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Prostate cancer

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lowest possible Gleason score of 6 represents a biopsy most similar to healthy prostate; the highest Gleason score of 10 represents the most severely cancerous. Gleason scores are commonly grouped into "Gleason grade groups", which predict disease prognosis: a Gleason score of 6 is Gleason grade group 1 (best prognosis). A score of 7 (with Gleason scores 4 + 3, or Gleason scores 3 + 4, with the most prominent listed first) can be grade group 2 or 3; it is grade group 2 if the less severe Gleason score (3) covered more area; grade group 3 if the more severe Gleason score (4) covered more area. A score of 8 is grade group 4. A score of 9 or 10 is grade group 5 (worst prognosis).
859: 436: 1362: 374:(mL) of blood tested. Those with PSA levels below average are very unlikely to develop dangerous prostate cancer over the next 8 to 10 years. Men with PSA levels above 4 ng/mL are at increased risk – around 1 in 4 will develop prostate cancer – and are often referred for a prostate biopsy. PSA levels over 10 ng/mL indicate an even higher risk: over half of men in this group develop prostate cancer. Men with high PSA levels are often recommended to repeat the blood test four to six weeks later, as PSA levels can fluctuate unrelated to prostate cancer. 793: 610:
designated stage I. Those with localized tumors and PSA between 10 and 20 ng/mL are designated stage II – subdivided into IIA for Gleason grade group 1, IIB for grade group 2, and IIC for grade group 3 or 4. Stage III is the designation for any of three higher risk factors: IIIA is for a PSA level about 20 ng/mL; IIIB is for T3 or T4 tumors; IIIC is for a Gleason grade group of 5. Stage IV is for cancers that have spread to lymph nodes (N1, stage IVA) or other organs (M1, stage IVB).
827:, where a radioactive source is surgically inserted into the prostate. IMRT is given over several sessions, with treatments repeated five days per week for several weeks. Brachytherapy is typically performed in a single session, with the radioactive source permanently implanted into the prostate, where it expends its radioactivity within the next few months. With either technique, radiation damage to nearby organs can increase the risk of subsequent 804:, which involves testing for tumor growth at fixed intervals by PSA tests (around every six months), digital rectal exam (annually), and MRI or repeat biopsies (every one to three years). This program continues until increases in PSA levels, Gleason grade, or tumor size indicate a higher-risk tumor that may require intervention. At least half of men remain on active surveillance, never requiring more direct treatment for their prostate tumors. 1373:). Around 1.2 million new cases of prostate cancer are diagnosed each year, and over 350,000 people die of the disease, annually. One in eight men are diagnosed with prostate cancer in their lifetime, and around one in forty die of the disease. Rates of prostate cancer rise with age. Due to this, prostate cancer rates are generally higher in parts of the world with higher life expectancy, which also tend to be areas with higher 1381:. Australia, Europe, North America, New Zealand, and parts of South America have the highest incidence. South Asia, Central Asia, and sub-Saharan Africa have the lowest incidence of prostate cancer; though incidence is increasing quickly in these regions. Prostate cancer is the most diagnosed cancer in men in over half of the world's countries, and the leading cause of cancer death in men in around a quarter of countries. 514: 741:
are designated CPG 2. CPG 3 represents either Gleason grade group 3, or the combination of the CPG 2 criteria. CPG 4 is similar to AJCC stage 3 – any of Gleason grade group 4, PSA levels above 20 ng/mL, or a tumor that has grown beyond the prostate (T3). CPG 5 is for the highest risk cases: either a T4 tumor, Gleason grade group 5, or any two of the CPG 4 criteria.
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10% to 30%. Men who have a lower percentage of free PSA are more likely to have prostate cancer. Several common tests more accurately detect prostate cancer cases by also measuring subtypes of free PSA, including the Prostate Health Index (measures a fragment called −2proPSA) and 4K score (measures intact free PSA). Other tests measure blood levels of additional prostate-related proteins such as
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monitored regularly. Up to half of those treated will eventually have a rise in PSA levels, suggesting the tumor or small metastases are growing again. People with high or rising PSA levels are often offered another round of radiation therapy directed at the former tumor site. This reduces risk for further progression by 75%. Those suspected of metastases can undergo PET scanning with sensitive
602:(M). Scores of T1 and T2 represent tumors that remain within the prostate: T1 is for tumors not detectable by imaging or digital rectal exam; T2 is for tumors detectable by imaging or rectal exam, but still confined within the prostate. T3 is for tumors that grow beyond the prostate – T3a for tumors with any extension outside the prostate; T3b for tumors that invade the adjacent 293:
described in the mid-19th century, during surgeries on men with urinary obstructions. Initially, prostatectomy was the primary treatment for prostate cancer. By the mid-20th century, radiation treatments and hormone therapies were developed to improve prostate cancer treatment. The invention of hormone therapies for prostate cancer was recognized with the 1966 Nobel Prize to
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in the medical literature. Around the turn of the 19th century, prostate surgery to relieve urinary obstruction became more common, allowing surgeons and pathologists to examine the removed prostate tissue. Two studies around the time found cancer in as many as 10% of surgical specimens, suggesting prostate cancer was a fairly common cause of prostate enlargement.
878:(using a camera and hand tools through small holes in the abdomen), or through traditional open surgery with an incision above the penis (retropubic approach) or below the scrotum (perineal approach). The four approaches result in similar rates of cancer control. Damage to nearby tissue during surgery can result in erectile dysfunction and 874:, where robotic tools inserted through small holes in the abdomen allow a surgeon to make small and exact movements during surgery. This method results in shorter hospital stays, less blood loss, and fewer complications than traditional open surgery. In places where robot-assisted surgery is unavailable, prostatectomy can be performed 1198:. With these processes dysregulated, some cells replicate abnormally, forming a clump of cells called a tumor. As the tumor grows, its cells accumulate more mutations, allowing it to stimulate the growth of new blood vessels to support further growth. Eventually, a tumor can grow large enough to invade nearby organs such as the 423:
age 70, or with a life expectancy of less than 10 years, as a newly diagnosed prostate cancer is unlikely to impact their natural lifespan. Uptake of screening varies by geography – more than 80% of men are screened in the US and Western Europe, 20% of men in Japan, and screening is rare in regions with a low
1501:, have a reduced risk of advanced prostate cancer. Chronic inflammation can cause various cancers. Potential links between infection (or other sources of inflammation) and prostate cancer have been studied but none definitively found, and one large study found no link between prostate cancer and a history of 1601: 1726:
Prostate cancer is a major topic of ongoing research. From 2016–2020, over $ 1.26 billion was invested in prostate cancer research, representing around 5% of global cancer research funds. This places prostate cancer 10th among 18 common cancer types in funding per cancer death, and 9th in funding per
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surgeon John Adams described another prostate tumor from a man who had died with urinary issues; Adams had a pathologist examine the tumor, providing the first confirmed case of a cancerous tumor in the prostate. The disease was initially rarely described; an 1893 report found only 50 cases described
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Prostate cancer is more common in families with a history of any cancer. Men with an affected first-degree relative (father or brother) have more than twice the risk of developing prostate cancer, and those with two first-degree relatives have a five-fold greater risk compared with men with no family
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as fluid lingers in the throat, but this is not uncomfortable for the affected person. Their hands and feet may cool to the touch, and skin become blotchy or blue due to weaker blood circulation. Many stop eating and drinking, resulting in dry-feeling mouth, which can be aided by moistening the mouth
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can reduce prostate cancer bone pain, even though they have little effect on tumor size. Metastases compress the spinal cord in up to 12% of those with metastatic prostate cancer causing pain, weakness, numbness, and paralysis. Inflammation in the spine can be treated with high-dose steroids, as well
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After prostatectomy, PSA levels drop rapidly, reaching very low or undetectable levels within two months. Radiotherapy also substantially reduces PSA levels, but more slowly and less completely, with PSA levels reaching their nadir two years after radiotherapy. After either treatment, PSA levels are
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is commonly used, where the pathologist assigns numbers ranging from 3 (most similar to healthy prostate tissue) to 5 (least similar) to different regions of the biopsied tissue. They then calculate a "Gleason score" by adding the two numbers that represent the largest areas of the biopsy sample. The
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recommend that men at high risk of prostate cancer (due to age, family history, ethnicity, or prior evidence of high blood PSA levels) be counseled on the risks and benefits of PSA testing, and be offered access to screening tests. Medical guidelines generally recommend against screening for men over
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gene. Each year 1.2 million cases of prostate cancer are diagnosed, and 350,000 die of the disease, making it the second-leading cause of cancer and cancer death in men. One in eight men is diagnosed with prostate cancer in his lifetime and one in forty dies of the disease. Prostate tumors were first
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men of similar age. Screening tests in this group are complicated, as transgender women may have lower PSA levels than cisgender men due to their reduced testosterone levels. PSA levels greater than 1 ng/mL are generally considered above normal by gender care specialists. Digital rectal exams of the
1106:) in the genitals or lower limbs. These swellings can be extremely painful, curtailing an affected person's ability to urinate, have sex, or walk normally. Lymphedema can be treated by applying pressure to aid drainage, surgically draining pooled fluid, and cleaning and treating nearby damaged skin. 767:
Treatment of prostate cancer varies based on how advanced the cancer is, the risk it may spread, and the affected person's health and personal preferences. Those with localized disease at low risk for spread are often more likely to be harmed by the side effects of treatment than the disease itself,
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recommends a five-stage system based on disease prognosis called the Cambridge Prognostic Group, with prognostic groups CPG 1 to CPG 5. CPG 1 is the same as AJCC stage I. Cases with localized tumors (T1 or T2) and either Gleason grade group 2 or higher PSA levels (10 to 20 ng/mL)
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for those with castration-resistant prostate cancer based on trials showing that it improved symptoms even though it failed to enhance survival. In 2004, docetaxel was approved as the first chemotherapy to increase survival in those with castration-resistant prostate cancer. After additional trials
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The observation that the testicles (and the hormones they secrete) influence prostate size was made as early as the late 18th century via castration experiments in animals. However, occasional experimentation over the next century bore mixed results, likely due to the inability to separate prostate
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The AJCC then combines the TNM scores, Gleason grade group, and results of the PSA blood test to categorize cancer cases into one of four stages, and their subdivisions. Cancer cases with localized tumors (T1 or T2), no spread (N0 and M0), Gleason grade group 1, and PSA less than 10 ng/mL are
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Those with elevated PSA may undergo secondary screening blood tests that measure subtypes of PSA and other molecules to better predict the likelihood that a person will develop aggressive prostate cancer. Many measure "free PSA" – the fraction of PSA unbound to other blood proteins, usually around
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Those who have low blood PSA levels at diagnosis, and whose tumors have a low Gleason grade and less-advanced clinical stage tend to have better prognoses. After prostatectomy or radiotherapy, those who have a short time between treatment and a subsequent rise in PSA levels, or quickly rising PSA
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The prognosis of diagnosed prostate cancer varies widely based on the cancer's grade and stage at the time of diagnosis; those with lower stage disease have vastly improved prognoses. Around 80% of prostate cancer diagnoses are in men whose cancer is still confined to the prostate. These men can
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Despite reduced testosterone levels, metastatic prostate tumors eventually continue to grow – manifested by rising blood PSA levels, and metastases to nearby bones. This is the most advanced stage of the disease, called castration-resistant prostate cancer (CRPC). CRPC tumors continuously evolve
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Several large studies have found that men screened for prostate cancer have a reduced risk of dying from the disease; however, detection of cancer cases that would not have otherwise impacted health can cause anxiety, and lead to unneeded biopsies and treatments, both of which can cause unwanted
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to reduce androgen levels and improve prostate cancer symptoms. Huggins was awarded the 1966 Nobel Prize in Physiology or Medicine for this discovery, the first systemic therapy for prostate cancer. In the 1960s, large studies showed estrogen therapy to be as effective as surgical castration at
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or rectum to reduce the tumor size and associated symptoms. In the 1950s the advent of more powerful radiation machines allowed for external beam radiotherapy to reach the prostate. By the 1960s, this was often combined with hormone therapy to improve the potency of therapy. In the 1970s,
1218:, or through the bloodstream to the bone marrow and (more rarely) other body sites. At these new sites, the cancer cells disrupt normal body function and continue to grow. Metastases cause most of the discomfort associated with prostate cancer, and can eventually kill the affected person. 955:, reduction in muscle mass and bone density, reduced sex drive, fatigue, personality changes, and an increased risk of diabetes, cardiovascular disease, and depression. Hormone therapy halts tumor growth in more than 95% of those treated, and PSA levels return to normal in up to 70%. 242:(male sex hormones) that prostate cells need to survive. Eventually cancer cells can grow resistant to this treatment. This most-advanced stage of the disease, called castration-resistant prostate cancer, is treated with continued hormone therapy alongside the 1686:'s studies of GnRH led to the development of GnRH agonists, which were found to be as effective as estrogen without the increased risk of clotting. Schally was awarded the 1977 Nobel Prize in Physiology or Medicine for his work on GnRH and prostate cancer. 1384:
Prostate cancer is rare in those under 40 years old, and most cases occur in those over 60 years, with the average person diagnosed at 67. The average age of those who die from prostate cancer is 77. Only a minority of prostate cancer cases are diagnosed.
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Patel MS, Halpern JA, Desai AS, Keeter MK, Bennett NE, Brannigan RE (May 2020). "Success of Prostate and Testicular Cancer Awareness Campaigns Compared to Breast Cancer Awareness Month According to Internet Search Volumes: A Google Trends Analysis".
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depends on how far the cancer has spread at diagnosis. Most men diagnosed have tumors confined to the prostate; 99% of them survive more than 10 years from their diagnoses. Tumors that have metastasized to distant body sites are most dangerous, with
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complications. Major national health organizations offer differing recommendations, attempting to balance the benefits of early diagnosis with the potential harms of treating people whose tumors are unlikely to impact health. Most
215:, and a higher score represents a more dangerous tumor. Medical imaging is performed to look for cancer that has spread outside the prostate. Based on the Gleason score, PSA levels, and imaging results, a cancer case is assigned a 321:, or trouble urinating – commonly including frequent urination and slow or weak urine stream. More than half of men over age 50 experience some form of urination problem, typically due to issues other than prostate cancer such as 784:, as well as radiation or other agents to alleviate the symptoms of metastatic tumors. Blood PSA levels are monitored every few months to assess the effectiveness of treatments, and whether the disease is recurring or advancing. 938:
by injection monthly or less frequently as needed. GnRH agonists cause a brief rise in testosterone levels at treatment initiation, which can worsen disease in people with significant symptoms of metastases. In these people,
606:. T4 is for tumors that have grown into organs beyond the seminal vesicles. The N and M scores are binary (yes or no). N1 represents any spread to the nearby lymph nodes. M1 represents any metastases to other body sites. 1307:
The transition from castrate-sensitive to castrate-resistant prostate cancer is also accompanied by the acquisition of various gene mutations. In castrate-resistant disease, more than 70% of tumors have mutations in the
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signaling pathway – amplifications and gain-of-function mutations in the receptor gene itself, amplification of its activators (for example, FOXA1), or inactivating mutations in its negative regulators (for example,
991:, where the affected person's immune cells are removed, treated to more effectively target prostate cancer cells, and re-injected. Tumors that evolve resistance to docetaxel may receive the second-generation 1544:(from cooking red meats), or calcium may be at an increased risk of developing advanced prostate cancer. Several dietary supplements have been studied and found not to impact prostate cancer risk, including 1636:
described a retropubic prostatectomy approach, which provided easier access to pelvic lymph nodes to assist in staging the extent of disease, and was easier for surgeons to learn. This was improved upon by
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survive long after diagnosis, with as many as 99% still alive 10 years from diagnosis. Men whose cancer has metastasized to a nearby part of the body (around 15% of diagnoses) have poorer prognoses, with
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of men who died at various ages have shown cancer in the prostates of over 40% of men over age 50. Incidence rises with age, and nearly 70% of men autopsied at age 80–89 had cancer in their prostates.
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Bone metastases – present in around 85% of those with metastatic prostate cancer – are the primary cause of symptoms and death from metastatic prostate cancer. Those with constant pain are prescribed
336:, unexplained weight loss, and back or bone pain that does not improve with rest. Metastases can damage the bones around them, and around a quarter of those with metastatic prostate cancer develop a 3242: 1066:, which help reduce the size of bone tumors. Similarly, the systemic chemotherapeutics used for metastatic prostate cancer can reduce pain as they shrink tumors. Other bone modifying agents like 4745:
Mundle R, Afenya E, Agarwal N (September 2021). "The Effectiveness of Psychological Intervention for Depression, Anxiety, and Distress in Prostate Cancer: a Systematic Review of Literature".
5543: 1418:. Variants in other genes involved in DNA damage repair have also been associated with an increased risk of developing prostate cancer – particularly early-onset prostate cancer – including 2953: 482:, who determines the type and extent of cancerous cells present. Cancers are first classified based on their appearance under a microscope. Over 95% of prostate cancers are classified as 894:
C-11 choline, F-18 fluciclovine, and F-18 or Ga-68 attached to a PSMA-targeting drug, each of which is able to detect small metastases more sensitively than alternative imaging methods.
886:. Both for cancer progression outcomes and surgical side effects, the skill and experience of the individual surgeon doing the procedure are among the greatest determinants of success. 358:
Most cases of prostate cancer are diagnosed through screening tests, when tumors are too small to cause any symptoms. This is done through blood tests to measure levels of the protein
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Most prostate tumors begin in the peripheral zone – the outermost part of the prostate. As cells begin to grow out of control, they form a small clump of disregulated cells called a
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in November. However, an analysis of internet searches suggests neither event changes the level of prostate cancer interest or discussion much, in contrast to the more established
524:(right) showing prostate cancer metastases in the bone (red arrows). The dye used for PSMA scans is also absorbed by the kidneys, liver, and spleen (large dark objects at right). 4082:
Bertoncelli Tanaka M, Sahota K, Burn J, Falconer A, Winkler M, Ahmed HU, et al. (January 2022). "Prostate Cancer in Transgender Women: What Does a Urologist Need to Know?".
1152:, sometimes caused by anxiety. In their last few days, affected men's breathing may become shallow and slow, with long pauses between breaths. Breathing may be accompanied by a 1174:
levels are more likely to die from their cancers. Castration-resistant metastatic prostate cancer is incurable, and kills a majority of those whose disease reaches this stage.
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Systemic chemotherapy for prostate cancer has been studied since the 1950s but clinical trials failed to show benefits in most people who receive the drugs. In 1996, the US
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were placed directly into the prostate. This was improved upon by Henrik H. Holm in 1983 by using transrectal ultrasound to guide the implantation of radioactive material.
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Some CRPC treatments are used only in men whose tumors have certain characteristics that make the therapy more likely to be effective. Men whose tumors express the protein
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Stephenson AJ, Abouassaly R, Klein EA (2021). "Epidemiology, Etiology, and Prevention of Prostate Cancer". In Partin AW, Dmochowski RR, Kavoussi LR, Peters CA (eds.).
2869: 1321:). These androgen receptor disruptions are only found in up to 6% of biopsies of castrate-sensitive metastatic disease. Similarly, deletions of the tumor suppressor 4449:"Animal Models of Human Prostate Cancer: the Consensus Report of the New York Meeting of the Mouse Models of Human Cancers Consortium Prostate Pathology Committee" 3062: 1288:
Metastatic prostate cancer tends to have more genetic mutations than localized disease. Many of these mutations are in genes that protect from DNA damage, such as
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synthesis and signaling. Together, known gene variants are estimated to cause around 25% of prostate cancer cases, including 40% of early-onset prostate cancers.
882:. Erectile dysfunction is more likely in those who are older or had previous erectile issues. Incontinence is more common in those who are older and have shorter 1148:. Most people sleep for long periods, and some feel drowsy when awake. Restlessness is also common, sometimes caused by physical discomfort from constipation or 1620:
For much of the 20th century, the primary therapy for prostate cancer was surgery to remove the prostate. Perineal prostatectomy was first performed in 1904 by
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rates of 60–80%. Those with metastases in distant body sites (around 5% of diagnoses) have relatively poor prognoses, with five-year survival rates of 30–40%.
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Mai CW, Chin KY, Foong LC, Pang KL, Yu B, Shu Y, et al. (September 2022). "Modeling Prostate Cancer: What Does it Take to Build an Ideal Tumor Model?".
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ancestry at particularly high risk – having prostate cancer at higher rates, and having more-aggressive prostate cancers that develop at earlier ages. Large
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to feel the nearby prostate. Tumors feel like stiff, irregularly shaped lumps against the rest of the prostate. Hardening of the prostate can also be due to
3757:"Studies on Prostate Cancer: 1. The Effects of Castration, of Estrogen and Androgen Injection on Serum Phosphatases in Metastatic Carcinoma of the Prostate" 3594:
Adams J (1853). "The Case of Scirrhous of the Prostate Gland with Corresponding Affliction of the Lymphatic Glands in the Lumbar Region and in the Pelvis".
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Regular vigorous exercise may reduce one's chance of developing advanced prostate cancer, as can several dietary interventions. Those with a diet rich in
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based on how much the tumor tissue differs from normal prostate tissue; the more different the tumor appears, the faster the tumor is likely to grow. The
1497:. High levels of blood cholesterol are also associated with increased prostate cancer risk; consequently, those who take the cholesterol-lowering drugs, 5529: 4490:
Liu JL, Patel HD, Haney NM, Epstein JI, Partin AW (April 2021). "Advances in the Selection of Patients with Prostate Cancer for Active Surveillance".
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are harbored by 12–17% of castrate-sensitive tumors, but over 40% of castrate-resistant tumors. Less commonly, tumors have aberrant activation of the
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The original 1966 Gleason grading system allowed pathologist scores of 1 to 5, resulting in Gleason scores of 2 to 10; however, a 2005 update by the
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resistance to treatments, necessitating several lines of therapy, each used in sequence to extend survival. The standard of care is the chemotherapy
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Those with advanced prostate cancer suffer fatigue, lethargy, and a generalized weakness. This is caused in part by gastrointestinal problems, with
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have identified over 100 gene variants associated with increased prostate cancer risk. The greatest risk increase is associated with variations in
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Walsh PC, Lepor H, Eggleston JC (1983). "Radical Prostatectomy with Preservation of Sexual Function: Anatomical and Pathological Considerations".
3513: 3511: 1629: 1628:. Young's method became the widespread standard, initially done primarily to relieve symptoms of urinary blockage. In 1931 a new surgical method, 4670: 918:(male sex hormones) that prostate cells require to grow. Various drugs are used to lower androgen levels by blocking the synthesis or action of 5670: 5593: 1007: 923: 801: 455:; around 20–25% of those with abnormal findings on their rectal exams have prostate cancer. Several urological societies' guidelines recommend 223: 143: 52: 1641:'s 1983 description of a retropubic prostatectomy approach that avoided damage to the nerves near the prostate, preserving erectile function. 5089: 4949: 4930: 4872: 4272: 1058:
to shrink nearby tumors. More dispersed bone pain can be treated with radioactive compounds that disproportionately accumulate in bone, like
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largely eliminated the pathologist scores 1 and 2. In common practice, tumors are now scored 3 to 5, resulting in Gleason scores of 6 to 10.
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and so are regularly tested for a worsening of their disease. Those at higher risk may receive treatment to eliminate the tumor – typically
5761: 5267: 5308: 2174: 2172: 2170: 1762:– clusters of prostate cells that can be grown from human prostate tumors or stem cells. Modeling tumor growth and metastasis requires a 5455: 5167: 4919:
Scher HI, Eastham JA (2022). "87: Benign and Malignant Diseases of the Prostate". In Loscalzo J, Fauci A, Kasper D, et al. (eds.).
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Prostate cancer is the second-most frequently diagnosed cancer in men, and the second-most frequent cause of cancer death in men (after
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Radical prostatectomy aims to surgically remove the cancerous part of the prostate, along with the seminal vesicles, and the end of the
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to reduce the total incidence of prostate cancer; however, it is unclear as of 2022 whether they reduce any cases of dangerous disease.
4558:"Seminar: Revisiting the Value of PSA-Based Prostate Cancer Screening Essay No 5: Should Men Undergo MRI Before Prostate Biopsy? (Pro)" 3547:"Cases of Fungus Hæmatodes, with Observations, by George Langstaff, Esq. and an Appendix, Containing two Cases of Analogous Affections" 1766:, typically a mouse. Researchers can either surgically implant human prostate tumors into immunocompromised mice (a technique called a 5727: 2380: 1003: 906:
Bone scintigraphy scan of a man with metastatic prostate cancer. Dark spots indicate metastases along the pelvis, ribs, and shoulder.
591: 553: 207:(PSA) levels. Those with high levels of PSA in their blood are at increased risk for developing prostate cancer. Diagnosis requires a 2191: 1540:(found in tomatoes) are at a reduced risk of symptomatic prostate cancer. Conversely, those who consume high levels of dietary fats, 5754: 5687: 5682: 5623: 5618: 1815:
Cancer incidence often plateaus or falls in the oldest age groups due to reduced diagnosis in people who are already in poor health.
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are given instead, and can also rapidly reduce testosterone levels. Reducing testosterone can cause various side effects, including
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sequences being rearranged or copied repeatedly. Some genomic alterations are particularly common in early prostate cancer, namely
578: 1230:(PIN). Some PINs continue to grow, forming layers of tissue that stop expressing genes common to their original tissue location – 1836: 1834: 1832: 1576: 1541: 800:
Men diagnosed with low-risk cases of prostate cancer often defer treatment and are monitored regularly for cancer progression by
1898: 5832: 5801: 5638: 5613: 5488: 5260: 3756: 3157: 2666: 2466: 2315: 1707: 1403: 226:, monitoring the tumor with regular tests to ensure it has not grown. Tumors more likely to be dangerous can be destroyed with 5318: 4628:"Prostate Cancer Risk in Men of Differing Genetic Ancestry and Approaches to Disease Screening and Management in these Groups" 5732: 5702: 5653: 5648: 5603: 5588: 2728: 2726: 2080: 1462: 2701: 2699: 2686: 2684: 5776: 5608: 3792:"Tumor Growth Inhibition in Patients with Prostatic Carcinoma Treated with Luteinizing Hormone-Releasing Hormone Agonists" 2354: 2058: 2056: 1728: 1715: 762: 1128:
As those severely ill with metastatic prostate cancer approach the end of their lives, most experience confusion and may
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Pilié P, Viscuse P, Logothetis CJ, Corn PG (2022). "45: Prostate Cancer". In Kantarjian HM, Wolff RA, Rieber AG (eds.).
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No drug or vaccine is approved by regulatory agencies for the prevention of prostate cancer. Several studies have shown
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Research into prostate cancer relies on a number of laboratory models to test aspects of the disease. Several prostate
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compared to those without cancer. When added to normal prostate cancer treatments, psychological interventions such as
203:. Abnormal growth of prostate tissue is usually detected through screening tests, typically blood tests that check for 5697: 5660: 5643: 5465: 5367: 4671:"Global Funding for Cancer Research Between 2016 and 2020: a Content Analysis of Public and Philanthropic Investments" 2582: 1423: 1063: 1015: 503: 471: 443:
Men suspected of having prostate cancer may undergo several tests to assess the prostate. One common procedure is the
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to nearby lymph nodes and bones, particularly in the pelvis, hips, spine, ribs, head, and neck. There they can cause
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Coleman RE, Croucher PI, Padhani AR, Clézardin P, Chow E, Fallon M, et al. (October 2020). "Bone Metastases".
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Costello AJ (March 2020). "Considering the Role of Radical Prostatectomy in 21st Century Prostate Cancer Care".
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Rebello RJ, Oing C, Knudsen KE, Loeb S, Johnson DC, Reiter RE, et al. (February 2021). "Prostate cancer".
1580: 1296:(1% of localized tumors, more than 5% of metastatic ones). Similarly mutations in the DNA repair-related genes 196: 2021: 2019: 2017: 2015: 2013: 4201: 2444: 1206:. In advanced tumors, cells can develop the ability to detach from their original tissue site, and evade the 5786: 5749: 5722: 5712: 1378: 573: 491: 424: 341: 294: 278:
The risk of developing prostate cancer increases with age; the average age of diagnosis is 67. Those with a
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Lytton B (June 2001). "Prostate cancer: a brief history and the discovery of hormonal ablation treatment".
1942: 1940: 598:, with scores assigned for the extent of the tumor (T), spread to any lymph nodes (N), and the presence of 5791: 5598: 5578: 5568: 5392: 3992:
Achard V, Putora PM, Omlin A, Zilli T, Fischer S (2022). "Metastatic Prostate Cancer: Treatment Options".
3243:"Understanding Your Pathology Report: Prostatic Intraepithelial Neoplasia (PIN) and Intraductal Carcinoma" 1735: 1625: 1612:, following the autopsy of a man who had died at age 68 with lower-body pain and urinary issues. In 1853, 1374: 871: 533: 435: 128: 1959: 1102:. Organ damage and metastases in the lymph nodes can lead to uncomfortable accumulation of fluid (called 1094:, or treatments that focus on underlying gastrointestinal issues. General weakness can also be caused by 5771: 1670: 1572: 1521: 1399: 1326: 1304:
are rare in localized disease but found in at least 7% and 5% of metastatic disease cases respectively.
815:; these have similar rates of cancer control, but different side effects. Radiation can be delivered by 231: 4263:
Dall'Era MA (2023). "39-17: Prostate Cancer". In Papadakis MA, McPhee SJ, Rabow MW, McQuaid KR (eds.).
3366: 3364: 3362: 3360: 3358: 1493:
Men who are taller are at a slightly increased risk for developing prostate cancer, as are men who are
1242:– and instead begin expressing genes typical of cells in the innermost lining of the pancreatic duct – 1609: 1257:
Some PINs can eventually grow into tumors. This is commonly accompanied by large-scale changes to the
796:
Setup for radiation therapy. The person lies flat while a radiation beam is focused on the tumor site.
5460: 3859: 3857: 3803: 1654: 1632:, became available, replacing perineal prostatectomy for symptomatic relief of obstruction. In 1945, 1514: 984: 879: 832: 467: 310: 3333: 3331: 3181: 3179: 3177: 3175: 2337: 2335: 2333: 1592:, as the length and rigidity of the new vagina can obstruct access to the prostate from the rectum. 1157:
and lips. The person becomes less and less responsive, and eventually the heart and breathing stop.
5387: 5362: 5323: 5156: 3738: 3736: 3734: 3732: 3272: 3270: 3268: 3266: 3264: 3262: 3260: 2816: 2814: 2812: 2810: 2808: 2806: 2804: 2767: 2765: 2763: 1771: 1153: 980: 840: 549: 870:(the duct that delivers sperm from the testes). In wealthier countries, this is typically done by 792: 5500: 5328: 4990: 4907: 4808: 4770: 4626:
McHugh J, Saunders EJ, Dadaev T, McGrowder E, Bancroft E, Kote-Jarai Z, et al. (June 2022).
4614: 4515: 4251: 4214: 4070: 4017: 3701: 1683: 1678:
treating prostate cancer, but that those on estrogen therapy were at increased risk of suffering
1666: 1466: 1167: 852: 595: 466:
of the prostate. Prostate biopsies are typically taken by a needle passing through the rectum or
444: 419: 84: 5495: 4029:
Bergengren O, Pekala KR, Matsoukas K, Fainberg J, Mungovan SF, Bratt O, et al. (May 2023).
1600: 590:
to determine the extent of its growth and spread. Prostate cancer is typically staged using the
2246:, "MRI as a test for clinically referred men with a raised PSA or abnormal digital rectal exam. 2038: 5299: 5289: 5218: 5189: 5131: 5085: 5068: 5033: 4982: 4945: 4926: 4899: 4868: 4851: 4800: 4762: 4733: 4690: 4657: 4606: 4577: 4544: 4507: 4478: 4426: 4391: 4356: 4313: 4268: 4243: 4206: 4167: 4124: 4099: 4062: 4009: 3831: 3693: 3576: 2628: 2626: 2624: 2295: 2293: 1568: 1470: 1309: 1149: 1114: 1099: 1087: 1011: 816: 808: 773: 561: 507: 362:(PSA), which are elevated in those with enlarged prostates, whether due to prostate cancer or 227: 151: 112: 89:
Typically none. Sometimes trouble urinating, erectile dysfunction, or pain in the back/pelvis.
68: 1190:
of cells in the prostate. These mutations affect genes involved in cell growth, replication,
1132:
or have trouble recognizing loved ones. Confusion is caused by various conditions, including
1075:
as surgery and radiotherapy to shrink spinal tumors and relieve pressure on the spinal cord.
5521: 5058: 5023: 5015: 4972: 4891: 4841: 4833: 4792: 4754: 4723: 4715: 4682: 4647: 4639: 4598: 4569: 4536: 4499: 4468: 4460: 4447:
Ittmann M, Huang J, Radaelli E, Martin P, Signoretti S, Sullivan R, et al. (May 2013).
4416: 4381: 4346: 4338: 4303: 4295: 4235: 4196: 4188: 4157: 4149: 4091: 4052: 4042: 4001: 3821: 3811: 3685: 3603: 3566: 3558: 2985: 2983: 2933: 2931: 2649: 2647: 2645: 2643: 2641: 2287:, "Historical background", "2005 and 2014 ISUP grading conferences", and "Gleason patterns". 1859: 1857: 1855: 1853: 1851: 1849: 1779: 1644:
Radiation therapy for prostate cancer was used occasionally in the early 20th century, with
1638: 1346: 1342: 1211: 1199: 1183: 1079: 529: 4112: 3719: 3717: 3715: 1706:
Prostate cancer screening and awareness have been widely promoted since the early 2000s by
5407: 5379: 5349: 5340: 2400: 2398: 2215: 2213: 2211: 2209: 1775: 1613: 1118: 1067: 891: 823:) to be delivered to the prostate with relatively little radiation to other organs, or by 777: 603: 499: 208: 5252: 4057: 3807: 1698:
in 2015, docetaxel use was extended to those with castration-sensitive prostate cancer.
5438: 5397: 5028: 5003: 4846: 4821: 4728: 4703: 4652: 4627: 4473: 4448: 4351: 4326: 4308: 4283: 4162: 4137: 3790:
Tolis G, Ackman D, Stellos A, Mehta A, Labrie F, Fazekas AT, et al. (March 1982).
3640: 3638: 3636: 3634: 3571: 3546: 1763: 1633: 1247: 1239: 1133: 848: 828: 587: 483: 309:
Early prostate cancer usually causes no symptoms. As the cancer advances, it may cause
298: 222:
Most prostate tumors remain small and cause no health problems. These are managed with
216: 5019: 4977: 4960: 4686: 4669:
McIntosh SA, Alam F, Adams L, Boon IS, Callaghan J, Conti I, et al. (June 2023).
4540: 3826: 3607: 2918: 2916: 2914: 1758:, and MDA-PCa-2a and −2b. Research requiring more complex models of the prostate uses 1361: 513: 282:
of any cancer are more likely to have prostate cancer, particularly those who inherit
5821: 5483: 5475: 4994: 4911: 4812: 4774: 4618: 4519: 4255: 4218: 4074: 4021: 1876: 1874: 1872: 1621: 1243: 1235: 1207: 1019: 1010:, which binds to and destroys PSMA-positive cells. Those whose tumors have defective 824: 812: 769: 495: 337: 283: 212: 147: 121: 5229: 5161: 3768: 3705: 3036: 3034: 560:
may also be used, but are less able to detect spread outside the prostate than MRI.
5553: 4959:
Sandhu S, Moore CM, Chiong E, Beltran H, Bristow RG, Williams SG (September 2021).
3387: 3385: 3383: 3381: 3379: 1694: 1589: 1525: 1482: 1083: 988: 976: 968: 964: 919: 867: 781: 395: 243: 159: 5240: 4796: 4573: 4557: 4464: 4031:"2022 Update on Prostate Cancer Epidemiology and Risk Factors-A Systematic Review" 5183: 4602: 4047: 4030: 1398:
history. Increased risk also runs in some ethnic groups, with men of African and
5692: 5213: 4837: 2268: 2266: 2264: 1575:
people who have prostates can develop prostate cancer. Those who have undergone
1370: 1322: 1266: 1141: 1129: 996: 972: 935: 875: 836: 820: 383: 379: 329: 251: 102: 5194: 4895: 4758: 4643: 4503: 4421: 4404: 4192: 4153: 3796:
Proceedings of the National Academy of Sciences of the United States of America
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tumors from prostates enlarged due to benign prostatic hyperplasia. In 1941,
5224: 5146: 3689: 1584: 1557: 1553: 1549: 1529: 1510: 1502: 1386: 1071: 1051: 1035: 1031: 960: 952: 948: 944: 931: 541: 521: 479: 267: 263: 247: 166: 5072: 5037: 4986: 4903: 4855: 4804: 4766: 4737: 4694: 4661: 4610: 4581: 4548: 4511: 4482: 4430: 4395: 4386: 4369: 4360: 4317: 4247: 4210: 4171: 4128: 4103: 4066: 4013: 3816: 3791: 3580: 2870:"FDA Approves Pluvicto for Metastatic Castration-Resistant Prostate Cancer" 2355:"Prostate Cancer: Diagnosis and Management. NICE Guideline [NG131]" 3835: 3697: 1292:(mutated in 8% of localized tumors, more than 27% of metastatic ones) and 219:
1 to 4. A higher stage signifies a more advanced, more dangerous disease.
5412: 5402: 5357: 5285: 5063: 5046: 3886: 3884: 1783: 1759: 1711: 1674: 1545: 1537: 1506: 1455: 1086:
all common. These are typically treated with appetite-increasing drugs –
1027: 915: 844: 367: 239: 188: 184: 117: 73: 1649: 1270: 1203: 1110: 922:, the primary androgen. The first line of treatment typically involves 883: 557: 517: 407: 333: 235: 200: 77: 61: 5114: 4370:"Biomarkers for Prostate Cancer: Prostate-Specific Antigen and Beyond" 4095: 4005: 2381:"Prostate Cancer Risk Groups and the Cambridge Prognostic Group (CPG)" 5141: 5126: 1751: 1645: 1498: 1474: 1447: 1414:(three-fold increased risk), both of which are involved in repairing 1411: 1334: 1314: 1258: 1145: 1137: 1109:
People with prostate cancer are around twice as likely to experience
1095: 992: 463: 448: 3517: 3502: 3490: 4299: 1608:
A prostate mass was first described in 1817 by the English surgeon
266:, leg weakness or paralysis, and eventually death. Prostate cancer 5080:
Valier H (2016). "The Problematic Prehistory of Prostate Cancer".
4405:"Prostate Cancer Grading: a Decade After the 2005 Modified System" 2847:, "Management of metastatic castration-resistant prostate cancer". 1747: 1739: 1599: 1494: 1478: 1451: 1443: 1419: 1407: 1360: 1318: 1297: 1282: 1251: 901: 857: 791: 577: 512: 487: 434: 318: 314: 288: 234:. Those whose cancer spreads beyond the prostate are treated with 192: 3310: 2667:"Following PSA Levels During and After Prostate Cancer Treatment" 2467:"Following PSA Levels During and After Prostate Cancer Treatment" 2041:. U.S. Centers for Disease Control and Prevention. 25 August 2022 914:(also called "chemical castration"), drugs that reduce levels of 386:, and some urological procedures can increase PSA levels; taking 211:
of the prostate. If cancer is present, the pathologist assigns a
5172: 1755: 1743: 1439: 1435: 1431: 1427: 1350: 1278: 1231: 403: 399: 255: 5525: 5256: 2905: 2890: 2445:"Initial Treatment of Prostate Cancer, by Stage and Risk Group" 1980: 1946: 2181:, "Box 1: Screening for prostate cancer in different regions". 1533: 1458: 1293: 1289: 1187: 3403: 1583:
have reduced risk of developing prostate cancer, relative to
1774:. These genetically engineered mouse models typically use a 1365:
Prostate cancer incidence by age group, United States, 2016
3528: 3526: 1125:
can help reduce anxiety, depression, and general distress.
910:
For those with metastatic disease, the standard of care is
3974: 3621: 3619: 3617: 3120: 1588:
prostate are often impossible in women who have undergone
1250:. These multilayered PINs also often overexpress the gene 1054:
can take effect. Single sites of pain can be treated with
344:
causing weakness in the legs and feet, or limb paralysis.
4820:
Pernar CH, Ebot EM, Wilson KM, Mucci LA (December 2018).
3439: 3337: 2116:, "4. For men with elevated PSA (≥3 ng/mL), repeat PSA.". 447:, in which a doctor inserts a lubricated finger into the 3657:
Young HH (1905). "Four Cases of Radical Prostatectomy".
3418:, "Risk factors for advanced and fatal prostate cancer". 3226: 2489:"Observation or Active Surveillance for Prostate Cancer" 2359:
National Institute for Health and Care Excellence (NICE)
1673:
published two studies using surgical castration or oral
1281:(up to 15% of tumors), and mutations that hyperactivate 1254:, which is associated with prostate cancer progression. 556:
is used to detect metastases distant from the prostate.
3890: 3520:, "Screening for prostate cancer in transgender women". 3505:, "Interpretation of PSA in transgender women on GAHT". 1277:(up to 60% of prostate tumors), mutations that disable 3370: 3276: 3185: 3144: 3132: 3108: 3090:. American Society of Clinical Oncology. November 2022 2832: 2783: 2732: 2705: 2690: 2533: 2416: 2219: 2178: 2025: 1931: 1919: 1863: 1843:, "Figure 3: Prostate cancer stages and progression.". 1840: 254:(spread) to other areas of the body, particularly the 3914: 3902: 3478: 3463: 3451: 3427: 3415: 3322: 2065:, "3. Tailor screening frequency based on PSA-level". 1934:, "Figure 3: Prostate cancer stages and progression". 1657:
pioneered an open surgery technique where needles of
819:(IMRT), which allows for high doses (greater than 80 462:
A definitive diagnosis of prostate cancer requires a
5104: 4702:
Merriel SW, Funston G, Hamilton W (September 2018).
2954:"What is Metastatic Spinal Cord Compression (MSCC)?" 2872:. U.S. Food & Drug Administration. 23 March 2022 2835:, "Metastatic castration-resistant prostate cancer". 2521: 2509: 1144:, and as a side effect of various drugs, especially 478:, wherein they are examined under a microscope by a 5561: 5474: 5429: 5378: 5348: 5339: 5307: 5298: 5204: 5108: 3863: 3025: 3016:, "Estimates of anxiety, depression, and distress". 3013: 1524:(certain leafy greens, broccoli, and cauliflower), 979:, as well as the testosterone production inhibitor 582:Diagram showing T1 to T3 stages of prostate cancer 165: 139: 127: 111: 101: 93: 83: 67: 42: 37: 5047:"Prostate Cancer: Palliative Care and Pain Relief" 3965:, "2.3 Genetically engineered mouse model (GEMM)". 3875: 2856: 2844: 2243: 540:The extent of cancer spread is assessed by MRI or 4438:Hessen MT, ed. (August 2022). "Prostate Cancer". 4202:20.500.11820/6bac9e59-0afa-4b4a-bebf-4e747b889917 3040: 3001: 2989: 2974: 2937: 2735:, "Metastatic hormone-sensitive prostate cancer". 1992: 1182:Prostate cancer is caused by the accumulation of 780:. Those with metastatic disease are treated with 738:National Institute for Health and Care Excellence 3962: 3950: 3938: 3926: 2708:, "Biocehmical recurrence and residual disease". 2693:, "Biochemical recurrence and residual disease". 2603: 1454:. Additionally, variants in the genome near the 967:drugs, namely the androgen receptor antagonists 398:(also measured by 4K score), or urine levels of 5002:Teo MY, Rathkopf DE, Kantoff P (January 2019). 4556:Maffei D, Giganti F, Moore CM (February 2023). 2113: 2062: 564:is used to test for spread of cancer to bones. 5838:Neoplastic and hyperplastic prostate disorders 5444:High-grade prostatic intraepithelial neoplasia 4265:Current Medical Diagnosis & Treatment 2023 4113:"Localized Prostate Cancer: Treatment Options" 3848: 3742: 3723: 3644: 2720:, "Rising PSA after definitive local therapy". 5537: 5268: 4944:(12 ed.). Elsevier. pp. 3457–3477. 3063:"Dying from Prostate Cancer – What to Expect" 2192:"Tests to Diagnose and Stage Prostate Cancer" 2075: 2073: 2071: 1804:International Society of Urological Pathology 325:(non-cancerous enlargement of the prostate). 8: 3391: 3349: 2922: 2820: 2795: 2771: 2717: 2653: 2615: 2569: 2557: 2545: 2428: 2404: 2341: 2299: 2272: 2255: 2231: 2101: 2004: 1880: 476:histopathologic diagnosis of prostate cancer 4325:Desai K, McManus JM, Sharifi N (May 2021). 3481:, "Calcium, dairy products, and vitamin D". 3325:, "Risk factors for total prostate cancer". 3237: 3235: 2585:. American Cancer Society. 13 February 2023 2491:. American Cancer Society. 22 November 2023 2439: 2437: 2310: 2308: 2194:. American Cancer Society. 21 February 2023 1893: 1891: 1889: 1750:, as well as more recent cell lines 22Rv1, 1461:are associated with increased risk. As are 5544: 5530: 5522: 5345: 5304: 5275: 5261: 5253: 5105: 4922:Harrison's Principles of Internal Medicine 4865:The MD Anderson Manual of Medical Oncology 1770:), or induce prostate tumors in mice with 1738:are widely used, namely the classic lines 862:A surgeon performs robot-assisted surgery. 612: 51: 34: 5062: 5027: 4976: 4845: 4727: 4651: 4472: 4420: 4385: 4350: 4307: 4200: 4161: 4136:Carlsson SV, Vickers AJ (November 2020). 4111:Brawley S, Mohan R, Nein CD (June 2018). 4056: 4046: 3929:, "2.1 Human prostate cancer cell lines". 3825: 3815: 3570: 2548:, "Clinically localized prostate cancer". 2318:. American Cancer Society. 8 October 2021 2083:. American Cancer Society. 4 January 2021 1410:(up to an eight-fold increased risk) and 1337:(4% of tumors); or dysregulation of the 402:molecules common to prostate tumors like 5574:Attention deficit hyperactivity disorder 4284:"A history of prostate cancer treatment" 3160:. American Cancer Society. 1 August 2019 2748:. American Cancer Society. 9 August 2022 2669:. American Cancer Society. 1 August 2019 2632: 2469:. American Cancer Society. 1 August 2019 2447:. American Cancer Society. 9 August 2022 2039:"What Is Screening for Prostate Cancer?" 1901:. American Cancer Society. 1 August 2019 1469:common in African-Americans, and in the 807:Those who elect to have therapy receive 5004:"Treatment of Advanced Prostate Cancer" 3440:Stephenson, Abouassaly & Klein 2021 3338:Stephenson, Abouassaly & Klein 2021 3082: 3080: 3057: 3055: 3053: 3051: 3049: 2948: 2946: 2583:"Radiation Therapy for Prostate Cancer" 2284: 1828: 1795: 1630:transurethral resection of the prostate 366:. The typical man's blood has around 1 4327:"Hormonal Therapy for Prostate Cancer" 3625: 3532: 3290:"Prostate Cancer Incidence Statistics" 843:– damage to the rectum that can cause 174:range from 30–99%, depending on stage. 60:Diagram of prostate tumor pressing on 5045:Thompson JC, Wood J, Feuer D (2007). 4822:"The Epidemiology of Prostate Cancer" 2798:, "Outcomes of androgen deprivation". 2746:"Hormone Therapy for Prostate Cancer" 2512:, "Reclassification and progression". 2161: 2149: 2137: 2125: 2081:"Screening Tests for Prostate Cancer" 1210:. These cells can spread through the 817:intensity-modulated radiation therapy 7: 2560:, "External beam radiation therapy". 2007:, "Metastatic disease: noncastrate". 1920:Merriel, Funston & Hamilton 2018 1899:"Prostate Cancer Signs and Symptoms" 1048:nonsteroidal anti-inflammatory drugs 1006:may receive the radiopharmaceutical 772:(surgery to remove the prostate) or 238:therapy which reduces levels of the 5671:Epidemiology of Alzheimer's disease 5456:List of people with prostate cancer 5084:. Springer Nature. pp. 15–42. 4282:Denmeade SR, Isaacs JT (May 2002). 3229:, "The biology of prostate cancer". 1962:. Cancer Research UK. 15 March 2022 1693:approved the systemic chemotherapy 1228:prostatic intraepithelial neoplasia 3199:"Locally Advanced Prostate Cancer" 2893:, "Prevalence of bone metastases". 2344:, "Table 87-1 TNM classification". 2028:, "Screening and early detection". 592:American Joint Committee on Cancer 554:prostate-specific membrane antigen 25: 5020:10.1146/annurev-med-051517-011947 4704:"Prostate Cancer in Primary Care" 3864:Desai, McManus & Sharifi 2021 3292:. Cancer Research UK. 15 May 2015 3201:. Cancer Research UK. 31 May 2022 3026:Mundle, Afenya & Agarwal 2021 3014:Mundle, Afenya & Agarwal 2021 2823:, "Metastatic disease: castrate". 2774:, "Testosterone-lowering agents". 2383:. Cancer Research UK. 24 May 2022 439:Diagram of a digital rectal exam 3876:Teo, Rathkopf & Kantoff 2019 2857:Teo, Rathkopf & Kantoff 2019 2845:Teo, Rathkopf & Kantoff 2019 2635:, "The rise of robotic surgery". 2244:Maffei, Giganti & Moore 2023 2140:, "Prostate Health Index (PHI)". 1786:specifically in prostate cells. 1577:gender-affirming hormone therapy 1542:polycyclic aromatic hydrocarbons 1014:benefit from treatment with the 552:that binds the prostate protein 548:(PET) imaging technique where a 4138:"Screening for Prostate Cancer" 3442:, "Inflammation and infection". 3065:. Prostate Cancer UK. July 2018 3041:Thompson, Wood & Feuer 2007 3002:Thompson, Wood & Feuer 2007 2990:Thompson, Wood & Feuer 2007 2975:Thompson, Wood & Feuer 2007 2956:. Prostate Cancer UK. June 2022 2938:Thompson, Wood & Feuer 2007 1708:Prostate Cancer Awareness Month 1463:single-nucleotide polymorphisms 1404:genome-wide association studies 1056:external beam radiation therapy 614:AJCC stage for prostate cancer 490:tissue), with the rest largely 107:Older age, family history, race 3755:Huggins CB, Hodges CV (1941). 3745:, "Androgen-ablation therapy". 3518:Bertoncelli Tanaka et al. 2022 3503:Bertoncelli Tanaka et al. 2022 3491:Bertoncelli Tanaka et al. 2022 3158:"What Causes Prostate Cancer?" 2977:, "Gastrointestinal symptoms". 2604:Brawley, Mohan & Nein 2018 2104:, "Prostate-specific antigen". 586:After diagnosis, the tumor is 340:. Growing metastases can also 27:Male reproductive organ cancer 1: 4978:10.1016/S0140-6736(21)00950-8 4826:Cold Spring Harb Perspect Med 4797:10.1016/j.urology.2019.11.062 4747:Prostate Cancer Prostatic Dis 4687:10.1016/S1470-2045(23)00182-1 4574:10.1016/j.urolonc.2022.04.016 4541:10.1016/S0022-5347(05)66228-3 4465:10.1158/0008-5472.CAN-12-4213 3608:10.1016/S0140-6736(02)68759-8 3088:"Care Through the Final Days" 1960:"Symptoms of Prostate Cancer" 1729:disability-adjusted life year 1716:Breast Cancer Awareness Month 763:Management of prostate cancer 328:Advanced prostate tumors can 262:. There, tumors cause severe 5489:Extramammary Paget's disease 5082:A History of Prostate Cancer 4925:(21 ed.). McGraw Hill. 4603:10.1016/j.canlet.2022.215794 4267:(62 ed.). McGraw Hill. 4048:10.1016/j.eururo.2023.04.021 2908:, "Analgesics used in CIBP". 2302:, "Prostate cancer staging". 1691:Food and Drug Administration 1513:, or infection with various 1349:mutations (6% of tumors) or 1123:cognitive behavioral therapy 912:androgen deprivation therapy 546:positron emission tomography 453:benign prostatic hyperplasia 376:Benign prostatic hyperplasia 364:benign prostatic hyperplasia 323:benign prostatic hyperplasia 185:uncontrolled growth of cells 134:Benign prostatic hyperplasia 5466:Transitional-cell carcinoma 5368:Germ cell neoplasia in situ 4867:(4 ed.). McGraw Hill. 4838:10.1101/cshperspect.a030361 4403:Epstein JI (January 2018). 3866:, "Evolution of treatment". 3851:, "Cytotoxic chemotherapy". 3373:, "Genetic predisposition". 3352:, "General considerations". 3111:, "Prognosis and survival". 2114:Carlsson & Vickers 2020 2063:Carlsson & Vickers 2020 1082:, weight loss, nausea, and 1016:immune checkpoint inhibitor 504:transitional cell carcinoma 472:transrectal ultrasonography 5859: 5319:Sertoli–Leydig cell tumour 4942:Cambell-Walsh-Wein Urology 4896:10.1038/s41572-020-00243-0 4759:10.1038/s41391-021-00342-3 4644:10.1038/s41416-021-01669-3 4504:10.1038/s41585-021-00432-w 4442:. Point of Care. Elsevier. 4422:10.1038/modpathol.2017.133 4368:Duffy MJ (February 2020). 4193:10.1038/s41572-020-00216-3 4154:10.1016/j.mcna.2020.08.007 3849:Denmeade & Isaacs 2002 3743:Denmeade & Isaacs 2002 3724:Denmeade & Isaacs 2002 3645:Denmeade & Isaacs 2002 3563:10.1177/095952871700800114 2656:, "Radical prostatectomy". 2618:, "Radical prostatectomy". 1995:, "Clinical presentation". 1329:via disruption of members 760: 594:'s (AJCC) three-component 571: 457:magnetic resonance imaging 445:digital rectal examination 351: 284:cancer-associated variants 5511:Hirsuties coronae glandis 4720:10.1007/s12325-018-0766-1 4240:10.1038/s41585-020-0287-y 4117:American Family Physician 3245:. American Cancer Society 2316:"Prostate Cancer Staging" 2234:, "Physical examination". 1768:patient derived xenograft 721: 718: 696: 682: 655: 649: 390:can decrease PSA levels. 360:prostate-specific antigen 354:Prostate cancer screening 230:or surgically removed by 205:prostate-specific antigen 59: 50: 5745:Motor vehicle collisions 5506:Erythroplasia of Queyrat 3767:(4): 293. Archived from 3392:Scher & Eastham 2022 3188:, "Disease progression". 2923:Scher & Eastham 2022 2859:, "Abiraterone acetate". 2821:Scher & Eastham 2022 2796:Scher & Eastham 2022 2772:Scher & Eastham 2022 2718:Scher & Eastham 2022 2654:Scher & Eastham 2022 2570:Scher & Eastham 2022 2558:Scher & Eastham 2022 2546:Scher & Eastham 2022 2431:, "Active surveillance". 2429:Scher & Eastham 2022 2407:, "No cancer diagnosis". 2405:Scher & Eastham 2022 2342:Scher & Eastham 2022 2300:Scher & Eastham 2022 2273:Scher & Eastham 2022 2256:Scher & Eastham 2022 2232:Scher & Eastham 2022 2102:Scher & Eastham 2022 2005:Scher & Eastham 2022 1881:Scher & Eastham 2022 1581:gender-affirming surgery 983:. An alternative is the 528:Next, tumor samples are 342:compress the spinal cord 273:five-year survival rates 197:male reproductive system 172:Five-year survival rates 3690:10.1002/pros.2990040506 3279:, "Metastatic disease". 1949:, "Prevalence of SREs". 1922:, "Symptoms and signs". 1736:immortalized cell lines 1379:human development index 751:5α-reductase inhibitors 574:Prostate cancer staging 492:squamous-cell carcinoma 425:Human Development Index 388:5α-reductase inhibitors 5833:Male genital neoplasia 5594:Cardiovascular disease 5393:Endodermal sinus tumor 4529:The Journal of Urology 4387:10.1515/cclm-2019-0693 4343:10.1210/endrev/bnab002 4288:Nature Reviews. Cancer 3817:10.1073/pnas.79.5.1658 3726:, "Radiation therapy". 3311:Bergengren et al. 2023 2606:, "Radiation therapy". 2536:, "Localized Disease". 1993:Clinical Overview 2022 1626:Johns Hopkins Hospital 1605: 1522:cruciferous vegetables 1515:human papillomaviruses 1375:gross domestic product 1366: 1285:(up to 5% of tumors). 907: 872:robot-assisted surgery 863: 797: 776:, sometimes alongside 583: 534:Gleason grading system 525: 440: 297:and the 1977 Prize to 129:Differential diagnosis 5772:Risky sexual behavior 5556:of medical conditions 4535:(6 Pt 1): 1859–1862. 3340:, "Age at diagnosis". 3313:, "3.1 Epidemiology". 2992:, "General debility". 2940:, "Cord compression". 2128:, "Percent free PSA". 1682:. Through the 1980s, 1603: 1573:gender non-conforming 1364: 1327:Wnt signaling pathway 1090:or corticosteroids – 905: 861: 795: 581: 516: 438: 232:radical prostatectomy 5762:Periodontal diseases 5461:Small-cell carcinoma 4971:(10305): 1075–1090. 3915:McIntosh et al. 2023 3903:McIntosh et al. 2023 2925:, "Pain management". 2258:, "Prostate biopsy". 1983:, "Prostate cancer". 1883:, "Prostate cancer". 880:urinary incontinence 833:erectile dysfunction 625:Gleason grade group 311:erectile dysfunction 5388:Embryonal carcinoma 5363:Spermatocytic tumor 5324:Sertoli cell tumour 4884:Nat Rev Dis Primers 4181:Nat Rev Dis Primers 3975:Ittmann et al. 2013 3941:, "2.4. Organoids". 3808:1982PNAS...79.1658T 3545:Lawrence W (1817). 3371:Rebello et al. 2021 3277:Rebello et al. 2021 3186:Rebello et al. 2021 3145:Rebello et al. 2021 3133:Rebello et al. 2021 3109:Rebello et al. 2021 2906:Coleman et al. 2020 2891:Coleman et al. 2020 2833:Rebello et al. 2021 2733:Rebello et al. 2021 2706:Rebello et al. 2021 2691:Rebello et al. 2021 2534:Rebello et al. 2021 2417:Rebello et al. 2021 2220:Rebello et al. 2021 2179:Rebello et al. 2021 2026:Rebello et al. 2021 1981:Coleman et al. 2020 1947:Coleman et al. 2020 1932:Rebello et al. 2021 1864:Rebello et al. 2021 1841:Rebello et al. 2021 1772:genetic engineering 1702:Society and culture 1648:implanted into the 1564:Special populations 1026:inhibitors, namely 981:abiraterone acetate 841:radiation proctitis 802:active surveillance 736:The United Kingdom 686:> 20 ng/mL 615: 224:active surveillance 144:Active surveillance 5728:Metabolic syndrome 5501:Bowenoid papulosis 5329:Leydig cell tumour 5205:External resources 5064:10.1093/bmb/ldm018 4440:Clinical Overviews 3953:, "2.2 PDX lines". 3659:Johns Hopkins Bull 3647:, "Prostatectomy". 3479:Pernar et al. 2018 3464:Pernar et al. 2018 3452:Pernar et al. 2018 3428:Pernar et al. 2018 3416:Pernar et al. 2018 3404:McHugh et al. 2022 3323:Pernar et al. 2018 3227:Sandhu et al. 2021 2784:Achard et al. 2022 2572:, "Brachytherapy". 1778:system to disrupt 1684:Andrzej W. Schally 1671:Clarence V. Hodges 1667:Charles B. Huggins 1606: 1489:Body and lifestyle 1467:vitamin D receptor 1367: 1333:(9% of tumors) or 1168:five-year survival 1100:blood transfusions 1064:samarium-153-EDTMP 908: 898:Metastatic disease 864: 853:fecal incontinence 798: 642:<10 ng/mL 613: 584: 526: 508:transitional cells 441: 420:medical guidelines 380:prostate infection 305:Signs and symptoms 299:Andrzej W. Schally 295:Charles B. Huggins 46:Prostate carcinoma 5815: 5814: 5802:Teenage pregnancy 5688:Domestic violence 5683:Diabetes mellitus 5519: 5518: 5425: 5424: 5421: 5420: 5290:urogenital system 5250: 5249: 5091:978-1-4039-8803-4 4961:"Prostate cancer" 4951:978-0-323-54642-3 4932:978-1-264-26850-4 4874:978-1-260-46764-2 4638:(10): 1366–1373. 4374:Clin Chem Lab Med 4274:978-1-264-68734-3 4142:Med Clin North Am 4096:10.1111/bju.15521 4006:10.1159/000519861 3977:, "Introduction". 3891:Patel et al. 2020 3535:, pp. 15–18. 3406:, "Introduction". 3394:, "Epidemiology". 3121:Pilié et al. 2022 2786:, "Introduction". 1866:, "Epidemiology". 1780:tumor suppressors 1710:in September and 1569:Transgender women 1471:androgen receptor 1400:African-Caribbean 1310:androgen receptor 1273:and the oncogene 1196:DNA damage repair 1184:genetic mutations 1150:urinary retention 1088:megestrol acetate 1012:DNA damage repair 809:radiation therapy 788:Localized disease 774:radiation therapy 734: 733: 705:T1 or T2, N0, M0 697:10–20 ng/mL 694:T3 or T3, N0, M0 680:T1 or T2, N0, M0 656:10-20 ng/mL 650:T1 or T2, N0, M0 636:T1 or T2, N0, M0 562:Bone scintigraphy 550:radioactive label 228:radiation therapy 178: 177: 152:radiation therapy 113:Diagnostic method 32:Medical condition 16:(Redirected from 5850: 5733:Mental disorders 5546: 5539: 5532: 5523: 5346: 5305: 5277: 5270: 5263: 5254: 5106: 5095: 5076: 5066: 5041: 5031: 4998: 4980: 4955: 4936: 4915: 4878: 4859: 4849: 4816: 4778: 4741: 4731: 4714:(9): 1285–1294. 4698: 4665: 4655: 4622: 4585: 4552: 4523: 4486: 4476: 4443: 4434: 4424: 4399: 4389: 4364: 4354: 4321: 4311: 4278: 4259: 4222: 4204: 4175: 4165: 4148:(6): 1051–1062. 4132: 4107: 4078: 4060: 4050: 4025: 3978: 3972: 3966: 3960: 3954: 3948: 3942: 3936: 3930: 3924: 3918: 3912: 3906: 3900: 3894: 3888: 3879: 3873: 3867: 3861: 3852: 3846: 3840: 3839: 3829: 3819: 3802:(5): 1658–1662. 3787: 3781: 3780: 3778: 3776: 3752: 3746: 3740: 3727: 3721: 3710: 3709: 3673: 3667: 3666: 3654: 3648: 3642: 3629: 3623: 3612: 3611: 3602:(1547): 393–94. 3591: 3585: 3584: 3574: 3542: 3536: 3530: 3521: 3515: 3506: 3500: 3494: 3493:, "Conclusions". 3488: 3482: 3476: 3467: 3461: 3455: 3449: 3443: 3437: 3431: 3425: 3419: 3413: 3407: 3401: 3395: 3389: 3374: 3368: 3353: 3347: 3341: 3335: 3326: 3320: 3314: 3308: 3302: 3301: 3299: 3297: 3286: 3280: 3274: 3255: 3254: 3252: 3250: 3239: 3230: 3224: 3211: 3210: 3208: 3206: 3195: 3189: 3183: 3170: 3169: 3167: 3165: 3154: 3148: 3142: 3136: 3130: 3124: 3118: 3112: 3106: 3100: 3099: 3097: 3095: 3084: 3075: 3074: 3072: 3070: 3059: 3044: 3038: 3029: 3023: 3017: 3011: 3005: 3004:, "Lymphoedema". 2999: 2993: 2987: 2978: 2972: 2966: 2965: 2963: 2961: 2950: 2941: 2935: 2926: 2920: 2909: 2903: 2894: 2888: 2882: 2881: 2879: 2877: 2866: 2860: 2854: 2848: 2842: 2836: 2830: 2824: 2818: 2799: 2793: 2787: 2781: 2775: 2769: 2758: 2757: 2755: 2753: 2742: 2736: 2730: 2721: 2715: 2709: 2703: 2694: 2688: 2679: 2678: 2676: 2674: 2663: 2657: 2651: 2636: 2630: 2619: 2613: 2607: 2601: 2595: 2594: 2592: 2590: 2579: 2573: 2567: 2561: 2555: 2549: 2543: 2537: 2531: 2525: 2519: 2513: 2507: 2501: 2500: 2498: 2496: 2485: 2479: 2478: 2476: 2474: 2463: 2457: 2456: 2454: 2452: 2441: 2432: 2426: 2420: 2414: 2408: 2402: 2393: 2392: 2390: 2388: 2377: 2371: 2370: 2368: 2366: 2351: 2345: 2339: 2328: 2327: 2325: 2323: 2312: 2303: 2297: 2288: 2282: 2276: 2270: 2259: 2253: 2247: 2241: 2235: 2229: 2223: 2217: 2204: 2203: 2201: 2199: 2188: 2182: 2176: 2165: 2159: 2153: 2147: 2141: 2135: 2129: 2123: 2117: 2111: 2105: 2099: 2093: 2092: 2090: 2088: 2077: 2066: 2060: 2051: 2050: 2048: 2046: 2035: 2029: 2023: 2008: 2002: 1996: 1990: 1984: 1978: 1972: 1971: 1969: 1967: 1956: 1950: 1944: 1935: 1929: 1923: 1917: 1911: 1910: 1908: 1906: 1895: 1884: 1878: 1867: 1861: 1844: 1838: 1816: 1813: 1807: 1800: 1639:Patrick C. Walsh 1610:George Langstaff 1353:(2% of tumors). 1212:lymphatic system 1200:seminal vesicles 1080:loss of appetite 1052:pain medications 941:GnRH antagonists 876:laparoscopically 616: 604:seminal vesicles 370:(ng) of PSA per 55: 35: 21: 5858: 5857: 5853: 5852: 5851: 5849: 5848: 5847: 5843:Types of cancer 5828:Prostate cancer 5818: 5817: 5816: 5811: 5557: 5550: 5520: 5515: 5496:Bowen's disease 5470: 5417: 5408:Choriocarcinoma 5374: 5335: 5311:gonadal stromal 5310: 5294: 5281: 5251: 5246: 5245: 5241:Prostate cancer 5200: 5199: 5117: 5103: 5098: 5092: 5079: 5044: 5001: 4958: 4952: 4939: 4933: 4918: 4881: 4875: 4862: 4832:(12): a030361. 4819: 4781: 4744: 4701: 4668: 4625: 4588: 4555: 4526: 4489: 4446: 4437: 4402: 4367: 4324: 4281: 4275: 4262: 4225: 4178: 4135: 4123:(12): 798–805. 4110: 4081: 4028: 3991: 3987: 3982: 3981: 3973: 3969: 3963:Mai et al. 2022 3961: 3957: 3951:Mai et al. 2022 3949: 3945: 3939:Mai et al. 2022 3937: 3933: 3927:Mai et al. 2022 3925: 3921: 3913: 3909: 3901: 3897: 3889: 3882: 3874: 3870: 3862: 3855: 3847: 3843: 3789: 3788: 3784: 3774: 3772: 3771:on 30 June 2017 3754: 3753: 3749: 3741: 3730: 3722: 3713: 3675: 3674: 3670: 3656: 3655: 3651: 3643: 3632: 3628:, p. 1859. 3624: 3615: 3593: 3592: 3588: 3544: 3543: 3539: 3531: 3524: 3516: 3509: 3501: 3497: 3489: 3485: 3477: 3470: 3462: 3458: 3450: 3446: 3438: 3434: 3426: 3422: 3414: 3410: 3402: 3398: 3390: 3377: 3369: 3356: 3348: 3344: 3336: 3329: 3321: 3317: 3309: 3305: 3295: 3293: 3288: 3287: 3283: 3275: 3258: 3248: 3246: 3241: 3240: 3233: 3225: 3214: 3204: 3202: 3197: 3196: 3192: 3184: 3173: 3163: 3161: 3156: 3155: 3151: 3143: 3139: 3131: 3127: 3119: 3115: 3107: 3103: 3093: 3091: 3086: 3085: 3078: 3068: 3066: 3061: 3060: 3047: 3039: 3032: 3024: 3020: 3012: 3008: 3000: 2996: 2988: 2981: 2973: 2969: 2959: 2957: 2952: 2951: 2944: 2936: 2929: 2921: 2912: 2904: 2897: 2889: 2885: 2875: 2873: 2868: 2867: 2863: 2855: 2851: 2843: 2839: 2831: 2827: 2819: 2802: 2794: 2790: 2782: 2778: 2770: 2761: 2751: 2749: 2744: 2743: 2739: 2731: 2724: 2716: 2712: 2704: 2697: 2689: 2682: 2672: 2670: 2665: 2664: 2660: 2652: 2639: 2631: 2622: 2614: 2610: 2602: 2598: 2588: 2586: 2581: 2580: 2576: 2568: 2564: 2556: 2552: 2544: 2540: 2532: 2528: 2522:Liu et al. 2021 2520: 2516: 2510:Liu et al. 2021 2508: 2504: 2494: 2492: 2487: 2486: 2482: 2472: 2470: 2465: 2464: 2460: 2450: 2448: 2443: 2442: 2435: 2427: 2423: 2419:, "Management". 2415: 2411: 2403: 2396: 2386: 2384: 2379: 2378: 2374: 2364: 2362: 2353: 2352: 2348: 2340: 2331: 2321: 2319: 2314: 2313: 2306: 2298: 2291: 2283: 2279: 2271: 2262: 2254: 2250: 2242: 2238: 2230: 2226: 2218: 2207: 2197: 2195: 2190: 2189: 2185: 2177: 2168: 2160: 2156: 2148: 2144: 2136: 2132: 2124: 2120: 2112: 2108: 2100: 2096: 2086: 2084: 2079: 2078: 2069: 2061: 2054: 2044: 2042: 2037: 2036: 2032: 2024: 2011: 2003: 1999: 1991: 1987: 1979: 1975: 1965: 1963: 1958: 1957: 1953: 1945: 1938: 1930: 1926: 1918: 1914: 1904: 1902: 1897: 1896: 1887: 1879: 1870: 1862: 1847: 1839: 1830: 1825: 1820: 1819: 1814: 1810: 1801: 1797: 1792: 1776:Cre recombinase 1724: 1704: 1655:Willet Whitmore 1614:London Hospital 1604:Charles Huggins 1598: 1566: 1491: 1395: 1359: 1224: 1222:Pathophysiology 1180: 1163: 1119:psychoeducation 1068:zoledronic acid 1044: 1042:Supportive care 900: 790: 778:hormone therapy 765: 759: 747: 576: 570: 500:epithelial cell 484:adenocarcinomas 433: 356: 350: 313:, blood in the 307: 181:Prostate cancer 156:hormone therapy 38:Prostate cancer 33: 28: 23: 22: 18:Prostate Cancer 15: 12: 11: 5: 5856: 5854: 5846: 5845: 5840: 5835: 5830: 5820: 5819: 5813: 5812: 5810: 5809: 5804: 5799: 5794: 5789: 5784: 5779: 5774: 5769: 5764: 5759: 5758: 5757: 5747: 5742: 5741: 5740: 5730: 5725: 5720: 5715: 5710: 5705: 5700: 5695: 5690: 5685: 5680: 5675: 5674: 5673: 5663: 5658: 5657: 5656: 5651: 5646: 5641: 5636: 5631: 5626: 5621: 5616: 5611: 5606: 5596: 5591: 5589:Binge drinking 5586: 5581: 5576: 5571: 5565: 5563: 5559: 5558: 5551: 5549: 5548: 5541: 5534: 5526: 5517: 5516: 5514: 5513: 5508: 5503: 5498: 5493: 5492: 5491: 5480: 5478: 5472: 5471: 5469: 5468: 5463: 5458: 5453: 5452: 5451: 5441: 5439:Adenocarcinoma 5435: 5433: 5427: 5426: 5423: 5422: 5419: 5418: 5416: 5415: 5410: 5405: 5400: 5398:Gonadoblastoma 5395: 5390: 5384: 5382: 5376: 5375: 5373: 5372: 5371: 5370: 5365: 5354: 5352: 5343: 5337: 5336: 5334: 5333: 5332: 5331: 5326: 5315: 5313: 5302: 5296: 5295: 5293: 5292: 5282: 5280: 5279: 5272: 5265: 5257: 5248: 5247: 5244: 5243: 5232: 5221: 5209: 5208: 5206: 5202: 5201: 5198: 5197: 5186: 5175: 5164: 5149: 5134: 5118: 5113: 5112: 5110: 5109:Classification 5102: 5101:External links 5099: 5097: 5096: 5090: 5077: 5042: 4999: 4956: 4950: 4937: 4931: 4916: 4879: 4873: 4860: 4817: 4779: 4753:(3): 674–687. 4742: 4699: 4681:(6): 636–645. 4666: 4623: 4586: 4553: 4524: 4498:(4): 197–208. 4487: 4459:(9): 2718–36. 4444: 4435: 4415:(S1): S47–63. 4400: 4380:(3): 326–339. 4365: 4337:(3): 354–373. 4322: 4300:10.1038/nrc801 4294:(5): 389–396. 4279: 4273: 4260: 4234:(3): 177–188. 4223: 4176: 4133: 4108: 4090:(1): 113–122. 4079: 4041:(2): 191–206. 4026: 3988: 3986: 3983: 3980: 3979: 3967: 3955: 3943: 3931: 3919: 3907: 3895: 3880: 3868: 3853: 3841: 3782: 3747: 3728: 3711: 3684:(5): 473–485. 3668: 3649: 3630: 3613: 3586: 3551:Med Chir Trans 3537: 3522: 3507: 3495: 3483: 3468: 3456: 3444: 3432: 3420: 3408: 3396: 3375: 3354: 3342: 3327: 3315: 3303: 3281: 3256: 3231: 3212: 3190: 3171: 3149: 3137: 3125: 3113: 3101: 3076: 3045: 3030: 3018: 3006: 2994: 2979: 2967: 2942: 2927: 2910: 2895: 2883: 2861: 2849: 2837: 2825: 2800: 2788: 2776: 2759: 2737: 2722: 2710: 2695: 2680: 2658: 2637: 2620: 2608: 2596: 2574: 2562: 2550: 2538: 2526: 2514: 2502: 2480: 2458: 2433: 2421: 2409: 2394: 2372: 2346: 2329: 2304: 2289: 2277: 2275:, "Pathology". 2260: 2248: 2236: 2224: 2222:, "Diagnosis". 2205: 2183: 2166: 2154: 2142: 2130: 2118: 2106: 2094: 2067: 2052: 2030: 2009: 1997: 1985: 1973: 1951: 1936: 1924: 1912: 1885: 1868: 1845: 1827: 1826: 1824: 1821: 1818: 1817: 1808: 1794: 1793: 1791: 1788: 1764:model organism 1723: 1720: 1703: 1700: 1634:Terence Millin 1597: 1594: 1565: 1562: 1490: 1487: 1394: 1391: 1358: 1355: 1248:cytokeratin 18 1240:cytokeratin 14 1223: 1220: 1179: 1176: 1162: 1159: 1154:rattling noise 1134:kidney failure 1043: 1040: 899: 896: 829:bladder cancer 789: 786: 761:Main article: 758: 755: 746: 743: 732: 731: 728: 724: 723: 720: 717: 714: 710: 709: 706: 703: 699: 698: 695: 692: 688: 687: 684: 681: 678: 674: 673: 670: 666: 665: 662: 658: 657: 654: 651: 648: 644: 643: 640: 637: 634: 630: 629: 626: 623: 620: 572:Main article: 569: 566: 496:squamous cells 432: 429: 352:Main article: 349: 346: 306: 303: 280:family history 250:. Some tumors 176: 175: 169: 163: 162: 141: 137: 136: 131: 125: 124: 115: 109: 108: 105: 99: 98: 95: 91: 90: 87: 81: 80: 71: 65: 64: 57: 56: 48: 47: 44: 40: 39: 31: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5855: 5844: 5841: 5839: 5836: 5834: 5831: 5829: 5826: 5825: 5823: 5808: 5805: 5803: 5800: 5798: 5795: 5793: 5790: 5788: 5785: 5783: 5780: 5778: 5777:Schizophrenia 5775: 5773: 5770: 5768: 5765: 5763: 5760: 5756: 5753: 5752: 5751: 5748: 5746: 5743: 5739: 5736: 5735: 5734: 5731: 5729: 5726: 5724: 5721: 5719: 5716: 5714: 5711: 5709: 5706: 5704: 5701: 5699: 5696: 5694: 5691: 5689: 5686: 5684: 5681: 5679: 5676: 5672: 5669: 5668: 5667: 5664: 5662: 5659: 5655: 5652: 5650: 5647: 5645: 5642: 5640: 5637: 5635: 5632: 5630: 5627: 5625: 5622: 5620: 5617: 5615: 5612: 5610: 5607: 5605: 5602: 5601: 5600: 5597: 5595: 5592: 5590: 5587: 5585: 5582: 5580: 5577: 5575: 5572: 5570: 5567: 5566: 5564: 5560: 5555: 5547: 5542: 5540: 5535: 5533: 5528: 5527: 5524: 5512: 5509: 5507: 5504: 5502: 5499: 5497: 5494: 5490: 5487: 5486: 5485: 5482: 5481: 5479: 5477: 5473: 5467: 5464: 5462: 5459: 5457: 5454: 5450: 5447: 5446: 5445: 5442: 5440: 5437: 5436: 5434: 5432: 5428: 5414: 5411: 5409: 5406: 5404: 5401: 5399: 5396: 5394: 5391: 5389: 5386: 5385: 5383: 5381: 5377: 5369: 5366: 5364: 5361: 5360: 5359: 5356: 5355: 5353: 5351: 5347: 5344: 5342: 5338: 5330: 5327: 5325: 5322: 5321: 5320: 5317: 5316: 5314: 5312: 5306: 5303: 5301: 5297: 5291: 5287: 5284: 5283: 5278: 5273: 5271: 5266: 5264: 5259: 5258: 5255: 5242: 5238: 5237: 5233: 5231: 5227: 5226: 5222: 5220: 5216: 5215: 5211: 5210: 5207: 5203: 5196: 5192: 5191: 5187: 5185: 5181: 5180: 5176: 5174: 5170: 5169: 5165: 5163: 5159: 5158: 5154: 5150: 5148: 5144: 5143: 5139: 5135: 5133: 5129: 5128: 5124: 5120: 5119: 5116: 5111: 5107: 5100: 5093: 5087: 5083: 5078: 5074: 5070: 5065: 5060: 5056: 5052: 5048: 5043: 5039: 5035: 5030: 5025: 5021: 5017: 5013: 5009: 5005: 5000: 4996: 4992: 4988: 4984: 4979: 4974: 4970: 4966: 4962: 4957: 4953: 4947: 4943: 4938: 4934: 4928: 4924: 4923: 4917: 4913: 4909: 4905: 4901: 4897: 4893: 4889: 4885: 4880: 4876: 4870: 4866: 4861: 4857: 4853: 4848: 4843: 4839: 4835: 4831: 4827: 4823: 4818: 4814: 4810: 4806: 4802: 4798: 4794: 4790: 4786: 4780: 4776: 4772: 4768: 4764: 4760: 4756: 4752: 4748: 4743: 4739: 4735: 4730: 4725: 4721: 4717: 4713: 4709: 4705: 4700: 4696: 4692: 4688: 4684: 4680: 4676: 4672: 4667: 4663: 4659: 4654: 4649: 4645: 4641: 4637: 4633: 4629: 4624: 4620: 4616: 4612: 4608: 4604: 4600: 4596: 4592: 4587: 4583: 4579: 4575: 4571: 4567: 4563: 4559: 4554: 4550: 4546: 4542: 4538: 4534: 4530: 4525: 4521: 4517: 4513: 4509: 4505: 4501: 4497: 4493: 4488: 4484: 4480: 4475: 4470: 4466: 4462: 4458: 4454: 4450: 4445: 4441: 4436: 4432: 4428: 4423: 4418: 4414: 4410: 4406: 4401: 4397: 4393: 4388: 4383: 4379: 4375: 4371: 4366: 4362: 4358: 4353: 4348: 4344: 4340: 4336: 4332: 4328: 4323: 4319: 4315: 4310: 4305: 4301: 4297: 4293: 4289: 4285: 4280: 4276: 4270: 4266: 4261: 4257: 4253: 4249: 4245: 4241: 4237: 4233: 4229: 4224: 4220: 4216: 4212: 4208: 4203: 4198: 4194: 4190: 4186: 4182: 4177: 4173: 4169: 4164: 4159: 4155: 4151: 4147: 4143: 4139: 4134: 4130: 4126: 4122: 4118: 4114: 4109: 4105: 4101: 4097: 4093: 4089: 4085: 4080: 4076: 4072: 4068: 4064: 4059: 4054: 4049: 4044: 4040: 4036: 4032: 4027: 4023: 4019: 4015: 4011: 4007: 4003: 3999: 3995: 3990: 3989: 3984: 3976: 3971: 3968: 3964: 3959: 3956: 3952: 3947: 3944: 3940: 3935: 3932: 3928: 3923: 3920: 3916: 3911: 3908: 3904: 3899: 3896: 3893:, p. 64. 3892: 3887: 3885: 3881: 3878:, "Figure 1". 3877: 3872: 3869: 3865: 3860: 3858: 3854: 3850: 3845: 3842: 3837: 3833: 3828: 3823: 3818: 3813: 3809: 3805: 3801: 3797: 3793: 3786: 3783: 3770: 3766: 3762: 3758: 3751: 3748: 3744: 3739: 3737: 3735: 3733: 3729: 3725: 3720: 3718: 3716: 3712: 3707: 3703: 3699: 3695: 3691: 3687: 3683: 3679: 3672: 3669: 3664: 3660: 3653: 3650: 3646: 3641: 3639: 3637: 3635: 3631: 3627: 3622: 3620: 3618: 3614: 3609: 3605: 3601: 3597: 3590: 3587: 3582: 3578: 3573: 3568: 3564: 3560: 3556: 3552: 3548: 3541: 3538: 3534: 3529: 3527: 3523: 3519: 3514: 3512: 3508: 3504: 3499: 3496: 3492: 3487: 3484: 3480: 3475: 3473: 3469: 3465: 3460: 3457: 3454:, "Exercise". 3453: 3448: 3445: 3441: 3436: 3433: 3429: 3424: 3421: 3417: 3412: 3409: 3405: 3400: 3397: 3393: 3388: 3386: 3384: 3382: 3380: 3376: 3372: 3367: 3365: 3363: 3361: 3359: 3355: 3351: 3350:Dall'Era 2023 3346: 3343: 3339: 3334: 3332: 3328: 3324: 3319: 3316: 3312: 3307: 3304: 3291: 3285: 3282: 3278: 3273: 3271: 3269: 3267: 3265: 3263: 3261: 3257: 3244: 3238: 3236: 3232: 3228: 3223: 3221: 3219: 3217: 3213: 3200: 3194: 3191: 3187: 3182: 3180: 3178: 3176: 3172: 3159: 3153: 3150: 3147:, "Genetics". 3146: 3141: 3138: 3135:, "Abstract". 3134: 3129: 3126: 3123:, Table 45-2. 3122: 3117: 3114: 3110: 3105: 3102: 3089: 3083: 3081: 3077: 3064: 3058: 3056: 3054: 3052: 3050: 3046: 3043:, "Delirium". 3042: 3037: 3035: 3031: 3028:, "Abstract". 3027: 3022: 3019: 3015: 3010: 3007: 3003: 2998: 2995: 2991: 2986: 2984: 2980: 2976: 2971: 2968: 2955: 2949: 2947: 2943: 2939: 2934: 2932: 2928: 2924: 2919: 2917: 2915: 2911: 2907: 2902: 2900: 2896: 2892: 2887: 2884: 2871: 2865: 2862: 2858: 2853: 2850: 2846: 2841: 2838: 2834: 2829: 2826: 2822: 2817: 2815: 2813: 2811: 2809: 2807: 2805: 2801: 2797: 2792: 2789: 2785: 2780: 2777: 2773: 2768: 2766: 2764: 2760: 2747: 2741: 2738: 2734: 2729: 2727: 2723: 2719: 2714: 2711: 2707: 2702: 2700: 2696: 2692: 2687: 2685: 2681: 2668: 2662: 2659: 2655: 2650: 2648: 2646: 2644: 2642: 2638: 2634: 2633:Costello 2020 2629: 2627: 2625: 2621: 2617: 2616:Dall'Era 2023 2612: 2609: 2605: 2600: 2597: 2584: 2578: 2575: 2571: 2566: 2563: 2559: 2554: 2551: 2547: 2542: 2539: 2535: 2530: 2527: 2524:, "Abstract". 2523: 2518: 2515: 2511: 2506: 2503: 2490: 2484: 2481: 2468: 2462: 2459: 2446: 2440: 2438: 2434: 2430: 2425: 2422: 2418: 2413: 2410: 2406: 2401: 2399: 2395: 2382: 2376: 2373: 2360: 2356: 2350: 2347: 2343: 2338: 2336: 2334: 2330: 2317: 2311: 2309: 2305: 2301: 2296: 2294: 2290: 2286: 2281: 2278: 2274: 2269: 2267: 2265: 2261: 2257: 2252: 2249: 2245: 2240: 2237: 2233: 2228: 2225: 2221: 2216: 2214: 2212: 2210: 2206: 2193: 2187: 2184: 2180: 2175: 2173: 2171: 2167: 2163: 2158: 2155: 2152:, "4K score". 2151: 2146: 2143: 2139: 2134: 2131: 2127: 2122: 2119: 2115: 2110: 2107: 2103: 2098: 2095: 2082: 2076: 2074: 2072: 2068: 2064: 2059: 2057: 2053: 2040: 2034: 2031: 2027: 2022: 2020: 2018: 2016: 2014: 2010: 2006: 2001: 1998: 1994: 1989: 1986: 1982: 1977: 1974: 1961: 1955: 1952: 1948: 1943: 1941: 1937: 1933: 1928: 1925: 1921: 1916: 1913: 1900: 1894: 1892: 1890: 1886: 1882: 1877: 1875: 1873: 1869: 1865: 1860: 1858: 1856: 1854: 1852: 1850: 1846: 1842: 1837: 1835: 1833: 1829: 1822: 1812: 1809: 1805: 1799: 1796: 1789: 1787: 1785: 1781: 1777: 1773: 1769: 1765: 1761: 1757: 1753: 1749: 1745: 1741: 1737: 1732: 1730: 1721: 1719: 1717: 1713: 1709: 1701: 1699: 1696: 1692: 1687: 1685: 1681: 1676: 1672: 1668: 1662: 1660: 1656: 1651: 1647: 1642: 1640: 1635: 1631: 1627: 1623: 1622:Hugh H. Young 1618: 1615: 1611: 1602: 1595: 1593: 1591: 1586: 1582: 1578: 1574: 1570: 1563: 1561: 1559: 1555: 1551: 1547: 1543: 1539: 1535: 1531: 1527: 1523: 1518: 1516: 1512: 1508: 1504: 1500: 1496: 1488: 1486: 1484: 1480: 1476: 1472: 1468: 1464: 1460: 1457: 1453: 1449: 1445: 1441: 1437: 1433: 1429: 1425: 1421: 1417: 1413: 1409: 1405: 1401: 1392: 1390: 1388: 1382: 1380: 1376: 1372: 1363: 1356: 1354: 1352: 1348: 1344: 1340: 1336: 1332: 1328: 1324: 1320: 1316: 1311: 1305: 1303: 1299: 1295: 1291: 1286: 1284: 1280: 1276: 1272: 1268: 1264: 1260: 1255: 1253: 1249: 1245: 1244:cytokeratin 8 1241: 1237: 1236:cytokeratin 5 1233: 1229: 1221: 1219: 1217: 1213: 1209: 1208:immune system 1205: 1201: 1197: 1193: 1189: 1185: 1177: 1175: 1171: 1169: 1160: 1158: 1155: 1151: 1147: 1143: 1139: 1135: 1131: 1126: 1124: 1120: 1116: 1112: 1107: 1105: 1101: 1097: 1093: 1089: 1085: 1081: 1076: 1073: 1069: 1065: 1061: 1057: 1053: 1049: 1041: 1039: 1037: 1033: 1029: 1025: 1021: 1020:pembrolizumab 1017: 1013: 1009: 1005: 1000: 998: 994: 990: 986: 982: 978: 974: 970: 966: 962: 956: 954: 950: 946: 942: 937: 933: 929: 925: 924:GnRH agonists 921: 917: 913: 904: 897: 895: 893: 887: 885: 881: 877: 873: 869: 860: 856: 854: 850: 849:bloody stools 846: 842: 838: 834: 830: 826: 825:brachytherapy 822: 818: 814: 813:prostatectomy 810: 805: 803: 794: 787: 785: 783: 779: 775: 771: 770:prostatectomy 764: 756: 754: 752: 744: 742: 739: 729: 726: 725: 715: 712: 711: 707: 704: 701: 700: 693: 690: 689: 685: 679: 676: 675: 671: 668: 667: 663: 660: 659: 652: 646: 645: 641: 638: 635: 632: 631: 627: 624: 621: 618: 617: 611: 607: 605: 601: 597: 593: 589: 580: 575: 567: 565: 563: 559: 555: 551: 547: 543: 538: 535: 531: 523: 519: 515: 511: 509: 505: 501: 497: 493: 489: 485: 481: 477: 473: 469: 465: 460: 458: 454: 450: 446: 437: 430: 428: 426: 421: 415: 413: 409: 405: 401: 397: 391: 389: 385: 381: 377: 373: 369: 365: 361: 355: 347: 345: 343: 339: 338:bone fracture 335: 331: 326: 324: 320: 316: 312: 304: 302: 300: 296: 291: 290: 285: 281: 276: 274: 269: 265: 261: 257: 253: 249: 245: 241: 237: 233: 229: 225: 220: 218: 214: 213:Gleason score 210: 206: 202: 198: 194: 190: 186: 182: 173: 170: 168: 164: 161: 157: 153: 149: 148:prostatectomy 145: 142: 138: 135: 132: 130: 126: 123: 122:tissue biopsy 119: 116: 114: 110: 106: 104: 100: 96: 92: 88: 86: 82: 79: 75: 72: 70: 66: 63: 58: 54: 49: 45: 41: 36: 30: 19: 5807:Tuberculosis 5718:Malnutrition 5562:Health topic 5554:epidemiology 5430: 5288:of the male 5234: 5223: 5212: 5188: 5177: 5166: 5151: 5136: 5121: 5081: 5054: 5050: 5011: 5008:Annu Rev Med 5007: 4968: 4964: 4941: 4920: 4887: 4883: 4864: 4829: 4825: 4788: 4784: 4750: 4746: 4711: 4707: 4678: 4675:Lancet Oncol 4674: 4635: 4631: 4594: 4590: 4568:(2): 88–91. 4565: 4561: 4532: 4528: 4495: 4492:Nat Rev Urol 4491: 4456: 4452: 4439: 4412: 4408: 4377: 4373: 4334: 4330: 4291: 4287: 4264: 4231: 4228:Nat Rev Urol 4227: 4184: 4180: 4145: 4141: 4120: 4116: 4087: 4083: 4038: 4034: 4000:(1): 48–59. 3997: 3993: 3970: 3958: 3946: 3934: 3922: 3910: 3898: 3871: 3844: 3799: 3795: 3785: 3773:. Retrieved 3769:the original 3764: 3760: 3750: 3681: 3678:The Prostate 3677: 3671: 3662: 3658: 3652: 3599: 3595: 3589: 3554: 3550: 3540: 3498: 3486: 3459: 3447: 3435: 3430:, "Statins". 3423: 3411: 3399: 3345: 3318: 3306: 3294:. Retrieved 3284: 3247:. Retrieved 3203:. Retrieved 3193: 3162:. Retrieved 3152: 3140: 3128: 3116: 3104: 3092:. Retrieved 3067:. Retrieved 3021: 3009: 2997: 2970: 2958:. Retrieved 2886: 2874:. Retrieved 2864: 2852: 2840: 2828: 2791: 2779: 2750:. Retrieved 2740: 2713: 2671:. Retrieved 2661: 2611: 2599: 2587:. Retrieved 2577: 2565: 2553: 2541: 2529: 2517: 2505: 2493:. Retrieved 2483: 2471:. Retrieved 2461: 2449:. Retrieved 2424: 2412: 2385:. Retrieved 2375: 2363:. Retrieved 2361:. 9 May 2019 2358: 2349: 2320:. Retrieved 2285:Epstein 2018 2280: 2251: 2239: 2227: 2196:. Retrieved 2186: 2157: 2145: 2133: 2121: 2109: 2097: 2085:. Retrieved 2043:. Retrieved 2033: 2000: 1988: 1976: 1964:. Retrieved 1954: 1927: 1915: 1903:. Retrieved 1811: 1798: 1782:or activate 1733: 1725: 1705: 1695:mitoxantrone 1688: 1663: 1643: 1619: 1607: 1590:vaginoplasty 1567: 1519: 1492: 1483:testosterone 1481:involved in 1396: 1383: 1368: 1357:Epidemiology 1341:pathway via 1306: 1287: 1256: 1225: 1181: 1172: 1164: 1127: 1108: 1084:constipation 1077: 1045: 1001: 989:Sipuleucel-T 985:cell therapy 977:darolutamide 969:enzalutamide 965:antiandrogen 957: 920:testosterone 909: 892:radiotracers 888: 868:vas deferens 865: 855:, and pain. 806: 799: 782:chemotherapy 766: 748: 735: 608: 585: 539: 527: 506:(resembling 498:, a type of 494:(resembling 486:(resembling 470:, guided by 461: 442: 416: 396:kallikrein-2 392: 357: 327: 308: 287: 277: 244:chemotherapy 221: 180: 179: 160:chemotherapy 120:followed by 103:Risk factors 29: 5698:Hepatitis D 5693:Hepatitis C 5661:Chikungunya 5214:MedlinePlus 5057:: 341–354. 5051:Br Med Bull 5014:: 479–499. 4632:Br J Cancer 4591:Cancer Lett 3985:Works cited 3775:2 September 3626:Lytton 2001 3557:: 272–314. 3533:Valier 2016 2087:11 December 1680:blood clots 1377:and higher 1371:lung cancer 1267:gene fusion 1216:lymph nodes 1142:dehydration 1130:hallucinate 1092:antiemetics 1008:Lu-177 PSMA 997:cabazitaxel 973:apalutamide 963:along with 953:hot flashes 936:triptorelin 837:infertility 702:Stage IIIC 691:Stage IIIB 677:Stage IIIA 622:TNM scores 619:AJCC Stage 520:(left) and 480:pathologist 384:ejaculation 330:metastasize 275:of 30–40%. 260:lymph nodes 252:metastasize 97:Age over 40 94:Usual onset 43:Other names 5822:Categories 5782:Snakebites 5678:Depression 5624:esophageal 5619:colorectal 5236:Patient UK 5190:DiseasesDB 4597:: 215794. 4562:Urol Oncol 4453:Cancer Res 4409:Mod Pathol 4331:Endocr Rev 3917:, Table 2. 3905:, Table 1. 3761:Cancer Res 2673:5 December 2589:5 December 2164:, Table 2. 2162:Duffy 2020 2150:Duffy 2020 2138:Duffy 2020 2126:Duffy 2020 1823:References 1659:Iodine-125 1532:(found in 1416:DNA damage 1263:chromosome 1214:to nearby 1192:cell death 1115:depression 1104:lymphedema 1060:radium-223 987:procedure 928:leuprolide 831:and cause 757:Management 745:Prevention 730:Any T, M1 727:Stage IVB 719:Any group 716:Any T, N1 713:Stage IVA 669:Stage IIC 661:Stage IIB 647:Stage IIA 600:metastases 596:TNM system 372:milliliter 199:below the 5767:Pneumonia 5755:childhood 5484:Carcinoma 5341:Germ cell 5309:Sex cord– 5300:Testicles 5230:radio/574 5225:eMedicine 4995:236941733 4912:231794303 4813:210982209 4791:: 64–70. 4775:232325496 4619:249831438 4520:232024016 4256:211234353 4219:222350837 4187:(1): 83. 4075:258780321 4022:244132770 3466:, "Fish". 2876:9 January 2365:3 October 1784:oncogenes 1760:organoids 1585:cisgender 1558:vitamin E 1554:vitamin D 1550:vitamin C 1530:genistein 1511:chlamydia 1503:gonorrhea 1387:Autopsies 1161:Prognosis 1072:denosumab 1036:niraparib 1032:rucaparib 961:docetaxel 949:relugolix 945:degarelix 932:goserelin 916:androgens 542:PSMA scan 522:PSMA scan 431:Diagnosis 410:fused to 382:, recent 348:Screening 268:prognosis 264:bone pain 248:docetaxel 240:androgens 167:Prognosis 140:Treatment 69:Specialty 5797:Syphilis 5708:HIV/AIDS 5666:Dementia 5639:prostate 5634:lymphoma 5614:cervical 5584:Bed bugs 5431:Prostate 5413:Embryoma 5403:Teratoma 5358:Seminoma 5073:17628024 5038:30691365 4987:34370973 4904:33542230 4890:(1): 9. 4856:29311132 4805:32001306 4767:33750905 4738:30097885 4708:Adv Ther 4695:37269844 4662:34923574 4611:35718268 4582:35871993 4549:11371867 4512:33623103 4483:23610450 4431:29297487 4396:31714881 4361:33480983 4318:12044015 4248:32086498 4211:33060614 4172:33099450 4129:30216009 4104:34157213 4067:37202314 4058:10851915 4035:Eur Urol 4014:34781285 3994:Oncology 3706:30740301 3581:20895322 2495:16 April 1722:Research 1712:Movember 1675:estrogen 1546:selenium 1538:lycopene 1507:syphilis 1456:oncogene 1393:Genetics 1269:between 1028:olaparib 884:urethras 845:diarrhea 722:Any PSA 633:Stage I 558:CT scans 468:perineum 368:nanogram 189:prostate 118:PSA test 85:Symptoms 74:Oncology 5787:Suicide 5750:Obesity 5723:Measles 5713:Leprosy 5654:ovarian 5649:stomach 5604:bladder 5552:Global 5184:D011471 5029:6441973 4847:6280714 4785:Urology 4729:6133140 4653:9090767 4474:3644021 4352:8152444 4309:4124639 4163:8287565 4084:BJU Int 3836:6461861 3804:Bibcode 3698:6889192 3572:2129005 3296:2 April 3094:25 June 3069:25 June 2960:25 June 2387:25 June 1650:urethra 1596:History 1499:statins 1465:in the 1271:TMPRSS2 1261:, with 1204:bladder 1186:to the 1146:opioids 1111:anxiety 683:3 or 4 672:3 or 4 568:Staging 518:CT scan 408:TMPRSS2 334:fatigue 286:of the 236:hormone 201:bladder 195:in the 187:in the 183:is the 78:urology 62:urethra 5792:Stroke 5703:Herpes 5609:breast 5599:Cancer 5579:Autism 5569:Asthma 5286:Tumors 5219:000380 5173:176807 5088:  5071:  5036:  5026:  4993:  4985:  4965:Lancet 4948:  4929:  4910:  4902:  4871:  4854:  4844:  4811:  4803:  4773:  4765:  4736:  4726:  4693:  4660:  4650:  4617:  4609:  4580:  4547:  4518:  4510:  4481:  4471:  4429:  4394:  4359:  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Index

Prostate Cancer

urethra
Specialty
Oncology
urology
Symptoms
Risk factors
Diagnostic method
PSA test
tissue biopsy
Differential diagnosis
Benign prostatic hyperplasia
Active surveillance
prostatectomy
radiation therapy
hormone therapy
chemotherapy
Prognosis
Five-year survival rates
uncontrolled growth of cells
prostate
gland
male reproductive system
bladder
prostate-specific antigen
biopsy
Gleason score
stage
active surveillance

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