Ambassador Program Presentation Treatment Options and Challenges PROSTATE CANCER
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
What we’ll cover today • • • • •
The Prostate What can go wrong with the prostate Prostate Cancer treatment options How PCFA can help Prostate related health promotion activities
Note: PCFA Ambassadors are not able to give medical advice
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PROSTATE CANCER MYTHS
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
PCFA – an overview Prostate Cancer Foundation of Australia (PCFA) is the peak national body for prostate cancer in Australia. PCFA are dedicated to reducing the impact of prostate cancer on Australian men, their partners, families and the wider community. By: • Promoting and funding research • Implementing awareness campaigns and education programs • Supporting men and their families through information and resources, support groups and Prostate Cancer Specialist Nurses
© PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
The Prostate • Small gland – size of a walnut • Sits beneath the bladder • Doughnut shaped surrounds the urethra • Produces fluid which provides a healthy environment for sperm
Prostate Gland
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Bladder
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
What can go wrong with the prostate? • Prostatitis o Infection or inflammation that is usually not life threatening • Benign Prostatic Hyperplasia – BPH o An enlarged prostate (common in older men) which may result in lower urinary tract symptoms • Prostate Cancer- some prostate cancers left alone cause no or few problems. Others are more aggressive and have few symptoms.
Module 1
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PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Possible symptoms… • Slow flow
• Hesitancy: difficulty starting flow of urine • Frequency: need to urinate more frequently • Nocturia: need to urinate more frequently during the night • Urgency: urgent need to urinate
© PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
What is Prostate Cancer • Occurs when prostate cells grow out of control • Prostate cancer cells can remain contained in the prostate or move out of the prostate • Metastasis is when cancer cells move out into the body • Prostate cancer can be treated if identified early
© PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Prostate Cancer Statistics Men will be diagnosed by age 75 Men will be diagnosed by age 85 Second most common cause of cancer deaths – around 9 men die each day from the disease For patients with localised disease around 93% will live beyond five years of diagnosis
Š PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
What are the risk factors? Age
The older a man is the more likely he is to be diagnosed with prostate cancer
Men
All persons born a man have a prostate gland Family History
A man with a father or brother who developed prostate cancer is three times as likely to develop the disease. Ethnicity
Increased in black African males Lifestyle
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Poor diet and lack of exercise
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
What prostate checks are available? Blood Test Prostate Specific Antigen (PSA)
These are performed by your GP Physical Examination Digital Rectal Exam (DRE)
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PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
What might happen next? Abnormal PSA or Physical Exam
Referral to Urologist
No Cancer
Non Life threatening
Significant Cancer
Abnormal blood test or physical exam does not automatically indicate cancer Š PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
What if it is cancer? Health Care Team
Cancer Grade
Cancer Stage
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T1 or T2
Low Grade
Discuss options for treatment
High Grade
T3 or T4
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Factors that may impact on treatment • Family history • Age • Overall health • Stage of the cancer • Grade of the cancer
T1 or • Patient preference T2
© PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Treatment options • Active surveillance • Watchful waiting • Surgery • Radiotherapy • Hormone therapy
• Chemotherapy
T1 or • Immunotherapy T2
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Your health care team will advise you of the options for your diagnosis
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Possible treatment side effects Psychological impact
Erectile dysfunction
Urinary problems
Surgery
Radiotherapy
Hormone therapy
Bowel problems
Flushes, mood swings
Loss of energy
Side effects vary from person to person. You should speak T1 orabout possible ways to manage to your health care team T2 any side effects
© PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Decision making Shared process between your health care team and you
What treatment options do I have? I have identified what’s important to me and my family.
What questions and information should I be giving my health care team?
What side effects can be lived with or without? What impacts might my decision have on my/our future?
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T1 or T2
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
How can PCFA help? PCFA offers • Information • Support materials • Affiliated support groups across Australia
www.prostate.org.au Freecall 1800 220 099
© PCFA 2013
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Support Groups
How To Find Them
www.prostate.org.au
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WHAT YOU CAN DO TO HELP Become a Supporter Donate
Fundraise
Advocacy
THANK YOU!
PCFA Ambassador Program Treatment Options and Challenges in Prostate Cancer
Other Resources beyondblue: the national depression initiative beyondblue.org.au 1300 22 4636
Healthshare Australia’s interactive health network healthshare.com.au Continence Foundation of Australia continence.org.au 1800 33 00 66 MindHealthConnect mindhealthconnect.org.au This Way Up, online treatment, education and research in anxiety and depression thiswayup.org.au The Australian Guide to Healthy Eating health.gov.au Andrology Australia andrologyaustralia.org Urological Society of Australia & New Zealand usanz.org.au Š PCFA 2013