Prostate Cancer (Exam 2)

Question 1

When does Prostate Cancer Incidence Increase?

Answer 1

Incidence Increase rapidly after 50:

-80% of all cases in men >65 yrs of ager

Question 2

Controversy with prostate cancer

Answer 2

Prostate cancer is among most common cancer in men

Many cases of prostate cancer never become relevant

Most prostate cancers grow slowly so men die of other causes

PSA screening was widely adopted before we had evidence for supporting its use

Question 3

Prostate Cancer: Health Promotion

Answer 3

Start at age of 50 years and have discussion

Men at higher risk start at 45

Question 4

What men are at higher risk of prostate cancer?

Answer 4

First degree relatives with cancer before 65 years old and african americans

Question 5

Prostate cancer screening involves

Answer 5

PSA

with or without

DRE

Question 6

Prostate Cancer: Early Stage Treatment

Answer 6

Watchful waiting

Repeated digital rectal exam and PSA follow up

Question 7

Prostate Cancer Surgical Treatment

Answer 7

Radical Prostatectomy

Prostate removed

Question 8

Adverse Outcomes of Radical Prostatectomy

Answer 8

Erectile dysfunction (tends to return of 24 months)

Urinary incontinence (tends to return normal in a few months)

Question 9

Prostate Cancer: Radiation Therapy

Answer 9

Used alone or in combination with surgery

External (teletherapy) or internal (brachytherapy)

Question 10

Brachytherapy of prostate cancer

Answer 10

Seeds are implemented into prostate

Question 11

Prostate Cancer Drug Therapy

Answer 11

Androgen deprivation therapy

Chemotherapy for metastasis