What is Prostate Cancer

Interviewer: We keep hearing the news, famous people that have prostate cancer. First of all what is prostate cancer? Doctor: Prostate cancer is a malignancy of the prostate. Prostate is a gland, that is on the base of the bladder which indicates and it gives you mostly a function of sex because it produces the fluid that comes out in the ejaculation. It means when you have sex, the fluid that comes out is 90% coming from prostate. Interviewer: So, what will make you suspicious? Doctor: You though maybe there was a possibility of prostate. The two things that would make you suspicious, one is, an elevated PSA. Interviewer1: That means you have this in some concerns. Doctor: The other one is an abnormal feeling prostate. Interviewer: That means what? Doctor: That means when you do digital rectum exam, when you examine the prostate with the finger, you will feel the prostate as I needed and feel some hard nodes or a nodule in one of the lobes of the prostate. Prostate usually start the cancer spots of the posterior area of the prostate. They will tell you that a lot of these cancers thoughts on the inferior. Most of the time the prostate saws on the posterior area, which is the posterior area near the rectum which makes it more accessible to the finger. Interviewer: So if you do the PSA was little bit elevated. You did an exam, you found a little bit hardness that are you talk about, and you thought a little nodule or something, what is your next step? Doctor: The next step is to make sure that the patient does not have or the person does not have an infection to the prostate. If they have an infection in the prostate, you have to treat the infection. You get the prostate, you massage to the rectum and there you check the fluid that comes out to urethra. You check that fluid under the microscope, if you have more than 10 white cells for high power field that indicates an infection. You treat that person for the infection. After the infection is cleared, now do a PSA. If the PSA is normal, you leave the person alone. If the PSA is almost four, you will do a prostate needle biopsy. However, if you cut down from the threshold of four, to 2-1/2 like a group of Catalonia are suggesting than you will increase the yielding, 30% of finding the cancer of the prostate. So it depends on how old you are. If you are under the age of 50, which is not recommended to do unless you have some type of risk factors, your PSA should be 2.5 or under. And over the age of 50, it should be 3.5 to 4. And if it is anything comes up 4, you have BPH Interviewer: Why do you think it is higher in a certain age and lower another range? Do you have a reason for there? Doctor: BPH as you said before is voiding and indicative or benign prostate hyperplasia which is the benign growth of the prostate rather than the cancer of the prostate. There are more cells that you have in the prostate, the higher the number because as like you have, more men pushing a piano that further they are going to push it and the easier the effort. If you have less men, more the effort you will have to do. So the prostate will grow from the age of 25 or 30 until the moment that you will die. The larger the prostate was start with, the larger the prostate will go to end with. Then more the time goes on, the PSA will go above and it will get to the age of four. So whenever age higher than the number four, then that is the indication that you should have a prostate needle biopsy because you suspect a carcinoma.