1.4 million men are diagnosed with prostate cancer each year

1.4 million men are diagnosed with prostate cancer each year, According to the GLOBOCAN 2020 results updated by the World Health Organization in 2020, which includes world cancer data, prostate cancer is the second most common cancer in men, it constitutes 14.1% of newly diagnosed cancers in men, and it affects 1.4 million men all over the world every year. He reported that 1.5 million men have been diagnosed with prostate cancer. According to these data, 375,000 men die from prostate cancer every year in the world, and prostate cancer ranks 5th among the cancers that cause death in men. According to the GLOBOCAN report of the World Health Organization, 19 thousand 444 men were diagnosed with prostate cancer in 2020 in Turkey.

In prostate cancer screening, it is important that the urologist performs prostate examination and determines the PSA level in the blood. If you have a familial risk, we recommend starting these screenings at age 40. If you do not have a familial risk, regular screening should be done after the age of 60, usually in the 50s, if the urological evaluation and the determination of the blood PSA level together with it, and if there is no negativity as a result of this evaluation. When the mortality rates in the mid-90s, when prostate cancer screening programs started in North America and Western Europe, are compared with today’s prostate cancer-related mortality rates, the reason for the significant decrease is both the widespread use of screening programs for early diagnosis (physical examination and PSA control) and treatment options. developments are reported. 

If an abnormality is detected in the prostate examination and/or there is a high PSA value measured in the blood, diagnostic procedures are started. We used to do a direct prostate biopsy, but nowadays we take an MRI of the prostate before the biopsy to guide us during the prostate biopsy. Then, we perform the prostate biopsy procedure, guided by the findings provided by MR imaging. With the prostate MR Fusion biopsy method, we can diagnose prostate cancer with higher accuracy rates compared to the past. Whole body imaging is performed in order to stage the disease in patients diagnosed with cancer after biopsy sampling. After that, treatments are planned according to the location, grade and extent of the tumor. 

Early diagnosis is important for successful treatment and longer survival.

As the years pass, the awareness in the society is increasing. In such a common cancer, screening programs have now found their place. Urological examination and PSA values ​​are important for screening purposes. Early diagnosis means more successful treatments, which means longer survival. That’s why I think the most valuable thing is for people to be conscious and to have regular checkups and scans. In this way, the results of people who are diagnosed early are more successful. In the last 20 years, surgical methods, primarily robotic surgery, used by surgeons, devices and protocols used by radiation oncologists, and radionuclide treatments applied by nuclear medicine specialists are promising. Also, although there is limited data yet, Smart drugs used by medical oncologists, such as immunotherapy, also known as immune system treatments, also provide great advantages to patients. 20 years ago, we had limited treatments. Currently, our treatment options that we can use in different stages of the disease have really increased. 

Personalized treatments are applied not only in prostate cancer but also in all cancers. All treatments started to be applied individually. This is already a result of technology and increasing knowledge. 

It is wrong to avoid prostate examination for cultural reasons.

Early diagnosis is very important. Especially in our country and most of the eastern societies, unfortunately, there are situations such as shame, fear and hesitation due to the way prostate examination is done culturally. However, there is no reason to avoid such a simple examination in order to prevent such a common cancer. Prostate examination should be performed on the patient, PSA test should be checked, and in the light of these, the patient should be evaluated for prostate cancer. Especially people with a family history of prostate or breast cancer should have their first examination in their 40s. 

No signs of prostate cancer

Prostate cancer does not have many symptoms. Prostate cancer may not show any symptoms because the prostate is an organ that already exists and tends to grow in nature in the 50s. Usually, this enlargement is brought under control with urination complaints. In advanced prostate cancer, there are usually complaints of blood in the urine. Since prostate cancer first spreads to the lumbar vertebrae and spine, patients may also consult a doctor with low back and back pain. Intermittent urination is often associated with an enlarged prostate. The prostate can also enlarge benign, or it can enlarge due to cancer. Although it is not a cancer-specific finding, it is important to go to a urology examination. 

Regular checkups are the only way to prevent prostate cancer

There is no way to prevent prostate cancer. Although this cancer is the most common urological cancer in men, there is no specific cause or certain precautions that can be taken, such as the obvious smoking factor in bladder or kidney cancer. However, as with any disease, it is important to lead a healthy life to reduce the risk. A balanced diet and balanced physical activity affect health positively, but there is no miraculous measure for prostate cancer. Our only suggestion is to lead a balanced life and not to neglect regular doctor’s check-ups.

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