• Prostate Cancer: Comprehensive Guide
Authored by Dr Srivathsan

Prostate Cancer: Comprehensive Guide

What is Prostate Cancer?

Prostate cancer is a type of cancer that develops in the prostate gland, a small, walnut-shaped gland in men that produces seminal fluid. It is one of the most common types of cancer in men, particularly affecting those over the age of 50.

Symptoms of Prostate Cancer

The symptoms of prostate cancer can vary and may not appear until the cancer is advanced. Common symptoms include:

  • Frequent urination, especially at night
  • Difficulty starting or stopping urination
  • Weak or interrupted urinary stream
  • Blood in the urine or semen
  • Discomfort in the pelvic area
  • Bone pain (in advanced stages)

Cause of Prostate Cancer

The exact cause of prostate cancer is not known, but several factors can increase the risk, including age, family history, race, and lifestyle factors such as diet and smoking.

Stages of Prostate Cancer

Prostate cancer is classified into different stages based on the size of the tumor and its spread to other parts of the body.

Stage 1 Prostate Cancer

Stage 1: Cancer is confined to a small area of the prostate and is usually not causing symptoms. It is often detected through routine screenings.

Stage 2 Prostate Cancer

Stage 2: The cancer is larger and may be found in both sides of the prostate but has not spread outside the prostate. Symptoms can include difficulty urinating and frequent urination.

Stage 3 Prostate Cancer

Stage 3: Cancer has spread beyond the outer layer of the prostate to nearby tissues or seminal vesicles. Symptoms may include blood in urine and pelvic pain.

Stage 4 Prostate Cancer

Stage 4: Cancer has spread to nearby organs, lymph nodes, or distant parts of the body such as the bones. This stage is also known as advanced or metastatic prostate cancer.

Stage 5 Prostate Cancer

There is no official stage 5 in prostate cancer staging. Stage 4 is the most advanced stage.

Signs of Prostate Cancer

Early signs of prostate cancer can be subtle and similar to other non-cancerous conditions. These include:

  • Difficulty urinating
  • Painful urination
  • Blood in urine or semen
  • Persistent pain in the lower back, hips, or thighs

Types of Prostate Cancer

Prostate cancer mainly includes two types:

  • Adenocarcinomas: The most common type, which starts in the gland cells of the prostate.
  • Small cell carcinoma, neuroendocrine tumors, transitional cell carcinoma, and sarcomas: These are rare types of prostate cancer.

Biopsy for Prostate Cancer

A biopsy is the primary method for diagnosing prostate cancer. It involves taking small samples of prostate tissue to examine for cancer cells. This procedure can confirm the presence and aggressiveness of cancer.

Risks of Prostate Cancer

Risk factors for prostate cancer include:

  • Age (most common in men over 50)
  • Family history of prostate or breast cancer
  • Race (higher risk in African-American men)
  • Obesity
  • Diet high in red meat and high-fat dairy products

Early Stage Prostate Cancer

Early-stage prostate cancer (stage 1 and 2) often has a better prognosis and can be managed with various treatment options, including active surveillance, surgery, and radiation therapy.

Signs of Late Stage Prostate Cancer

Signs of late-stage prostate cancer (stage 4) include:

  • Severe bone pain
  • Swelling in the legs or pelvic area
  • Unintended weight loss
  • Fatigue
  • Difficulty urinating or complete blockage

Proton Beam Therapy for Prostate Cancer

Proton Beam Therapy (PBT) is one of the most advanced and precise forms of radiation treatment for prostate cancer. Unlike traditional radiation therapy, PBT uses protons instead of X-rays to target the tumor. This allows for higher doses of radiation to be delivered directly to the prostate with minimal damage to surrounding healthy tissues. Benefits of Proton Beam Therapy include fewer side effects, reduced risk of secondary cancers, and a higher quality of life during and after treatment.

This content aims to provide a comprehensive overview of prostate cancer, its stages, symptoms, risk factors, and advanced treatment options like Proton Beam Therapy. For more information or to schedule a consultation, contact Apollo Proton Cancer Centre. We are dedicated to providing the most advanced and compassionate care for our patients.