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Prostate cancer is a common type of cancer among American men. It is most common among African American men. Treatment for prostate cancer works best when the disease is found early.
Early prostate cancer does not usually cause symptoms. As the cancer grows, it may cause trouble urinating. Also, your elderly father may need to urinate often, especially at night. Other symptoms can be pain or burning during urination, blood in the urine or semen, pain in the back, hips, or pelvis, and painful ejaculation.
To figure out if these symptoms are caused by prostate cancer, your doctor will ask your aging dad questions about his past medical problems. He or she will perform a physical exam. In the exam, the doctor will put a gloved finger into your father's rectum to feel the prostate through the wall of the rectum. Hard or lumpy areas may be a sign of cancer.
Your doctor may also do a test to check the prostate-specific antigen (PSA) level in your dad's blood. PSA levels may be high in men who have an enlarged prostate gland or prostate cancer. Your elderly father may also need to have an ultrasound exam. In this procedure, a probe that produces sound waves is put into the rectum. Sound waves bounce off the tissues, and a computer uses the echoes to make a picture of the prostate.
A biopsy is almost always needed to diagnose prostate cancer. This can be done in a doctor's office using a local anesthetic. The doctor takes out tiny pieces of the prostate and sends them to a laboratory to be checked for cancer cells under a microscope.
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