Prostate Cancer - Hill (Bishay)

Question 1

Risk factors for prostate Cancer

Answer 1

1) Age
2) Genetics
3) African American men
4) Diet
5) Environmet

Question 2

Comparing 2 PSAs over time is called

Answer 2

PSA velocity

Question 3

Normal blood level of PSA

Answer 3

<4ng/ml

Question 4

A PSA >10 correlates with what?

Answer 4

Greater positive biopsy rate (66%)

Question 5

AUA guidelines for Prostate Cancer: Panel recommends against PSA screening in men

Answer 5

Under 40 and over 70

Question 6

AUA guidelines for Prostate Cancer: Panel does not recommend PSA screening in what age group

Answer 6

40-54

Question 7

Low Risk for Prostate Cancer

Answer 7

PSA <10 and gleason score 6 or less

Question 8

PSAV greater than what is useful in identifying PCA

Answer 8

0.4

Question 9

Risk Factors - Causes of Prostate Cancer

Answer 9

Age
Race
Environment
Diet
Genetics/Family History

Question 10

Assessing the Prostate

Answer 10

Men > 50 should have a PSA blood test and DRE once a year. (High risk groups > 45)

Question 11

Amount of PSA compared to the size of the prostate gland is called?

Answer 11

PSA Density

Question 12

Factors that can change PSA

Answer 12

1) Prostate Cancer
2) BPH
3) Prostatitis
4) Trauma
5) Instrumentation
6) Mediciations

Question 13

Intermediate Risk for Prostate Cancer

Answer 13

PSA 10-20, Gleason Score 7

Question 14

High Risk for Prostate Cancer

Answer 14

PSA > 20, Gleason Score 8-10

Question 15

Goals of Active Surveillance for Prostate Cancer

Answer 15

1) Provide treatment for men likely to progress

2) Reduce risk of treatment who are not likely to progress

Question 16

Prostate Cancer Treatment Options

Answer 16

Surveillance & watchful waiting
Radiotherapy (external beam and interstitial)
Radical Prostatectomy
Hormone Therapy