Saturday, August 9, 2008

10 Commonly Asked Prostate Cancer Questions

10 Commonly Asked Prostate Cancer Questions
By Donald Saunders

For the millions of men who encounter prostate problems each year and, in particular those who are diagnosed with prostate cancer, we have picked out ten of the most frequently asked questions about the prostate and prostate cancer.

Question 1. What is the prostate gland?

The prostate gland, which when healthy is about the size of a walnut, lies between the rectum and the bladder and forms part of the male reproductive system, making and storing a fluid contained within semen. The prostate gland partially surrounds the urethra and, when it becomes enlarged, it can slow or even stop the flow of urine.

Question 2. What is prostate cancer?

Prostate cancer is the second commonest form of cancer in the United States today. In 2006 approximately 235,000 men in the US were diagnosed with prostate cancer and some 27,000 men died of the disease. In most cases prostate cancer appears relatively late in life and is slow growing and, for this reason, many men with prostate cancer die from other unrelated causes.

Question 3. Who is at risk of contracting prostate cancer?

The simple answer is that all men are at risk of contracting prostate cancer. This said, prostate cancer is age related and so it is more likely to appear the older you get. In addition, prostate cancer is more likely to appear in men with a family history of the disease and in black men. There are also quite marked differences seen between countries with the United States having the highest incidence and Japan the lowest. While these differences are not entirely understood it is believed that diet may play an important role.

Question 4. What are the symptoms of prostate cancer?

It is possible to suffer from prostate cancer for many years without displaying any symptoms at all. However when symptoms do appear they are likely to include the need for frequent urination (particularly during the night), difficulty in urinating, a weak flow or urine which tends to stop and start, pain when urinating, blood in the urine or semen, painful ejaculation and frequent pain in the lower back as well as in the hips or upper part of the thighs.

It is important to note that while these can indicate the presence of prostate cancer they can also be symptomatic of a number of other conditions and you should check with your doctor and not simply assume that because you are experiencing these symptoms that you have prostate cancer.

Question 5. What other conditions are associated with prostate cancer symptoms?

It is very common in older men for the prostate gland to enlarge placing pressure on both the bladder and the urethra and interfering with both the flow of urine and with sexual function. This condition is not cancer but is a benign condition known as benign prostatic hyperplasia, or BPH.

In addition, symptoms similar to those seen in prostate cancer can also be experienced as the result of a prostate infection known as prostatitis which causes inflammation of the prostate.

Question 6. Is it possible to screen for prostate cancer before symptoms appear?

There are currently two commonly performed tests which are carried out to detect the presence of prostate cancer. Although neither test is in itself a definitive test for prostate cancer, both tests can indicate problems developing with the prostate gland and thus indicate the need for more specific testing.

The two tests currently used to detect the possible presence of prostate cancer are the digital rectal exam (DRE), in which a doctor feels the prostate through the rectum to find hard or lumpy areas, and a blood test used to detect a substance made by the prostate called prostate specific antigen (PSA).

Question 7. How reliable are the present screening tests?

Neither the digital rectal exam nor the PSA blood test are perfect and the DRE can easily miss prostate cancers while it is also possible for men with prostate cancer to show normal levels of PSA in the blood.

The two tests used together do produce reasonable results and are certainly better than not screening for the condition at all, but more accurate screening is required and studies are underway to improve screening in the next few years.

Question 8. How is prostate cancer diagnosed?

The only sure way to confirm the presence of prostate cancer is to carry out a prostate biopsy during which a number of small samples of tissue are taken from various parts of the prostate gland for microscopic laboratory examination.

Question 9. How is prostate cancer treated?

Provided the cancer is localized (confined to the prostate gland) there are currently three main forms of treatment available.

The first is simply to watch and wait. This may seem a strange form of treatment but in older patients who may have other serious medical problems it may be best to simply leave prostate cancer untreated as long as it remains confined to the prostate gland.

The second form of treatment is radiation therapy to kill the cancer cells delivered either using traditional radiotherapy techniques on an outpatient basis, or by implanting radioactive seeds into the prostate gland.

Finally, prostate cancer can be treated by simply removing the prostate gland surgically.

Question 10. What is the best treatment for localized prostate cancer?

There are a large number of factors which need to be taken into consideration before deciding upon the treatment that is right for you and the options need to be carefully considered and discussed with both your family and your doctor.

In most cases prostate cancer is slow to develop and there is rarely any need to rush into treatment. Take your time, collect as much information as you can about the disease and the options for treatment and make your decision based upon the information you have, the advice you are given and your own personal feelings on the matter.

ProstateCancerExplained.com provides information on a variety of different prostate gland problems including an enlarged prostate gland, prostate symptoms, prostate surgery and finding a prostate cancer cure.

Article Source: http://EzineArticles.com/?expert=DonaldSaunders
http://EzineArticles.com/?10-Commonly-Asked-Prostate-Cancer-Questions&id=485465

Zapping Cancer

Zapping Cancer
By Jonza Kriss

Illustration: treating drug-resistant tumor cells with electric pulsesWhen tumor cells resistant to chemotheraputic drugs were subjected to very low intensity electrical stimulation, the cells acquired sensitivity to the anti-cancer drug doxorubicin. This effect has the potential to reform treatment especially for malignant tumors that are refractory to drug treatment, while possibly reducing side effects in all patients undergoing chemotherapy.

Chemotherapy resistance is a major obstacle in the treatment of various cancers erally, cancer patients refractory to chemotherapy are resistant to multiple anti-tumor drugs. Genn in vitro (i.e., outside of the living organism) experimental model in cells termed multidrug resistance (MDR), is often due to drug extrusion mechanisms (meaning that drugs that enter the cell are transported back out, and thus are prevented from exerting their effect on the cell). One such drug extrusion mechanism is mediated by overexpression of the P-glycoprotein (P-gp; the human version of the protein encoded by the MDR1 gene), a drug-transporter glycoprotein associated with the cell or plasma membrane (which encloses the cell's cytoplasm) with a wide variety of drug substrates. Cells that overexpress the MDR1 gene are, hence, resistant to many drugs.

In a study led by Luca Cucullo and Damir Janigro from the Cleveland Clinic Lerner College of Medicine in Ohio that was recently published by the open access journal, BioMed Central, tumor cells that overexpress the MDR1 gene product were shown to lose their resistance to anti-tumor drugs by electrical stimulation. In vitro rodent and human tumor cells refractory to anti-tumor drugs were exposed to continuous, very low intensity (7.5 mA [microamps) 50 Hertz AC (alternating current) pulses, with ten-second intervals, for a three day period. After electrical stimulation, parallel cultures of cells were treated with increasing concentrations of the chemotherapeutic drug doxorubicin, or with various controls, for three hours, following which cell viability was assessed. The researchers discovered that the cells became sensitive to the anti-cancer drug doxorubicin. The researchers concluded that treatment of the drug-resistant tumor cells with low frequency, low intensity AC stimulation in vitro drastically enhances chemotherapeutic efficacy of doxorubicin, a substrate for the MDR1 glycoprotein drug transporter.

Further investigation demonstrated that electrical stimulation not only decreases levels of the MDR1 glycoprotein transporter, but also changes the localization of the MDR1 glycoprotein from close to the plasma membrane to the cytosol (the fluid portion of the cytoplasm). This altered expression of the MDR1 glycoprotein is believed to have caused the loss of the cell's drug extrusion ability, which it mediates. Unable to extrude the drug, the cells succumbed to its effect, essentially acquiring sensitivity to the drug, and were killed.

A fuller understanding of the way electrical pulses affect drug-resistant tumors will require further research. However, this technique may be exploited as part of new cancer treatment protocols, such as coupling electrical stimulation with chemotherapy to treat tumors otherwise refractory to drugs, as well as possibly enabling reduction in the amount of chemotheraputic medication used, and thereby in unpleasant side-effects.

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Friday, August 8, 2008

Breast Cancer Prevent With Healthy Living

Breast Cancer - Prevent With Healthy Living
By Michael Russell

Generally speaking, breast cancer can be explained as an abnormal growth or a mass of cells, also known as a tumor, anywhere within the breast or immediate surrounding area. Usually the breast tumor is felt to be a lumpy mass during the early stages of breast cancer. If a woman feels a lump or abnormality of the breast of any kind, she should see a doctor immediately. In many cases, there is no cause for alarm, but because breast cancer can be a killer, medical attention is highly recommended.

When breast cancer is detected early, it can be treated quickly and effectively - usually with excellent results. Quick treatment is essential because all breast tumors start off benign initially. If the tumor has not begun to grow abnormally and is removed during the benign stage, the cancer may not spread. If the cancer does not spread, the woman is able to lead a normal, cancer-free life from that point on.

As with most cancers, the exact cause of breast cancer has not been pinpointed. However, there are many risk factors applied to many women. There are many arguments that breast cancer is hereditary, so if there is a history of the cancer in a womans family, she should see a doctor regularly for preventative measures. While heredity may play a role, life choices do as well. For instance, women who smoke cigarettes and consume alcohol regularly are at a higher risk for breast cancer than those who do not. Additionally, obese women that do not engage in regular physical activity are at an elevated risk for breast cancer.

It has been found, however, that altering the levels of hormones in the body can lead to different forms of cancer, breast cancer included. Many women take drugs and supplements that have estrogen as a main ingredient. These medications are used to increase sexual drive, assist in lactation, or deal with menopause. There are studies currently underway to help determine the influence of increased levels of estrogen on the development of breast cancer.

Despite the exact causes of breast cancer being unknown, there are many resources explaining and suggesting how a woman might prevent it. While much of this literature is purely speculation, there are precautions all women can take including maintaining a healthy body weight. Because overweight women have a higher chance of developing breast cancer, it is a good idea to lose the fat. Also, regular visits to the doctor are recommended. However, one of the best ways a woman can monitor her breast health is by conducting the at-home exam once a month.

In addition to regular doctor visits and maintaining a healthy body weight, a healthy diet and plenty of exercise can also influence the onset, or not, of many types of cancers. Foods that contain nutrients, vitamins and antioxidants essential to preventing breast cancer include cabbage, cauliflower, broccoli and legumes. Other good foods are any type of citrus, tomatoes and soy products. A diet low in carbohydrates may also be helpful.

Combining the healthy diet with regular exercise, a positive attitude and an overall healthy lifestyle may dramatically reduce a womans chances of developing breast cancer. By no means are these suggestions the only answer, but should be followed as part of an overall attempt at living as healthy as possible.

Michael Russell
Your Independent guide to Breast Cancer

Article Source: http://EzineArticles.com/?expert=MichaelRussell
http://EzineArticles.com/?Breast-Cancer---Prevent-With-Healthy-Living&id=615776

Mesothelioma. How do doctors diagnose Asbestos Cancer? Part 2

Mesothelioma. How do doctors diagnose Asbestos Cancer? Part 2
By Aleksandr Kavokin, MD, PhD

Continued from part 1.

If the effusion is suspicious for some infection or cancer, sample of the fluid may give the clue whether the cause is benign or malignant. However, four out of five tests may miss the cancer. Eventually, the biopsy of the pleura by a needle or by a surgical procedure confirms the diagnosis of the mesothelioma.

For abdominal mesothelioma, an abdominal x-ray checks the fluid in your belly.

Sometime an x-ray may show not only effusions, but also mass, or signs of asbestos accumulation, pleural plaques and calcifications or scarring due to asbestosis and chronic inflammation.

Drain of the fluid is done by needle in the chest or abdominal cavity. The name is thoracocentesis or pleural aspiration from chest, and abdoparacentesis or peritoneal aspiration in tummy.

At modern days the CT (computerized tomography) scan is used more often. CT is a special x-ray machine that shows sliced images of your body. CT scan of chest or abdomen shows the swellings in organs, cavities, and lymph nodes. A contrast dye may help to the scan. CT scans show pleural effusion, pleural thickening, pleural calcification, spreading of tumor into chest wall. However, CT do not really distinguish benign asbestos disease, lung cancer or mesothelioma. Doctors also use CT scans for guiding needle aspiration of suspicious pleural masses.

Thoracoscopy is the procedure when a surgeon makes small cut in your chest wall between two ribs and looks through a thoracoscope (a tool with a video camera). The biopsy (tissue sample) goes to a lab to check for cancer cells.

Bronchoscopy allows doctors to look inside the airways. A thin flexible tube (bronchoscope) helps to get samples of tissue and send them sent to a lab for testing for cancer cells.

Mediastinoscopy checks mediastinum (the area in chest containing heart, great blood vessels, lymph nodes, esophagus, nerves and so on). Mediastinoscopy allows sampling lymph nodes in your body to look for metastases.

Laparoscopy is a surgical procedure when doctors look inside of your belly with a small camera-fitted tube. The surgeons will biopsy suspicious areas. The bioptate (the tissue sample) goes to the laboratory. A pathologist checks it under a microscope. Laparoscopy leaves a small cut on the skin of your belly. Another name of the same procedure is peritoneoscopy. The tool is named peritoneoscope.

Putting a needle into your abdomen and removing the fluid inside is named paracentesis Putting a needle into your chest and draining the fluid is named thoracentesis.

MRI (magnetic resonance imaging) scan gives a sliced picture of the inside of your body. It is better than X-ray or CT scan because there is no radiation of your body. However it requires significant time. Sometimes it takes up to 20 minutes. And some people afraid to stay in the machine for half an hour required for the test. Besides MRI has a limitation. The test requires avoiding metals in your bodies (like metal joints and other metal implants). MRI is not a routine test, so sometime it is not ordered. Magnetic Resonance Imaging is most commonly ordered to determine the extent of tumor to plan the surgery. MRI also easier than CT scans shows enlarged lymph nodes and surface of diaphragm and this is important for surgical planning.

Positron Emission Tomography (PET) came recently for diagnosing different type of cancers and mesothelioma as well. PET uses special radioactive substances that emit positrons. Localized mesothelioma is confined to the pleura. Advanced mesothelioma spreads to the lungs, chest wall, abdomen and lymph nodes.

Pathological examination checks biopsy samples under the microscope It is difficulty to diagnose mesothelioma sometime. The cells of the tumor may be of many different types. These cells may look similar to other cancers. Peritoneal cells may look similar to pleural mesothelioma or other types of lung cancer and even ovarian cancer. Epithelioid type of mesothelioma is more common and considered better for treatment more than aggressive sarcomatous type. Biphasic mesothelioma is the mixture of both.

Doctors and scientists also proposed some immunological makers to find mesothelioma, however majority of the markers are not very specific. Just to mention: Epithelial membrane antigen, CEA (carcinoembryonic antigen √ very unspecific, may happen in many different cancers), Calretinin, Mesothelin, Cytokeratin, osteopontin and some others.

Look also: http://cis.nci.nih.gov/fact, http://www.nlm.nih.gov, http://www.rdoctor.com

So, to recap, the tests used by doctors:

*X-rays

*CT scan

*Thoracocentesis

*Paracentesis

*Thoracoscopy

*Bronchoscopy

*MRI scan

*Mediastinoscopy

*Laparoscopy

*All kinds of biopsy

The diagnosis is done after careful evaluation of complaints, physical exam and imaging in addition to the biopsy.

Keywords: Diagnosis, asbestos cancer, malignant pleural mesothelioma, mesothelioma symptoms, peritoneal mesothelioma, lung cancer

Aleksandr Kavokin, MD, PhD. Medical Articles http://www.kavokin.com, Free On-line diagnostics at http://www.symptomat.com, http://www.rdoctor.com.

Article Source: http://EzineArticles.com/?expert=AleksandrKavokin,MD,PhD
http://EzineArticles.com/?Mesothelioma.-How-do-doctors-diagnose-Asbestos-Cancer?-Part-2&id=242620

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