an informative and, dare i say, entertaining view of prostate cancer

33
1 Prostate Cancer...and Why You Prostate Cancer...and Why You Needn’t Be Afraid to Drop Needn’t Be Afraid to Drop Your Trousers Your Trousers

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I put this presentation together for my husband, a family doctor who presents to small community groups. This marks my first attempt at following the Slide:ology approach.

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Page 1: An informative and, dare I say, entertaining view of prostate cancer

1

Prostate Cancer...and Why You Prostate Cancer...and Why You Needn’t Be Afraid to Drop Your Needn’t Be Afraid to Drop Your

TrousersTrousers

Page 2: An informative and, dare I say, entertaining view of prostate cancer

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

Page 3: An informative and, dare I say, entertaining view of prostate cancer

The Prostate

Page 4: An informative and, dare I say, entertaining view of prostate cancer

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

Page 5: An informative and, dare I say, entertaining view of prostate cancer

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One of These Men Will Face Prostate Cancer

Page 6: An informative and, dare I say, entertaining view of prostate cancer

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Known Risk Factor: Age

Age

Page 7: An informative and, dare I say, entertaining view of prostate cancer

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Known Risk Factor: Family History

Page 8: An informative and, dare I say, entertaining view of prostate cancer

Known Risk Factor: African Descent

Page 9: An informative and, dare I say, entertaining view of prostate cancer

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Known Risk Factor: High Fat Diet

Page 10: An informative and, dare I say, entertaining view of prostate cancer

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Possible Risk Factors: Inherited Genes

Page 11: An informative and, dare I say, entertaining view of prostate cancer

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Possible Risk Factor: Toxic Chemicals

Page 12: An informative and, dare I say, entertaining view of prostate cancer

Possible Risk Factor: STDs and Genital Warts

Page 13: An informative and, dare I say, entertaining view of prostate cancer

Possible Risk Factor: Lack of Vitamin D

Family history

Page 14: An informative and, dare I say, entertaining view of prostate cancer

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Possible Risk Factor: Obesity and Lack of Exercise

Page 15: An informative and, dare I say, entertaining view of prostate cancer

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Possible Risk Factor: Infrequent Ejaculation

Page 16: An informative and, dare I say, entertaining view of prostate cancer

Not Risk Factors

Benign prostate disease

Alcohol

Vasectomy

Page 17: An informative and, dare I say, entertaining view of prostate cancer

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Signs and Symptoms: Urgent, Frequent Urination

Page 18: An informative and, dare I say, entertaining view of prostate cancer

Signs and Symptoms: Blood in Urine

Page 19: An informative and, dare I say, entertaining view of prostate cancer

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Signs and Symptoms: Burning Urination

Page 20: An informative and, dare I say, entertaining view of prostate cancer

Signs and Symptoms: Weak, Interrupted Urination

Page 21: An informative and, dare I say, entertaining view of prostate cancer

Signs of Late Stage Prostate Cancer

Bone pain

Weight loss

Fatigue

Anaemia

WARNING

WARNING

WARNING

WARNING

Page 22: An informative and, dare I say, entertaining view of prostate cancer

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

Page 23: An informative and, dare I say, entertaining view of prostate cancer

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Diagnosing Prostate Cancer: Medical History

Page 24: An informative and, dare I say, entertaining view of prostate cancer

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Diagnosing Prostate Cancer: Digital Rectal Exam

Page 25: An informative and, dare I say, entertaining view of prostate cancer

Diagnosing Prostate Cancer: Digital Rectal Exam

Page 26: An informative and, dare I say, entertaining view of prostate cancer

Diagnosing Prostate Cancer: Digital Rectal Exam

Lumps Changes in size Changes to the feel of the gland

tissue

Average risk men 50-70+ years High-risk men start earlier

Identifies up to 60% of cancers DRE plus PSA identifies 26% more

cancers than PSA alone

What is the doctor looking for?

Who should have a DRE?

How effective is a DRE?

Page 27: An informative and, dare I say, entertaining view of prostate cancer

Diagnosing Prostate Cancer: PSA Test

Identifies 63-82% of cancers

Can identify cancer up to 4 years earlier than clinically detected

Excellent method to monitor cancer treatment

DRE plus PSA identifies 26% more cancers than PSA alone

High false positive rate Less specific in older men Leads to unnecessary

investigations Leads to unnecessary

treatment

ConsPros

Page 28: An informative and, dare I say, entertaining view of prostate cancer

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Diagnosing Prostate Cancer: Tests

Page 29: An informative and, dare I say, entertaining view of prostate cancer

Prostate Cancer Prognosis

PSA level Gleason score

(aggressiveness) Stage

Age Other health issues (co-

morbidity)

Main factors

Other factors

Page 30: An informative and, dare I say, entertaining view of prostate cancer

Treatment

Watchful waiting (active surveillance)SurgeryRadiation therapyChemotherapyHormonal therapy

Page 31: An informative and, dare I say, entertaining view of prostate cancer

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What is on Your Mind?

What is Prostate Cancer?

Am I at risk?

How does one fight Prostate Cancer?

What can I do today?

Page 32: An informative and, dare I say, entertaining view of prostate cancer

Your “To-do” List

SEE YOUR FAMILY DOCTOR!Eat less fatEat a diet high in vegetables and fruitEat foods that contain lycopene and soyTake Vitamin D supplement (1000 IU/day)

At least 50% of cancer cases can be prevented through healthy living!

Page 33: An informative and, dare I say, entertaining view of prostate cancer

Dr. Tom Greavette, MD CCFPMcMaster Niagara Family Health Centre

22 Ontario StreetSt. Catharines, Ontario L2R 7M3

Tel: 905.984.3335

[email protected]