Prostate Cancer

Cancer begins when normal cells in the prostate change and grow uncontrollably, forming a mass called a tumor. A tumor can be benign (noncancerous) or malignant (cancerous, meaning it can spread to other parts of the body).

About the prostate gland

The prostate is a walnut-sized gland located behind the base of a mans penis, in front of the rectum, and below the bladder. It surrounds the urethra, the tube-like channel that carries urine and semen through the penis. The prostates main function is to make seminal fluid, the liquid in semen that protects, supports, and helps transport sperm.

Types of prostate cancer

Prostate cancer is a malignant tumor that begins in the prostate gland. Some prostate cancers grow very slowly and may not cause symptoms or problems for years. However, most prostate cancer cells make excessive amounts of a protein called prostate specific antigen (PSA). PSA is also found in higher-than-normal levels in men other various prostate conditions, such as benign prostatic hyperplasia (BPH, an enlarged prostate) and prostatitis (inflammation or infection of the prostate), in addition to prostate cancer (see the Risk Factors and Prevention section).

Prostate cancer is somewhat unusual, compared with other types of cancer, because many tumors do not spread from the prostate. And often, even metastatic prostate cancer can be successfully treated, allowing men with prostate cancer to live with good health for several years. However, if the cancer does metastasize (spread) to other parts of the body and cannot be well controlled with treatment, it can cause pain, fatigue, and other symptoms.

More than 95% of prostate cancers are a type called adenocarcinomas. A rare type of prostate cancer known as neuroendocrine cancer or small cell anaplastic cancer tends to spread earlier but usually does not make PSA. Read more about neuroendocrine tumors.

Many times, when a man develops prostate cancer much later in life, it is unlikely to cause symptoms or shorten the mans life, and aggressive treatment may not be needed. For this reason, early detection for prostate cancer with prostate specific antigen (PSA) testing in men who dont have symptoms of the disease is controversial.

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