PDAC
PROSTATE DISEASE AWARENESS CLINIC
__________________________________________
- Mission
The basic aim of the clinic is to identify the patients with Ca prostate cancer screening programme. In India because of lack of such initiative, majority of patients are reaching to the urologist very late. Once such patients are identified they can be offered custom made state of art management options. Second aim is to treat and support patients with advanced Ca prostate with existing modalities to improve quality of life of the patients.
If you have been recently diagnosed with prostate cancer and have questions, it would be helpful to have the following information available when meeting us.
Initial PSA Value: ____________ Date: __________
Current PSA Value: __________ Date: __________
DRE Result: ________________ Date: __________
PSA at Biopsy: ______________ Biopsy Date:_____________
Volume/Size of the prostate: _____________________________
Gleason Score:_______________ Date: ___________
How many Cores (samples) taken? __________
How many were positive? _________________
Location of the positive samples: ____________
Othertestresults: ________________________________________
What if any, treatments are you currently undergoing?
______________________________________________________
Do you have copies of your pathology report? Film? Blood work? If so, please gather before meeting us.
Prostate Disease Awareness Clinic
Shyam Urosurgical Hospital
4th Floor, Viva Complex,
Opp. Parimal Garden, Ahmedabad.
Phone no: 079- 26469846, 26466700
Website: www.shyamurosrgical.com
Basic facts about Prostate Cancer
Prostate cancer (PC) is the most common male malignancy in the Western world. In the U.S. alone, each year there are more than 200, 000 new diagnoses, and in 2004 it is estimated that more than 29, 000 men will be die from PC. This is the bad news.
The good news is that we can dramatically reduce the number of deaths from prostate cancer through:
. Prevention
. Early diagnosis
. Appropriate treatment
Since each man is primarily responsible for his own health, it is important that you and your loved ones become knowledgeable in all three areas. This pamphlet gives you a start by providing the most current basic information on prevention and early diagnosis. These are areas you can easily influence. For additional information, please refer to the PDAC Web site at www.shyamurosurgical.com or call the PDAC helpline at 079- 26469846.
The following steps are ones you can take now.
Step1 Maintain a Healthy Diet
. Reduce or eliminate red meat, dairy fats, and egg yolk in your diet.
. Eat five servings of fruits and vegetables each day. Tomatoes and strawberries are particularly beneficial. In one study, men who each week ingested 10 or more servings of tomatoes in several forms (sauce, juice, raw or on pizza) had a 41% reduction in the incidence of PC. And just one weekly 0.5- cup serving of strawberries was associated with a 20% decreased risk of prostate cancer.
. Restrict your daily caloric intake to roughly 500 calories for each of three meals per day and 100 calories for each of three snacks per day. Adjust this total of 1800 calories per day based on your level of activity and body mass. If everyone were to do this, we would eliminate most cases of diabetes, hypertension, stroke, hypercholesterolemia, heart disease and a significant amount of cancer in the world.
. Avoid excessive carbohydrate intake. Your protein to carbohydrate intake ratio should be 3:4. If you adhere 150 calories of protein along with plus 150 calories of polyunsaturated fat, (ideally from cold water fish, olive oil on your salad, ect.) .
. Each day, take supplements of 200 mcg of selenium along with 200 i.u. of mixed tocopherol (vitamin E).
. Eliminate smoking, reduce alcohol consumption, and exercise properly.
Step2 Initiate Early Detection Tests
Deaths caused by PC can be significantly reduced if a digital rectal exam (DRE) and a simple blood test for prostate-specific antigen (PSA) are included in your yearly physical exam. Men should initiate the following program:
. Have a yearly physical that includes a DRE and a PSA test. This should begin at age 40 if you have a family history of PC. Otherwise, regular testing should start at age 50. It is important to note that even elevated PSA levels may indicate the presence of very treatable urinary conditions, such as benign prostatic hyperplasia (BPH) or prostatitis, and do not necessarily indicate that cancer is present in the prostate.
. Maintain a chronological record of your PSA test result. If you maintain a record and monitor your PSA value, it is possible to predict the emergence of PC several years before it would normally be diagnosed. It is during this early phase of PC growth that methods of cancer detection provide the greatest chance of cure.
. Monitor the PSA doubling time in addition to the absolute value of the PSA. A doubling of the PSA value is consistent a doubling of tumor size. Clinical evidence suggests that the shorter your PSA doubling time, the greater your risk for PC. A doubling time of less than 10 years usually indicates tumor growth and should be regarded as an indication that PC is present and growing unless proven otherwise.
Note that in the example below, even with a PSA value of only 1.6 ng/ml (well below the “normal value of either 2.5 or 4.0), something abnormal is occurring. The PSA doubling time has dropped from 14 years to 1.2 years. This evidence should trigger an alarm demanding further testing and close surveillance.
Age PSA PSA Doubling
Value Time (PSADT)
40 0.8 Unknown
48 1.2 Approximately 14 years
48.5 1.6 Approximately 1.0 years
Step3 Become Empowered
If you are diagnose3d with PC, there are several things that you can do not become an empowered patient:
. Obtain copies of your medical records
. Learn about prostate cancer, which includes understanding your diagnosis and proper staging
. Develop your support network
. Explore and understand your treatment options
. Maintain a positive attitude
You owe it to yourself and to your family to maintain a healthy diet, to have an annual physical examination that includes both a DRE and a PSA test, and to keep track of your PSA values. These steps might save your life.
|
