? Who should have a DRE? How effective is a DRE?
  27. 27. Diagnosing Prostate Cancer: PSA Test <ul><li>Identifies 63-82% of cancers </li></ul><ul><li>Can identify cancer up to 4 years earlier than clinically detected </li></ul><ul><li>Excellent method to monitor cancer treatment </li></ul><ul><li>DRE plus PSA identifies 26% more cancers than PSA alone </li></ul><ul><li>High false positive rate </li></ul><ul><li>Less specific in older men </li></ul><ul><li>Leads to unnecessary investigations </li></ul><ul><li>Leads to unnecessary treatment </li></ul>Cons Pros
  28. 28. Diagnosing Prostate Cancer: Tests
  29. 29. Prostate Cancer Prognosis <ul><li>PSA level </li></ul><ul><li>Gleason score (aggressiveness) </li></ul><ul><li>Stage </li></ul><ul><li>Age </li></ul><ul><li>Other health issues (co-morbidity) </li></ul>Main factors Other factors
  30. 30. Treatment <ul><li>Watchful waiting (active surveillance) </li></ul><ul><li>Surgery </li></ul><ul><li>Radiation therapy </li></ul><ul><li>Chemotherapy </li></ul><ul><li>Hormonal therapy </li></ul>
  31. 31. What is on Your Mind? What is Prostate Cancer? Am I at risk? How does one fight Prostate Cancer? What can I do today?
  32. 32. Your “To-do” List <ul><li>SEE YOUR FAMILY DOCTOR! </li></ul><ul><li>Eat less fat </li></ul><ul><li>Eat a diet high in vegetables and fruit </li></ul><ul><li>Eat foods that contain lycopene and soy </li></ul><ul><li>Take Vitamin D supplement (1000 IU/day) </li></ul>At least 50% of cancer cases can be prevented through healthy living!
  33. 33. Dr. Tom Greavette, MD CCFP McMaster Niagara Family Health Centre 22 Ontario Street St. Catharines, Ontario L2R 7M3 Tel: 905.984.3335 www.pagingdrtom.com [email_address]

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