Prostate Cancer Flashcards
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.
40%
16%
2.9%
What is the most common non-cutaneous cancer in American men and second leading cause of cancer related death in men?
Prostate Cancer.
MOST prostate cancers are detected due to what?
because of elevations in serum PSA (Not DRE)
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
a) 8-30%
b) 50% and 70%
Miscellaneous labs used for what?
BUN and Creatinine
Alkaline phosphatase and calcium
CBC
(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
What is the standard method for detection and confirmation of prostate cancer
Transrectal ultrasound guided biopsy
All patients with a _______ on DRE or elevated PSA MUST be referred to urology.
focal nodule, or induration
Imaging
(1) Transrectal ultrasonography
(2) MRI - Evaluating the prostate and regional lymph nodes
(3) Bone scan - Evaluating for bony metastases