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Prostate Cancer Overview

Prostate Cancer Overview. First Mount Zion Baptist Church Dr. Artie L. Shelton. SPONSORSHIP. First Mt. Zion Baptist Church Men ’ s Ministry National Coalition of 100 Black Women-Prince William Chapter Sentara Northern Virginia Medical Center.

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Prostate Cancer Overview

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  1. Prostate Cancer Overview First Mount Zion Baptist Church Dr. Artie L. Shelton

  2. SPONSORSHIP • First Mt. Zion Baptist Church Men’s Ministry • National Coalition of 100 Black Women-Prince William Chapter • Sentara Northern Virginia Medical Center

  3. Prostate Health Education Network (PHEN) (www.prostatehealthed.org)Thomas A. Farrington President PHEN is an educational and support group that provides men and their families with fellowship, counseling, timely, personalized, unbiased and reliable information about prostate cancer

  4. My Mission To help men especially minority and underserved men to learn about prostate cancer so they can make better decisions on the need for early detection, treatment options and cope with quality of life issues after treatment

  5. Symposium Objectives • Increase the prostate health awareness and knowledge for: • Healthy men-about their prostate cancer risk, early detection screening and “shared-decision making with their doctors

  6. The Power of Women Studies show that up to 65% of men diagnosed with prostate cancer are made aware of their condition after being forced or coerced into taking an exam by a CARING WOMAN in their lives

  7. African-American Prostate Cancer Crisis “Prostate cancer, particularly among African-Americans, is a disgraceful tragedy that needs immediate and drastic action”

  8. Key Prostate Facts • New cases of Prostate cancer (Pca) 233,000 (2014) • Deaths 29,480-2nd leading cause of death • 1 in 6 men is at a lifetime risk of prostate cancer • Close relative with Pca have double risk • Two close relatives have five-fold risk • Three close relatives have 97% risk

  9. African-American Prostate Cancer Crisis African-American men have the HIGHEST rate of prostate cancer in the WORLD LOWEST rate of survival

  10. African American males incidence rate is 60% higher than white male and double the mortality (death) rate • Every three minutes an American man is diagnosed with Pca • Every 13 minutes a man dies from Pca • Majority of deaths 2nd to advance disease with metastases

  11. African-American Prostate Cancer Crisis Black men in America are 1.5 times more likely to develop prostate cancer and are 2 to 3 times more likely to die of the disease than white men

  12. Senate Resolution 529 • Acknowledged that prostate cancer is an epidemic • “Federal agencies to address the health crisis by supporting education, awareness outreach and research specifically on how prostate cancer affects African American men”

  13. Risk Factors • Age- 63% are diagnosed in men aged 65 and older • Race/Ethnicity • Family History

  14. Signs and Symptoms • There is NO NOTICEABLE SYMPTOMS of prostate cancer in the early stages (absolutely nothing) • Late stage symptoms can include problems with urinating, blood in the urine, and pains in the spine • THIS IS WHY SCREENING IS SO CRITICAL

  15. Signsand Symptoms • These symptoms may be caused by conditions other than prostate cancer • BPH-benign prostate hypertrophy • Prostatitis

  16. Early Detection • Recommendations: • PSA blood test – detects a protein made by the prostate called prostate-specific antigen. (No stimulation of prostate before test) • DRE- digital rectal examination • ACS- American Cancer Society?

  17. Where is my Prostate?

  18. Anatomical Graphic of Male Reproductive System

  19. Graphic of Normal and Cancer Cells

  20. Testing Procedures-Prostate Specific Antigen(PSA) • Determines the level of a protein (prostate-specific antigen or PSA) produced by prostate cells. The PSA test may indicate a person has a higher chance of having prostate cancer but controversies about the test exist. • If the PSA level is 1.0 or greater, an annual follow-up is needed, based on NCCN guidelines. • 4.0 cut off before biopsy • If the PSA level is less than 1.0 the next testing should be at age 45.

  21. Digital Rectal Exam

  22. Screening-What Every Man Should Know • ACS- Age 50 men with avg. risk/10yr life expectancy • Every African-American man age 45 or older should be screened yearly for prostate cancer • Those with a family history of prostate cancer should start screening at age 40

  23. United States Preventive Services Task Force • Recommendation D against the routine use of PSA test for the early detection of prostate cancer

  24. Prostate Health Education Network • African American men should ignore the USPSTF recommendation • This recommendation is supported by prostate cancer specialist, patients and patient advocacy organizations

  25. Treatment • Treatment options vary depending on age, stage (how advanced) and grade (Gleason score) indicates the aggressiveness of the cancer, and other medical conditions.

  26. Treatment (cont) • Surgery-erectile dysfunction/urinary incontinence • External beam radiation • Brachytherapy – radioactive seed implants • EARLY STAGE DISEASE

  27. Treatment (cont) • Active surveillance/Watchful Waiting- men with less aggressive tumors/older men with heath problems • Hormonal therapy • chemotherapy/radiation or combination for advanced disease

  28. Testosterone Therapy Benefits • Muscle strength and mass • Increase Bone density • Sex drive • Reduce body fat • Increase feelings of self-esteem • Patients with prostate CA should be monitored by urologist

  29. Survival • 5-year survival rate for African Americans is 100% if diagnosed early at local/regional stages • 5-year survival rates among African Americans men drop to 29% when the cancer has spread

  30. Prostate Health Recommendations • Have an annual prostate exam which include both a PSA blood test AND a digital rectal examination (DRE) Calendar Event B’Day etc • KNOW YOUR PSA –Keep a record of the exact numbers, not that it is “in the normal range”. First test is your BASELINE PSA.

  31. Conclusion • Early detection/treatment CAN SAVE YOUR LIFE it increases the five-year survival rate to 97% • Improve the quality of life of diagnosed patients • Decrease the number of death caused by prostate cancer

  32. Agent Orange, Vietnam Vets and Prostate Cancer • Vets DX with prostate cancer may qualify for service-connected disability compensation • Exposed between 9 Jan 1962 and 5 May 1975 • Apply www.va.gov/agentorange • 1-800-749-8387 or 1-800-882-1316

  33. Questions and Answers

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