Prostatic Disease - nodular prostate indicates prostates cancer and a tender squashy prostate may indicate prostatitis Investigations are often

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Prostatic Disease Epidemiology About 43% of men over the age of 65 have some symptoms of BPH. Prostate cancer is second only to lung cancer as a cause of cancer death in men, however many cases are slow growing and impact minimally on a patient’s life. By the age of 80, 80% of men will have prostate cancer. In such men, diagnosing prostate cancer is over diagnosis - the needless identification of a technically aberrant condition that will never harm the patient - and treatment in such men exposes them to all of the adverse effects, with no possibility of extending their live. Prostatitis is more common in younger and middle aged men. Diagnosis The clinical history is important. Physical examination usually includes a Digital Rectal Examination (DRE). On examination smooth enlargement of the prostate suggests BPH, while a hard, irregular and
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Unformatted text preview: nodular prostate indicates prostates cancer and a tender squashy prostate may indicate prostatitis. Investigations are often needed to confirm diagnosis and plan treatment. Investigations often include:-• Blood tests o Renal function – is often needed if the patient has had problems with flow or retention o PSA – is used to monitor Prostate Cancer • Urine MC&S • Urodynamic studies – to assess problems with urine flow • Imaging o Transrectal ultrasound – to visualise the size and consistency of the prostate o CT/MRI scans – to visualise the size and consistency of the prostate o Isotope bone scans – to look for metastatic bone spread in prostate cancer • Core biopsies o Taken during transrectal ultrasound to look for malignant cells...
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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