Prostate Cancer- Westra Flashcards Preview

HRM Test 2 > Prostate Cancer- Westra > Flashcards

Flashcards in Prostate Cancer- Westra Deck (19)
Loading flashcards...
1
Q

How does family history affect your likelihood of getting prostate cancer?

A

Men with a father or brother with prostate cancer are twice as likely to develop prostate cancer

2
Q

What race has the highest incidence of prostate cancer?

A

AFRICAN AMERICANS

3
Q

What hormonal factors contribute to prostate cancer?

A

Men with high plasma testosterone levels are at increased risk

4
Q

What age has the highest incident of prostate cancer?

A

65-74 age range

5
Q

What items may increase your risk for prostate cancer?

A
  • synthetic folate supplements
  • Diary and Ca+
  • Dioxin in agent orange!
6
Q

What in the diet may be protective from prostate cancer?

A

Folate in the DIET (green leafy veggies)

7
Q

What medications can reduce the incidence of prostate cancer?

A

Finasteride
Dutasteride

(5alpha reductase inhibitors)

8
Q

What are some symptoms of prostate cancer?

A
Difficulty urinating
Less force to stream
Dribbling
Hematuring
Pain/burining
BACK PAIN NOT RESOLVING
9
Q

If there is a male patient with hip or back pain not resolving… what should you be suspicious of?

A

prostate cancer

10
Q

What is for sure an elevated PSA at any age?

A

> 10 ng/mL

11
Q

Borderline PSA?

A

4-10

12
Q

Normal PSA?

A
13
Q

What is the best way to measure PSA if patient wants to do screening?

A

PSA Velocity = measures how quickly PSA level rises over time

A change of > .75 ng/mL in one year is significant

14
Q

Should you do a PSA screen in a healthy asymptomatic man?

A

NO!!!! not at any age, family history or ethnicity!

15
Q

What age group is a candidate for a radical prostatectomy?

A

age 50-60

16
Q

When would you do a TURP (transurethral resection prostate)

A

If they couldn’t void

17
Q

Treatment for someone who is older, may have comorbid conditions, but has a positive prostate biopsy?

A

Radiation therapy

18
Q

What treatment strategy would you recommend for a 74 year old male with oxygen dependent COPD, PSA 8 and an enlarged prostate?

A

Active Surveillance

19
Q

What are indications for a prostate biopsy?

A
  • Abnormality on DRE
  • PSA elevation for age
  • PSA velocity > .75
  • Previous negative biopsy but continually increasing PSA