Screening for prostate cancer

Doctors at the National Research Oncology Center strongly recommend to get screened for prostate cancer on time, regardless of symptoms.

The following guidelines for screening for prostate cancer apply to most men.

Risk factors for prostate cancer:

• • Age: this is the most important risk factor. More than 90% of cases occur in men aged 45 and over.
• • Family history: the risk is higher if your close relatives (especially first-line relatives - father, brother, son) have or have had prostate cancer, also if they were diagnosed with this disease at a younger age. Men in this category must be examined without fail at the age of 40 and older.
• • Hereditary cancer syndromes: Certain genetic mutations increase the risk of prostate cancer in men. These include Lynch syndrome and mutations in the BRCA1 and BRCA 2 genes.
• • Race: African Americans are almost twice as likely to have prostate cancer as whites. Less common in Asians.
• • A diet high in fat, especially animal fat, can increase the risk.
• • Nationality: Prostate cancer is more common in North America and Northwest Europe than in other parts of the world.
• • Inflammation of the prostate (prostatitis) and sexually transmitted diseases (STDs).

Initial examinations for men, which are recommended to undergo from 45 years of age at least once a year on a regular basis:

• • Blood test for prostate-specific antigen (PSA);
• • Examination by a urologist (digital rectal examination);
• • TRUS (transrectal ultrasound) of the prostate gland.

Examinations for high-risk men:

! If at least one of the above factors is relevant to you, it does not mean that you will definitely get cancer. However, you may need to start the test at an earlier age or get it done more often, as men at higher risk are more likely to develop prostate cancer.

Basic (mandatory) diagnostic examinations:

• •General blood analysis;
• •General urine analysis;
• • Biochemical blood test (protein, urea, creatinine, glucose);
• • Determination of total PSA (prostate - specific antigen) - Total, free and serum index by immunochemiluminescence;
• • X-ray examination of the lungs;
• • ultrasound of the pelvic organs with the determination of residual urine;
• • TRUS-guided prostate biopsy with morphological verification of the diagnosis.

If necessary, the doctor can send for additional examinations.

!!! Often, patients expect symptoms, but they do not occur with prostate cancer. Symptoms such as frequent urination and blood in the urine do not always indicate oncopathology, they also occur with prostate adenoma and chronic prostatitis. Prostate cancer is detected only on the basis of laboratory diagnostic tests.

Based on the NROC, you can get a complete examination as part of the Check-up package "Men's health".

At the NROC, you can undergo high-quality diagnostics, get a "second opinion" about the type of tumor cells in the diagnosis, and, if necessary, immediately begin and receive qualified treatment.