Question
Men without any family history of prostate cancer should undergo annual prostate checks from the age of 50 years old. Men with a family history of prostate cancer should start prostate checks from the age of 40 years old. These annual checks should be conducted till the age of 70 years old.
The checks can be done by specialists such as urologists, or family physicians. The checks involve a prostate finger examination and PSA (prostate-specific antigen) blood tests.
After prostate cancer is diagnosed, doctors will do staging tests involving CT/MRI scans and bone scans to see is cancer has spread beyond the prostate. Staging refers to determining the extent of disease. The cancer is still localised in the prostate in stage I and II. Prostate cancer has spread beyond the prostate in stage III and IV. Singapore Cancer Registry statistics for 2009-2013 showed that 61. 6% of men were diagnosed with prostate cancer that had not spread beyond their prostate (Stage I and II). On the other hand, 10. 6% and 27.
It is quite clear that diet does play a role in the development of prostate cancer. Japanese men have 3x less prostate cancer than men born in the United States. However, the sons of Japanese immigrants to the United States have a higher rate of prostate cancer that approaches that of Caucasians born in the United States. Much of this increase in prostate cancer is likely from the adoption of the “Western” diet and lifestyle [1]. This is further supported by a recent analysis of the available evidence based on population studies.
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