What are the early symptoms of prostate cancer?

Saidprostatitisdisease, I believe that there is not a single male friend who does not recognize the disease. However, when it comes to prostate cancer, I believe few people understand it. Recently, according to relevant studies, the incidence of the disease is increasing year by year. So, what are the symptoms of prostate cancer? Here are the answers given by experts.

Because prostate cancer mostly originates from the peripheral zone of the prostate, the onset is relatively insidious, and the growth is relatively slow, so early prostate cancer may not have any warning symptoms, except for an increase in serum pSA value during screening and/or abnormal changes in the prostate gland found on digital rectal examination.Once symptoms appear, it is often a more advanced stage of progressive prostate cancer.

(1) If the tumor of the prostate progressively enlarges locally and compresses the prostatic urethra that surrounds it, urination disorders may occur, which are manifested as progressive dysuria (thinning of urine stream, deviation of urine flow, bifurcation of urine flow or prolongation of urine flow), frequent urination, urgency, painful urination, incomplete feeling of urine, etc., and urine dripping and urinary retention in severe cases. These symptoms are similar to those of benign prostatic hyperplasia (BpH), which is easy to misdiagnose and miss, delaying the early diagnosis and treatment of the disease.

(2) For advanced advanced prostate cancer, symptoms such as fatigue, weight loss, and general pain may occur. Due to the pain that seriously affects diet, sleep and spirit, after long-term torture, the general condition becomes weaker, emaciated and weak, progressive anemia, and finally the whole body fails and cachexia.

(3) When prostate cancer metastasizes to bone, it can cause bone pain at the metastasis site. Common sites of bone metastases include the spine, hips, ribs, and scapula, and bone pain occurs in about 60% of patients with advanced disease, commonly in the lower back, sacrum, buttocks, and hip pelvis.Bone pain can manifest in different forms, with some patients presenting with persistent pain and others presenting with intermittent pain. Bone pain can be localized to a specific part of the body or can manifest as wandering pain in different parts of the body; Bone pain may vary at different times of the day, as may reactions to rest and activity. If the bone is significantly brittle due to tumor invasion, a pathological fracture is likely to occur. Some areas are common sites of arthritis, such as the knee and shoulder, and pain in these areas is not necessarily due to prostate cancer metastases, and further testing is needed to determine whether prostate cancer has metastasized.

(4) 1/2 to 2/3 of the patients have lymph node metastasis at the time of initial medical treatment, mostly occurring in the internal iliac, extrailiacular, retroperitoneal, inguinal, mediastinum, supraclavicular and other parts. If prostate cancer has metastasized to nearby lymph nodes, there are usually no symptoms. In rare cases, when the lymph nodes metastasize extensively, the lymph nodes are significantly enlarged, compressing the blood vessels and blocking the lymphatic return of the lower limbs, and the symptoms of swelling of the lower limbs and scrotum will occur.

(5) For advanced prostate cancer with spinal metastasis, if the spinal fracture or tumor invades the spinal cord, it can lead to nerve compression, and then cause paralysis, and it is necessary to go to the hospital for emergency treatment immediately.

(6) If prostate cancer invades the bottom of the bladder or pelvic lymph nodes metastasize extensively, unilateral or bilateral ureters (the passage that drains urine from the kidneys to the bladder) will be obstructed. Signs and symptoms of ureteral obstruction include oliguria (anuria in bilateral ureteral obstruction), low back pain, nausea, vomiting, and fever in the presence of infection.

(7) Prostate cancer is usually not accompanied by hematuria and hematospermia; However, once hematuria and hematospermia are present, tests should be performed in a urology clinic to rule out prostate or seminal vesicle tumors.

(8) Patients with prostate cancer with extensive metastasis may have tumor rupture and bleeding. People with prostate cancer may develop anemia. The cause of anemia may be related to tumor bone metastases, endocrine therapy, or duration of illness.Because the number of blood cells usually decreases slowly, the patient may not have any symptoms of anemia. Some people with severe anemia experience weakness, orthostatic hypotension, dizziness, shortness of breath, and fatigue.

Usually, abnormalities in the prostate gland can be detected during a general physical examination, but in order to confirm whether it is prostate cancer, it is necessary to perform an alpha-fetoprotein test. Therefore, once a male friend notices that his body has the symptoms mentioned above, he can go to a regular professional andrology hospital for examination and diagnosis.