Prostate cancer is the most common cancer in men. It causes more than 8,000 deaths, or about 1 death per hour. Pain, tiredness… What are the symptoms of a prostate tumor? In the advanced stage?
it’s cancer more common in men with approximately 50,000 new cases discovered each year in France. Prostate cancer is responsible for more than 8000 deaths, That’s it 1 death every hour. On the occasion of movember that promotes the detection of prostate cancer every November, we took stock of the Signs that may alert (or not) of prostate cancereither in beginning disease or a more advanced stagewith Dr. Natacha Naoun, an oncologist specializing in genitourinary oncology at Gustave Roussy.
What are the first symptoms of prostate cancer?
“Most of the time, prostate cancer does not give symptoms, it is said to be asymptomatic, Dr. Natacha Naoun responds immediately. the symptom that may give rise to fortuitous identification, when any, may be urinary signs with difficulty urinating and/or bleedingand the digestive signs since the posterior part of the prostate is close to the rectum but all this is extremely rare when the cancer is localized. Generally, the man discovers it during a balance due to urinary disorders or psa test (prostate specific antigen)”
Is prostate cancer responsible for urinary disorders?
The prostate is located below the bladder, hence the fact that a problem with the prostate can manifest as urinary dysfunction (frequent urination, feeling of inability to empty the bladder, difficulty urinating…) but it is not necessarily a sign of cancer. “The prostate is a gland that tends to degenerate into hypertrophy with age.is a phenomenon normal and progressive that can be accompanied by an increase in its volume called “adenomaor benign prostatic hyperplasia, explains Dr. Naoun.
Prostate adenoma does not mean cancer.
The adenoma is the one that gives the most symptoms, including urinary symptoms. The adenoma is benign and not related to cancer.“ In case of urinary disorders, it is advisable to consult the urologist or treating physician to see if there is an adenoma. “This time, prostate cancer can be found through PSA assay or tissue analysis when adenoma is removed to alleviate urinary disorders (but this is not systematic, adenoma does not mean cancer, editor’s note) ” says Dr. Naoun.
Can prostate cancer cause physical symptoms?
“Most of the time, none. The person feels fine” responds our interlocutor. When there are physical symptoms. “Most of the time they are related to the prostate adenoma, which can lead to the discovery of cancer, but it is not the cause of it.”. A advanced disease can cause physical symptoms “but they are not specific to prostate cancer and can be seen in other types of cancer.”
“Advanced disease can manifest as bone pain”
What are the symptoms of advanced prostate cancer?
About 10% of prostate cancers are metastatic from the start that is, when they are discovered. People who have localized forms of cancer can also progress to metastatic forms. “The primary site of metastasis from prostate cancer is bone.advanced disease may manifest as bone pain. explains the oncologist. The man can also present a deterioration in general condition, fatigue, weight loss, loss of appetite “but this signs of metastatic disease are not specific for prostate cancer. They may be metastases from other cancers, as prostate cancer occurs at an age when the risk of cancer is already higher.” She continues.
Does prostate cancer cause pain?
“There is no specific pain for prostate cancer” replies Dr. Naoun. If the pain does not go away, see the treating doctor to discuss it. A advanced stagethere may be effortsin particular bone since bone is the main site of metastatic spread of prostate cancer.
At what age does prostate cancer appear?
“The average age of onset of prostate cancer is around 68 years, in any case beyond the age of 65 years. there are also some early forms in subjects of African and Afro-Caribbean origin, and when there is a history of prostate cancer in the family, especially if the related has fallen sick young man” replies Dr. Naoun.
When to consult your doctor?
“You don’t have to trust the symptoms to talk to the doctor but anticipate” recommends Dr. Naoun. Therefore, it is advisable for all men to discuss possible prostate cancer screening with their treating physician. 50 years “even earlier, around 40-45 years old, depending on your ethnicity (African/Afro-Caribbean) and family background”. It is important to inform the doctor, during this consultation, of cases of prostate cancer, but also breast, ovarian or pancreatic cancer in the family. “In the context of mutations that can be hereditary, we can find cases grouped in the family” says our interlocutor. There is not there is no organized screening for prostate cancer (as it exists for breast cancer in women, editor’s note) because “We are not sure that early diagnosis is relevant. There is debate. For subjects of a certain age who have had a PSA done, there is a risk of over-treating them and worsening their general state of health due to a cancer that probably would not have been removed, so screening is done on one case – by case”. explains our interlocutor. In case of doubt, the doctor will request a dosage of the PSA.
An elevated PSA level is not 100% indicative of prostate cancer.
“PSA is the specific antigen of the prostate, it is a blood marker of prostate cancer but its increase does not mean in 100% of the cases that there is cancer. It can also increase in case of prostatitis (inflammation or infection of the prostate). , editor’s note), warns the oncologist. SIf it’s high on a first dose, we’ll check it again.“ Other explorations can be carried out depending on the results: digital rectal examination, magnetic resonance imaging of the prostate or even prostate biopsies.
Can a woman have symptoms of prostate cancer?
Nope, a woman cannot have symptoms of prostate cancer since she does not have a prostate. “The prostate is a gland that exists only in men and is part of the male reproductive system” remembers Dr. Naoun. Therefore, there is no prostate cancer in women.
Thanks to Dr. Natacha Naoun, an oncologist specializing in genitourinary oncology at Gustave Roussy.
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