Prostate Cancer

Question 1

A 50-year-old American man has a lifetime risk of __% for latent cancer, __% for developing clinically apparent cancer, and a __% risk of death due to prostatic cancer.

Answer 1

40%
16%
2.9%

Question 2

What is the most common non-cutaneous cancer in American men and second leading cause of cancer related death in men?

Answer 2

Prostate Cancer.

Question 3

MOST prostate cancers are detected due to what?

Answer 3

because of elevations in serum PSA (Not DRE)

Question 4

Prostate specific antigen (PSA) will be elevated (greater than 4.0ng/ml)

(a) _____% of men with intermediate degrees of elevation (4.1-10 ng/mL) will be found to have prostate cancer
(b) ____% of men with elevations greater than 10 ng/mL will be found to have prostate cancer

Answer 4

a) 8-30%

b) 50% and 70%

Question 5

Miscellaneous labs used for what?
BUN and Creatinine
Alkaline phosphatase and calcium
CBC

Answer 5

(a) BUN and Creatinine - Assessing for renal impairment with urinary retention
(b) Alkaline phosphatase and calcium - Assessing for bony metastases
(c) CBC - Assessing for anemia

Question 6

What is the standard method for detection and confirmation of prostate cancer

Answer 6

Transrectal ultrasound guided biopsy

Question 7

All patients with a _______ on DRE or elevated PSA MUST be referred to urology.

Answer 7

focal nodule, or induration

Question 8

Imaging

Answer 8

(1) Transrectal ultrasonography
(2) MRI - Evaluating the prostate and regional lymph nodes
(3) Bone scan - Evaluating for bony metastases