What Are The Symptoms Of Prostate Cancer
In most cases, prostate cancer is silent. Due to the location of the prostate gland deep within the groin, a growing tumor would not be close enough to painfully press on any nearby organs or tissues. With that said, some men experience:
- Burning sensations during urination
- Difficulty starting and stopping urination
- A weak urine stream
- More frequent urination, especially at night
- Bloody urine
- Pain during ejaculation
- Bloody semen
More often, the cause of these symptoms is unrelated to prostate cancer, so its important to discuss them with a physician before drawing any conclusions. As part of the diagnostic process, a physician may perform a digital rectum exam to manually check the prostate and order a prostate-specific antigen test to measure the level of PSA in the blood.
Although an elevated PSA level may be a sign of prostate cancer, it could also indicate a noncancerous condition, such as prostate inflammation or enlargement . Therefore, if a PSA test reveals an elevated PSA level, a physician will typically order a biopsy to confirm or rule out a diagnosis of prostate cancer.
Signs Of Prostate Cancer Include A Weak Flow Of Urine Or Frequent Urination
These and other signs and symptoms may be caused by prostate cancer or by other conditions. Check with your doctor if you have any of the following:
- Weak or interrupted flow of urine.
- Sudden urge to urinate.
- Frequent urination .
- Trouble starting the flow of urine.
- Trouble emptying the bladder completely.
- Pain or burning while urinating.
- Blood in the urine or semen.
- A pain in the back, hips, orpelvis that doesn’t go away.
- Shortness of breath, feeling very tired, fast heartbeat, dizziness, or pale skin caused by anemia.
Other conditions may cause the same symptoms. As men age, the prostate may get bigger and block the urethra or bladder. This may cause trouble urinating or sexual problems. The condition is called benign prostatic hyperplasia , and although it is not cancer, surgery may be needed. The symptoms of benign prostatic hyperplasia or of other problems in the prostate may be like symptoms of prostate cancer.
Smilow Comprehensive Prostate Cancer Center
Where to Find Us
222 East 41st Street, 12th FloorNew York,NY10017
We combine competence with compassion to give you the personalized prostate cancer treatment you need.
When youve been diagnosed with prostate cancer, we understand that you have many decisions to make: which type of treatment should you choose? How aggressive should the treatment be? And whom should you trust with your care?
At NYU Langones Smilow Comprehensive Prostate Cancer Center, part of NYU Langones Perlmutter Cancer Center, we use personalized care coupled with evidenced-based medicine to identify which patients can benefit from aggressive treatment and those who can safely pursue a more conservative approach.
Our excellence in surgery, treatment outcomes, and imaging has made us one of the leading prostate cancer care centers in the country. Our nerve-sparing surgery techniques have revolutionized prostate cancer care and ended the days when men had to choose between fighting cancer and preserving their sexual function.
We offer the most up-to-date programs in prostate cancer screening and detection, which allows us to accurately assess your cancer risk and guide treatment recommendations. Our radiologists and urologists pioneered the use of MRI to identify areas of potentially aggressive disease so we can target biopsies. In addition, we are continually researching ways to improve prostate cancer screening and detection.
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National Cancer Institute Of Milan
This Italian oncological center is famous for its research and implementation of gene therapy of cancer and studies of mechanisms of development of different forms of cancer. Specialists, who work at the Institute, study thousands of functions of genes and protein cells as well as the way they interact and the effects such interactions might have on the human body. The wide range of modern research and treatment equipment allows the Institute specialists to carry out treatment of different forms of cancer in various stages of development. Great infrastructure and extensive experience make the National Cancer Institute in Milan one of the best oncological centers in the world.
Md Anderson Cancer Center
The University of Texas MD Anderson Cancer Center in Houston, Texas, is one of the three original Comprehensive Cancer Centers in the United States. MD Anderson is widely considered to be one of the foremost cancer hospitals in the world.
The MD Anderson Center provides care to over 135,000 people annually and employs more than 20,000 people.
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These Technologies Could Change Your Life For The Better
The da Vinci® Surgical Robot assists with laparoscopic prostatectomies and represents the most advanced prostate cancer treatment available today. The da Vinci® provides superior 3D visualization, as surgeons use its robotic arms to perform prostate surgeries through keyhole sized incisions. The actual surgical instruments are the size of match heads, ensuring precise control that results in:
- Less pain
There Are Three Ways That Cancer Spreads In The Body
Cancer can spread through tissue, the lymph system, and the blood:
- Tissue. The cancer spreads from where it began by growing into nearby areas.
- Lymph system. The cancer spreads from where it began by getting into the lymph system. The cancer travels through the lymph vessels to other parts of the body.
- Blood. The cancer spreads from where it began by getting into the blood. The cancer travels through the blood vessels to other parts of the body.
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What Are The Types Of Prostate Cancer
The most common type of prostate cancer, diagnosed in nearly all cases, is prostatic adenocarcinomas. All other prostate cancer types comprise an estimated 1-5% of cases. Prostatic adenocarcinoma develops in the glandular epithelial cells that line the prostate and can be categorized into two subtypes:
- Acinar adenocarcinoma Most prostate cancers are diagnosed as acinar adenocarcinomas. It produces elevated PSA levels and, since the cells grow in the back of the prostate near the rectum, the cancerous cells can sometimes be felt during a digital rectal exam, making this subtype easier to detect.
- Prostatic ductal adenocarcinoma A rarer, more aggressive form of prostatic adenocarcinoma, this subtype develops in the cells lining the tubes and ducts of the prostate gland. Its harder to detect and often develops alongside acinar adenocarcinoma.
Other, less common types of prostate cancer include urothelial cancer, neuroendocrine tumors, small cell carcinoma, squamous cell carcinoma and soft-tissue prostate cancer.
Moffitts Approach To Prostate Cancer Treatment
Having earned the prestigious Comprehensive Cancer Center designation from the National Cancer Institute , Moffitt Cancer Center has distinguished itself as one of the nations premier cancer centers. Through our extensive research, bench-to-bedside approach and robust clinical trials program, our patients have opportunities to be among the first to benefit from promising new prostate cancer treatments that are unavailable elsewhere.
The renowned Urologic Oncology Program at Moffitt features a multispecialty team that includes board-certified surgeons, radiologists, radiation oncologists, nurses, supportive care specialists and other medical professionals. Working together, these diverse experts develop a tailored treatment plan for each patient. Moffitt also holds weekly tumor board meetings to assess and monitor complex cases. These are just some of the ways in which we provide outstanding cancer care.
If you would like more information about prostate cancer, you are welcome to talk with a specialist in the Urologic Oncology Program at Moffitt Cancer Center. To request an appointment, please call or submit a new patient registration form online.
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Our Doctors Are Currently Seeing Patients Through In
When you call to schedule an appointment with our doctors, please let the team know if you want an in-person or video visit. If you request a video visit, our team will walk you through the simple process of arranging one. Call your preferred campus today to schedule an in-person or video visit* appointment.
* This service is open to new and existing patients.
If interested in scheduling a screening, or talk to your primary care provider.
WHY CHOOSE US
Expert Diagnosis Surveillance & Treatment For Prostate Cancer
NewYork-Presbyterians cancer centers the National Cancer Institutedesignated Herbert Irving Comprehensive Cancer Center of New York-Presbyterian/Columbia University Irving Medical Center, Weill Cornell Medicine Meyer Cancer Center in partnership with NewYork-Presbyterian and cancer centers at our hospitals in Westchester, Hudson Valley, Brooklyn and Queens offer men with prostate cancer research-based care from leaders in the field. Our urologic oncology teams choose the most effective treatment for each patient, tailored to the aggressiveness of his cancer.
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Memorial Sloan Kettering Cancer Center
Memorial Sloan Kettering Cancer Center is a non-profit hospital located in New York City. It was founded in 1884 as the New York Cancer Hospital by a group of philanthropists and businessmen including John Jacob Astor.
The center treats hundreds of subtypes of cancers each year at its many locations in New York state and New Jersey. These include the Evelyn H. Lauder Breast Center, the Sillerman Center for Rehabilitation, and the Bendheim Integrative Medicine Center.
Dr Ernest W Ramsey Manitoba Prostate Centre
The Dr. Ernest W. Ramsey Manitoba Prostate Centre at CancerCare Manitoba is the provincial centre for prostate disease. The centre provides timely access to diagnosis and therapy of both benign and malignant diseases of the prostate. You may be referred to the centre by your urologist or family physician for assessment and diagnosis by our health-care team.
Our multidisciplinary team of urologic surgeons, radiation oncologists, medical oncologists, nurses, a psychosocial clinician and registered dietitian offer assessment, diagnostics and treatment for men with prostate disease.
Patients and their families also receive education and supportive care, as well as co-ordinated access to additional resources as necessary.
If you are diagnosed with prostate disease, there are a number of treatments available and our team will help you to decide which is best for you.
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A Team Dedicated To The Highest Standard Of Care
The prostate is a small organ that is part of the male system of urinary and genital organs. It is located under the bladder and surrounds the urethra, which is a tube that drains urine from the bladder through the penis. The primary function of the prostate gland is to produce part of the fluid that makes up semen.
When cancer develops in the prostate, it is usually very slow growing and highly treatable. Some men might never even know they have the disease. Occasionally, prostate cancer will grow more quickly or spread outside the prostate thats when it becomes more life-threatening.
At UT Southwestern, our team of prostate cancer experts works with patients to understand each persons disease, providing personalized, compassionate care to achieve the best possible outcomes.
Many of our specialists are recognized as national leaders in the diagnosis and treatment of prostate cancer. Together, we take a collaborative approach, leveraging the expertise of a wide range of experts, including urologists, medical and radiation oncologists, radiologists, and pathologists, to provide each patient with the highest standard of care.
Experience Treating All Stages Of Prostate Cancer
Our prostate care teams include highly experienced urologic surgeons , medical oncologists, radiation oncologists, pathologists, diagnostic and interventional radiologists, fertility preservation experts, nurses, advanced practitioners, oncology social workers, registered dietitians, integrative health practitioners, support providers, and others dedicated to caring for men with all stages of prostate cancer.
OUR APPROACH TO CARE
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Cancer Support And Survivorship Programs
Cancer care can be overwhelming for you and your family. Thats why we offer many resources to help you stay well during and after treatment, including:
- Individual and group counseling to help you keep a positive outlook.
- Nurse navigators who can help you with everything from understanding your diagnosis to arranging transportation.
- Integrative oncology services that promote wellness through services like acupuncture, massage therapy, yoga and more.
- Nutritional support from registered dietitians who can help you find foods that keep your body strong during treatment and recovery.
- Survivorship services that help you thrive long-term by addressing the issues you face after successful cancer treatment.
Treatment Of Prostate Cancer Stage 4
With prostate cancer stage 4, the main type of treatment both for the primary tumor and its metastases is hormone therapy combined with radiation therapy and radiosurgery.
Hormone therapy also plays an important role in the treatment of prostate cancer stage 4, blocking the effects of testosterone, which is responsible for the rate of prostate cells division in prostate cancer stage 4. Depending on the indications, hormone therapy is used to suppress the production of the testosterone in the patient’s body, or to block its effects on prostate tissue.
Surgery for the treatment of prostate cancer stage 4 is used as a symptomatic therapy. The primary surgical technique of improving quality of life is minimally invasive transurethral resection of the prostate, which facilitates normal urine flow.
Transurethral resection implies inserting a special surgical instrument into the lumen of the urethra and creating a “pathway” for the destroyed tumor cells to leave. If the outflow of urine is obstructed but there is no tumor infiltration, a patient with prostate cancer stage 4 may undergo stenting of the urethra.
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Prostate Cancer Treatments May Affect Your Quality Of Life
Prostate cancer affects one in nine U.S. men. While a cancer diagnosis can be scary, prostate cancer has high survivor rates, especially when it is caught and treated early. For many prostate cancer patients, the treatment decision is less about choosing a life-saving option and more about protecting their quality of life after treatment. Certain treatments may cause side effects like frequent urination, pelvic pain or erectile dysfunction. Thats why it is important to turn to oncologists with expertise in diagnosing and treating the disease, so they can help you make informed decisions about your care.
A Biopsy Is Done To Diagnose Prostate Cancer And Find Out The Grade Of The Cancer
A transrectal biopsy is used to diagnose prostate cancer. A transrectal biopsy is the removal of tissue from the prostate by inserting a thin needle through the rectum and into the prostate. This procedure may be done using transrectal ultrasound or transrectal MRI to help guide where samples of tissue are taken from. A pathologist views the tissue under a microscope to look for cancer cells.
Sometimes a biopsy is done using a sample of tissue that was removed during a transurethral resection of the prostate to treat benign prostatic hyperplasia.
If cancer is found, the pathologist will give the cancer a grade. The grade of the cancer describes how abnormal the cancer cells look under a microscope and how quickly the cancer is likely to grow and spread. The grade of the cancer is called the Gleason score.
To give the cancer a grade, the pathologist checks the prostate tissue samples to see how much the tumor tissue is like the normal prostate tissue and to find the two main cell patterns. The primary pattern describes the most common tissue pattern, and the secondary pattern describes the next most common pattern. Each pattern is given a grade from 3 to 5, with grade 3 looking the most like normal prostate tissue and grade 5 looking the most abnormal. The two grades are then added to get a Gleason score.
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Why Choose Us For Prostate Cancer Care
- Prostate cancer specialists: Because our team is subspecialized in prostate cancer, you get the most comprehensive, most personalized care plan available.
- Unparalleled in proton therapy: Weve treated over 10,000 prostate cancer patients using proton therapy more than any other center in the world.
- Leaders in robotic surgery: Our surgeons perform more minimally-invasive robotic surgeries each year than those at any other teaching hospital in the West.
- State-of-the-art tech: As the largest urology group in the region, we offer you access to the most advanced technology available.
- Clinical trials: You have access to many clinical trials for prostate cancer, which may offer potential new treatments.
Prostate Cancer Treatment Information
Prostate cancer is the most frequently diagnosed malignancy in American men , and it is especially common after age 50. The cancer occurs when cells in or around the prostatea walnut-sized gland that produces seminal fluidundergo abnormal changes that cause them to grow and divide uncontrollably. The excess cells then bind together and form a tumor.
In many cases, prostate cancer is relatively slow-growing, which means that it can take several years to become large enough to be detected, and even longer to grow and spread outside the prostate. However, some cases are more aggressive and require more urgent treatment.
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Our Approach To Prostate Cancer
Prostate cancer is the most common type of cancer in American men. 1 in 8 men will develop it during their lifetimes. Owing to advances in early diagnosis and effective treatments, the majority of men with prostate cancer will not die from it.
Most men begin to suspect they have prostate cancer after obtaining an elevated PSA level or abnormal digital rectal examination. The PSA blood test measures the level of prostate-specific antigen in the blood.
The challenge for physicians is determining which patients with high PSA levels need invasive tests such as biopsies, and which patients diagnosed with prostate cancer need localized treatment to the prostate and surrounding tissues, such as surgery or radiation.
The Siteman Cancer Center is the only National Cancer Institute-designated Comprehensive Cancer Center in Missouri and is ranked among the top cancer facilities in the nation by U.S. News & World Report.
Read more about our mission, vision and history.
At Siteman, we diagnose and treat prostate cancer with the most sophisticated imaging techniques, diagnostics, and therapies available. Our multidisciplinary team sees approximately 1,000 new prostate cancer patients a year. Each patient receives an individualized treatment plan for his prostate cancer.
Hear from patients whove been treated for prostate cancer at Siteman.