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Prostate Cancer: Myths and Truth About the Disease

Essential Guide to Prostate Cancer: Learn the myths and truth about the second leading cause of cancer death in men.

Prostate cancer is second most common among men, second only to non-melanoma skin cancer. In 2018, according to the National Cancer Institute (INCA), more 68 thousand new casesThus, emphasizing the need to clarify doubts about such an injury and increase its early detection, the priority is to improve the quality and life expectancy of Brazilians.

The prostate gland is the largest additional gland in the male reproductive system. It lies below the bladder in front of the rectum and surrounds the urethra. The prostate fluid it produces is about 20% of the sperm volume and is designed to feed sperm.

We can give as risk factors old age, the presence of a family history and excess body fat. However, it must be clarified that the absence of these factors does not save a person from cancer. It is also worth noting that a balanced diet with a low fat content, associated with physical activity and the habit of not drinking alcohol and not smoking, is fundamental to lower your risk of cancerIn addition to other chronic noncommunicable diseases such as hypertension and diabetes.

Some typical symptoms are often found in patients with advanced prostate cancersuch as: difficulty urinating, decreased urine output, and urgent urination. However, we can make a differential diagnosis with other disorders, such as benign prostatic hyperplasia and prostatitis.


Prostate cancer can be identified by a combination of two tests: rectal touch and dosage of specific prostatic antigen (DOG) blood.

Touch allows the doctor to palpate nodules or hardened tissues in the gland, which often indicates cancer in them early stages and with that best forecast especially if the patient is selected. proper management cancer.

PSA is generally an excellent test for detecting such prostate changes. But sometimes normal levels can hide running cancer and in others, altered levels do not close the diagnosis. Therefore, the guidelines must be followed prior to the examination in order to increase its accuracy.

Therefore, a urologist can order tests additionalsuch as a biopsy and, more recently, multi-parameter magnetic resonance, which allows more accurate detection and characterization of prostate tumors, but is still at the testing stage with regard to its effectiveness and entails high costs for the patient. It must be emphasized that such additional exams not enough touch nor PSA.

So, when should a man go to a urologist to be safe?

Brazilian Society of Urology (SBU) and INCA establish need individualize therapeutic approach and take into account age and other relevant factors, such as ethnicity (because the cancer in question affects more black men), family history, and other specific characteristics of prostate cancer.

Thus, the SBU provides that men aged 50 years and older should contact a urologist and perform individual clinical assessment, For black men or men with first-degree relatives related to cancer, screening should begin at age 45. It should be emphasized that screening will only be carried out after extensive discussion of risks and potential benefitsrelated to the professionalism of the selected doctor.


Treatment can mainly be through surgery, radiation therapy, or a combination thereof. Nevertheless, it has a great influence on human life, which makes it necessary to assess the situation. Treatment will be indicated if any disease progression and if the victim has life expectancy of more than 10 years. Thus, slowly progressive tumors do not experience undesirable treatment effects. Finally, talk with your urologist to clear doubts before any examination or treatment First of all, it is necessary to ensure patient autonomy and to ensure the best quality of life.

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