Learn more about Dr. Tomlinson's research in the news article Urine test shows prostate cancer risk, U-M study finds
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Prostate Cancer Awareness Month

September is Prostate Cancer Awareness Month

Prostate cancer is the most common major cancer diagnosed in men. More than 220,000 cases of prostate cancer will be diagnosed this year in the United States.

African American men have higher incidence and at least double the mortality rates compared with men of other racial and ethnic groups. (Source: A Snapshot of Prostate Cancer produced by the National Cancer Institute (NCI) [PDF].

Seventy-nine percent of all prostate cancers are discovered in the local and regional stages; the 5-year relative survival rate for patients whose tumors are diagnosed at these stages is 100%. Over the past 20 years, the survival rate for all stages combined has increased from 67% to 92%. Survival after a diagnosis of prostate cancer continues to decline beyond five years. According to the most recent data, 67% of men diagnosed with prostate cancer survive 10 years and 52% survive 15 years.


Risk Factors


Studies have found the following risk factors for prostate cancer:

  • Age over 65:
    Age is the main risk factor for prostate cancer. The chance of getting prostate cancer increases as you get older. In the United States, most men with prostate cancer are over 65. This disease is rare in men under 45.
  • Family history:
    Your risk is higher if your father, brother, or son had prostate cancer.
  • Race:
    Prostate cancer is more common among black men than white or Hispanic/Latino men. It's less common among Asian/Pacific Islander and American Indian/Alaska Native men.
  • Certain prostate changes:
    Men with cells called high-grade prostatic intraepithelial neoplasia (PIN) may be at increased risk of prostate cancer. These prostate cells look abnormal under a microscope.
  • Certain genome changes:
    Researchers have found specific regions on certain chromosomes that are linked to the risk of prostate cancer. According to recent studies, if a man has a genetic change in one or more of these regions, the risk of prostate cancer may be increased. The risk increases with the number of genetic changes that are found. Also, other studies have shown an elevated risk of prostate cancer among men with changes in certain genes, such as BRCA1 and BRCA2.

Source: NCI: What You Need to Know™ About Prostate Cancer.

Screening


American Cancer Society revised prostate cancer screening guidelines:

ACS recommends that men with no symptoms of prostate cancer who are in relatively good health and can expect to live at least 10 more years have the opportunity to make an informed decision with their doctor about screening after learning about the uncertainties, risks, and potential benefits associated with prostate cancer screening. These talks should start at age 50. Men with no symptoms who are not expected to live more than 10 years (because of age or poor health) should not be offered prostate cancer screening.

Source: American Cancer Society (ACS): Revised Prostate Cancer Screening Guidelines: What Has -- and Hasn't -- Changed

Michigan Center for Translational Pathology Screening Information:

New urine DNA test and PSA: What you need to know

PCA3 Testing

Sarcosine and Prostate Cancer

Symptoms


A man with prostate cancer may not have any symptoms. For men who do have symptoms, the common symptoms include:
  • Urinary problems
  • Not being able to pass urine
  • Having a hard time starting or stopping the urine flow
  • Needing to urinate often, especially at night
  • Weak flow of urine
  • Urine flow that starts and stops
  • Pain or burning during urination
  • Difficulty having an erection
  • Blood in the urine or semen
  • Frequent pain in the lower back, hips, or upper thighs

Source: NCI: What You Need to Know™ About Prostate Cancer.

Take action

Doctors at the U-M Comprehensive Cancer Center are working hard to find better treatments - as well as a cure! -- for cancer, but they can't do it alone. Patients play a vital role in finding better ways to treat cancer by participating in research studies - also known as clinical trials.

Learn more about clinical studies.

Consider joining a clinical trial!
Browse urologic/prostate clinical trials on UMClinicalStudies.org.

There are two on-going research projects underway within the Urologic Oncology Program looking for participants:

National Cancer Institute: Prostate Cancer Clinical Trials

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