Prostate Cancer in Nevada
Prostate cancer occurs when cancer cells develop in or around the prostate. It is the most diagnosed cancer in men in the United States each year, and according to the National Cancer Institute (NCI), approximately 11.2 percent of all men in the U.S. will be diagnosed with the disease at some point during their lifetime. Watch the video below to learn more. You can find other videos on our YouTube channel.
- Age – the majority of prostate cancer is found in men over the age of 65.
- Race – African American men have greater incidence and death rates for prostate cancer.
- Family history – the chance of developing prostate cancer rises when immediate family members have the disease.
- Nationality – prostate cancer occurs more in North America and northwestern Europe.
- Diet – a diet that includes a lot of red meat and/or high-fat dairy products can yield a greater risk of prostate cancer.
- Exercise – men over the age of 65 who do not regularly exercise may have increased risks of prostate cancer.
Signs and Symptoms
Usually, the early stages of prostate cancer are often asymptomatic, or without obvious symptoms. However, any of the symptoms listed below should be viewed as a potential warning sign requiring investigation.
- Trouble having or keeping an erection
- Blood in urine
- Pain in the spine, hips, ribs or other bones
- Weakness or numbness in the legs or feet
- Loss of bladder or bowel control
Screening tests are performed to determine the presence of abnormal or cancerous cells in the prostate. According to the American Cancer Society, screening should begin at age 50 for men with average risk, but age 45 or men with high risk (family history). There are many uncertainties associated with screening that should be carefully considered. Many men who are screened may experience potential negative events, such as false-positive results, overdiagnosis and overtreatment, as well as complications from treatment, such as incontinence and erectile dysfunction. An in-depth discussion with a doctor about these risks enables informed, individualized decision-making incorporating each person’s values and preferences in the decision. Screening is not recommended for men 70 years and older, as the potential benefits of screening at that age do not outweigh the expected harms.
Each screening method listed below may be used alone, or in combination with another.
- Prostate-Specific Antigen (PSA) – tests your blood for traces of PSA.
- Digital Rectal Exam (DRE) – allows a doctor to physically examine the prostate for any lumps or hard places.
If cancer is found, an oncologist will need to determine the progression of cancer. This classification, called staging, allows the healthcare provider to properly identify a treatment plan and to determine the prognosis. All cancers are staged on a Roman numeral scale, I-IV (1-4), where the higher stage represents a more advanced cancer.
Treatment for prostate cancer can be different for each case, but may include surgery, radiation therapy or chemotherapy. One form of radiation therapy that is exclusive to Comprehensive Cancer Centers in Las Vegas is CyberKnife® Radiosurgery. Established in 2010, the robotic technology of CyberKnife® offers patients with tumors a painless, non-invasive treatment alternative that uses computer-operated robotics and image guidance technology to treat hard-to-reach tumors.
Within the past six years, Comprehensive has developed one of the largest prostate cancer research programs in Nevada. Dr. Nicholas Vogelzang completed more than a decade’s worth of work, having participated in the early testing phases of a novel treatment all the way to the FDA approval of Provenge ®. Provenge® is designed to create an immune response against prostatic acid phosphatase, which is found in most prostate cancers, by mixing a person’s white blood cells with a bioengineered molecule. Most recently, The Food and Drug Administration approved Radium 223, commercially known as Xofigo, which is designed as liquid radiation to attack cancer cells that have grown in patients’ bones. This enables oncologists to reach those spreading cells when surgery or other options have been unsuccessful. Las Vegas was one of a few cities in the United States treating prostate cancer patients during the research study. More recently, the practice is participating in the study of apalutamide, which will help delay the spread of prostate cancer by two years as well as phase I research of the p53 gene agent which has been shown to display anticancer activity. For more information about our research efforts, click here.