PROSTATE CANCER IN SOUTH CAROLINA
Approximately 3,363* men are diagnosed with prostate cancer and 476 die from the disease each year.

Prostate cancer is the most common non-skin cancer in men in the United States and the rate of new prostate cancers is much higher in African-American men. Although prostate cancer is relatively common, it often grows so slowly that it is unlikely to cause health problems during a man's lifetime. Most men with prostate cancer are older than 50 years and do not die from the disease.

*This statistic excludes in situ cancers. Carcinoma in situ: An early stage cancer that is still confined to the layer of tissue from which it started and has not spread to surrounding tissue or other parts of the body.


RISK FACTORS

  • Age: Prostate cancer is rare in men younger than 40, but the chance of having prostate cancer rises rapidly after age 50.
  • Race/Ethnicity: Prostate cancer is more common in African-American men and in Caribbean men of African ancestry than in men of other races.
  • Family History: Having a father or brother with prostate cancer more than doubles a man's risk of developing this disease.


SCREENING
There are two tests commonly used to screen for prostate cancer:

  • Prostate-Specific Antigen Blood Test (PSA): A PSA is a substance made by cells in the prostate gland (both normal cells and cancer cells). A simple blood test can detect PSA levels for screening.
  • Digital Rectal Exam (DRE): For a DRE the doctor inserts a gloved, lubricated finger into the rectum to check for any bumps or hard areas on the prostate that might be cancer.

You should speak with your doctor and make an informed decision about the screening process.


BEFORE YOUR APPOINTMENT

  • Write down any symptoms you are experiencing.
  • Keep track of how often and when you urinate, how much liquid you drink, and if you feel you are completely emptying the bladder when you urinate.
  • Bring a list of all medications and supplements.
  • Bring a family member or friend along if possible. Family members and friends should also be familiar with questions that should be asked to be sure that an informed decision is made regarding screening and treatment.

 

THREE QUESTIONS TO ASK EVERY TIME YOU SEE PROVIDERS FOR YOUR HEALTH

  • What is my main problem?
  • What do I need to do?
  • Why is it important for me to do this?

 

If caught early, prostate cancer is one of the most treatable cancers. 

 

QUESTIONS TO CONSIDER IF YOU ARE TOLD YOU HAVE PROSTATE CANCER

  • What are your treatment options?
  • Are there alternatives to the approach that your provider is suggesting?
  • If you have other health conditions, how you can best manage them together during your recommended treatment?
  • What are the chances that the cancer has spread beyond your prostate? If so, is it still curable?

 

QUESTIONS TO CONSIDER WHEN DECIDING ON TREATMENT

  • Does your provider recommend active surveillance, surgery, or radiation therapy? Why or why not? 
  • What risks or side effects should you expect from your treatment options? What should you do to be ready for treatment? 
  • How long will treatment last? What will it be like? Where will it be done?
  • How might treatment affect your daily activities? 
  • What are the chances your cancer will return based on the treatment plan(s) you discussed with your provider? 

 

QUESTIONS TO CONSIDER DURING AND AFTER TREATMENT

  • How will you and your provider know if the treatment is working? 
  • Is there anything you and your provider can do to help manage side effects?
  • Can your provider suggest a mental health professional you can see if you start to feel overwhelmed, depressed, or distressed? 

 

For more information on website content, call the South Carolina Cancer Alliance: 803-708-4732

For cancer information services, call the American Cancer Society: 1-800-227-2345

For more information on available resources and physicians, call the NCI Cancer Information Service Hotline: 1-800-4-CANCER