Prostate cancer; Signs & management
Benign prostatic hyperplasia is very common in men with aging. In some circumstances, the prostatic tissue undergoes malignant changes and abnormal cancerous cells appear in the prostate.
Medical studies showed that genetic factor plays the main role in developing prostate cancer; also there are other predisposing factors such as obesity and heavy smoking.
It's noted that clinical picture of the prostate cancer usually consists of symptoms and signs related to the urinary system not to the prostate itself, they include:
- Severe pain in the groin and pubic area.
- Dysuria and intermittent urination.
- Presence of blood in urine (hematuria) or semen (hematospermia).
The clinical picture isn't enough to confirm the diagnosis; the prostate should be examined through the rectum (P/R examination), also prostate tissue biopsy and CT examination are very important for staging and establishment the proper management strategy.
Management of prostate cancer usually includes surgical removal of the prostate (prostatectomy) in addition to chemotherapy or radiotherapy as a complementary therapeutic procedure.
In advanced cases; the testicles are removed as they are the main source of androgen hormone (cancerous cells depend on androgen hormone for growth and reproduction).