The document discusses prostate cancer facts that men over 40 should know. It explains that prostate cancer is the most common non-skin cancer in American men and the second leading cause of cancer death. While symptoms may not always be present, early detection through annual PSA tests and digital rectal exams starting at age 40 or age 45 for those with risk factors can help find prostate cancer early and increase chances of survival. The document provides information on risk factors like age, race, family history and diet to help men understand their risk and need for screening.

1. Wake-up man…

2. Hey, Smart Guy!
Can you guess who can get
prostate cancer?
Not you?
Well, guess again… any
male can get prostate
cancer

3. THIS PRESENTATION
IS SPONSORED BY:
US TOO! INTERNATIONAL, INC

4. Prostate Cancer
Facts That Every Man Over 40
Should Know

5. WHAT IS
THE PROSTATE GLAND?

6.  The prostate is part of the male reproductive system
 Its major function is to secrete a fluid to nourish
semen during intercourse
 The prostate is about the size of a walnut but it can
grow with age
 It is located below the urinary bladder, in front of the
rectum surrounding the urethra (the canal for the
discharge of urine that extends from the urinary
bladder to the outside)

8. What Is Prostate Cancer?
Not
Much!
What do you
know about
prostate cancer?

9. What is Cancer
anyway?

10. • Cancer is a cellular disease
• It is a disordered and abnormal cell growth
• In prostate cancer, as in other types of cancer, cells grow
out of control and form tumors
• If the tumor is within the gland, the cancer is said to be
localized and curable
• If the cancer escapes the gland it is considered incurable
• Early detection before the cancer escapes the gland
becomes very important
EARLY DETECTION AND EFFECTIVE TREATMENT
WHEN THE CANCER IS LOCALIZED CAN
POSSIBLY SAVE YOUR LIFE

11. Possible Levels of Prostate Cancer At Diagnosis
Local-Regional Disease Spread
Tumor
Tumor
CAPSULE
GLAND
PROSTATE
Systemic Spread
Lymph
Node
Other Organs
Bone

12. What are the symptoms of prostate cancer?
 You might not have any at all!
 Often there are none, or they are not recognized
 Major symptoms:
 Urinary frequency
 Slow urinary flow
 Painful urination
 Blood in urine or semen
 Impotence
 Lower back or thigh pain

13. How Significant Is Prostate
Cancer?
 In the USA, 230,110 men will be diagnosed
with prostate cancer. That is one man
diagnosed every 3 minutes
 Prostate cancer deaths are estimated at
29,900 That is one death every 18 minutes
 In Texas, an estimated 11,600 new cases
were reported in 2002.
Source: Cancer Facts and Figures –2004- American Cancer Society and Texas
Department of Health

14. How much of a threat?
 Prostate cancer
is the most
diagnosed non-skin
cancer in
American men
and the second
leading cause of
cancer death .

15. Who Is at Most Risk?
 Prostate cancer is
almost twice as
common in African-
American men than in
Caucasian men
 African Americans are
more than twice as
likely to die when
diagnosed than
Caucasian men

16. Prostate cancer risk factors:
 Age: The risk increases with age, but 25% of
diagnoses are made under age 65.
 Race: African-Americans have a rate of incidence
double that of Caucasian men
 Family history of prostate cancer: Men with a
family history have two- to three-fold increase in the
risk of prostate cancer
 Diet: A diet high in saturated animal fat can double
the risk of developing prostate cancer.

17. Risk Factors
AGE RISK
45 – 49 : 23 per 100,000
50 – 54 : 103 per 100,000
55 – 59 : 273 per 100,000
60 - 64 : 568 per 100,000
65 + : 1,000 per 100,000
Source: SEER Incidence rates 1992 - 1996

18. Risk Factors
RACE
Incidence Death
Afr.-Am. 230.3 55.0
Cauc. 153.5 24.1
Hisp. 106.7 16.8
Asian 91.3 11.1
Source:
Rates per 100,000 and age-adjusted. SEER incidence and U.S. cancer death rates, 1990-95,
in Cancer 82: 1197-207, 1998 (SEER = NCI Surveillance, Epidemiology, and End-Results
Program

19. Risk Factors
FAMILY HISTORY
2.4 times increased risk for men with a first-degree
relative
(Spitz, et al, “Familial patterns of prostate cancer: A case-control analysis”, J Urol,
1991, 146:1305-1307)

20. Risk Factors
DIET
 Eating red meat increases the risk of developing prostate
cancer 2.64 times
 Red meat and dairy products are high in saturated fat rich
in arachidonic acid (a fatty acid)
 Vegetable oil is rich in alpha linolenic acid (a fatty acid)
 By-products of these fats promote the growth and
seriousness of prostate cancer
 Eating a diet high in fats also lowers the body’s defenses

21. So what CAN I eat?
 A balanced diet rich in fruits
and vegetables! (5
servings/day)
 Lower your intake of red
meat, processed and fried
foods. Eat more plant-based
food like soy protein.
 Watch portion sizes (3
oz meat/serving)
 Eat foods with lycopene
(tomatoes, watermelon
and red grapefruit) which
may be associated with a
decreased risk of prostate
cancer

22. PREVENTION
• Selenium supplements in the organic form
grown in yeast. (200
mcg)
• In randomized studies this dose reduced
the incidence of prostate cancer 63%
• Natural vitamin E (50 IU)
• Shown in clinical trials to reduce the risk
of prostate cancer by 40%

23. How does early detection
help?
 Survival rate at 5 years is
99% for those whose cancer
is still just in the prostate
gland (localized).
 Survival rate at 5 years for
those whose cancer has
spread beyond the gland
(late diagnosis) is only 31%

24. How to Avoid an Advanced
Stage Diagnosis:
Early Detection is the Answer
Men Assuming Responsibility
for Their Health
PSA
DRE

25. No Warning!
 Since symptoms can be
caused by other conditions
annual testing is KEY!
 Prostate Specific Antigen
(PSA), a blood test
 Digital Rectal Examination
(DRE), a physical exam
 Basic tools to find Prostate
Cancer EARLY!

26. What You Should Know About the PSA Test
 PSA is checked by a blood test
 The real value of the PSA test is in
testing year to year and observing
the rate of change
 Medical opinion is divided about
the usefulness of a single PSA
 One test out of range could be
caused by other problems
 PSA is not prostate cancer specific

27. Why do I have to have a DRE?
 In the DRE the doctor
examines you by feeling
the prostate gland through
the rectum with his finger
(digit)
 DRE improves the value
of PSA testing in early
disease detection
 DRE and PSA together are
often able to detect
prostate cancer better and
sooner than either test
alone

28. When do I need to start getting tested?
 DRE: 40 years and older every year
(American Cancer Society guidelines)
 PSA: 50 years and older every year
(American Cancer Society guidelines)
 If family history of prostate cancer and/or
African-American: 45 years and older every
year (American Cancer Society guidelines)

29. What if the doctor doesn’t offer
PSA and DRE?
 Some doctors do not offer
these tests to men at risk
 These men have the right
to request to be tested
annually if so desired
 You may have to insist on
being tested

30. Be a man!
 Take responsibility for
your health!
 Ask your doctor for a copy of
your results. The normal
range for PSA is 0.0 to 4.0
ng/ml. (This is just a guideline
range)
 Knowing your “PSA number”
lets you help track your own
health.
 Do not accept “your PSA is
fine” from your doctor
without getting a copy of the
real number.

31. What if my PSA is high?
 Infection needs to be ruled out
 Antibiotics are prescribed to rule out infection
 Free-PSA ratio test - Ordered if PSA remains high after antibiotics.
It helps detect the presence of prostate cancer. A free-PSA ratio of
15% or less indicates a high probability of prostate cancer
 Ultrasound and biopsy examination may be ordered if the Free-
PSA ratio indicates possible cancer

32. In Case of a Diagnosis With a
Positive Biopsy…
 Do not panic, learn your treatment options by
contacting your local US TOO prostate cancer
support group chapter.
To locate a local chapter call: 1-800-80-US TOO or
access their website at: http://www.ustoo.com
 Get a second opinion on the biopsy sample by a
pathologist specializing in prostate cancer .
Your treatment decision depends on a good
assessment of the biopsy material
 Get a second opinion about your diagnosis and
treatment options from an unbiased specialist in
prostate cancer treatment