Tuesday - things that don't matter - Westra

Question 1

most common male cancer

Answer 1

prostate

Question 2

diagnosed in what age group

Answer 2

65-74

Question 3

5 year survival of prostate cancer?

Answer 3

99%

Question 4

Prostate cancer more common in what populations?

Answer 4

blacks

low in natives and asians

Question 5

twice as likely to have Prostate cancer if what

Answer 5

dad or brother has it

Question 6

What suppliments alter your risk for Prostate cancer

Answer 6

Folate - protective
Folic acid - increase risk
Calcium - increase risk
testosterone - high risk

Question 7

Agent orange chemical that causes Prostate cancer

Answer 7

Dioxin

Question 8

Things that were studied that don’t show change in risk for Prostate cancer

Answer 8

slenium
vit E
Diet
vitamins
lycopene (tomatoes)

Question 9

drug for prevention

Answer 9

finasteride

Question 10

symptoms

Answer 10

difficulty urinating
less stream
hematuria
pain while urinating/ejaculation
*hip pain! - metastasis to bone

Question 11

Detecting

Answer 11

PSA less than 4 is normal, more than 10 is bad.

Digital rectal
transrectal ultrsound
biopsy

Question 12

BPH has high what

Answer 12

% free PSA

Question 13

PSA velocity

Answer 13

how fast the PSA is rising
check yearly
over .75 is bad

Question 14

Future for screening

Answer 14

establish a baseline
new markers

controversy - does early screening improve quality of life, is there better outcome if treated early

Question 15

what does the USPSTF recommend

Answer 15

no screening unless sympomatic

Question 16

ACS and AUA recommendations

Answer 16

Shared decision making around 50-55

Question 17

If digital rectal exam (DRE) is abnormal, then what?

Answer 17

TRUS - trans rectal ultrasound

Question 18

Scoring system for Prostate cancer

Answer 18

Gleason
grade 1 - under 5
grade 2 - 5-7
grade 3 - over 7

1 and 2 are local

Question 19

treatment

Answer 19

just watch over time
 - if they're real old and it's not aggressive 
surgery
 - TURP or prostatectomy
 - probably if they're young, like 50
cryosurgery
 - freezing?

Question 20

Side effects of like all the treatments

Answer 20

damage to rectum, impotency, urinary incontenence

Question 21

Hormonal therapy

Answer 21

LHRH agonist
anti-androgens
orchiectomy
estrogens

Question 22

chemotherapy

Answer 22

if it’s real bad, recurrent.
docetaxel
cabazitaxel