Frequently running to the bathroom in the middle of the night is stage 2 prostate cancer? Doctors reveal signs: Be careful if there are "4 changes" in urination!
Frequently running to the bathroom in the middle of the night is actually a sign of stage 2 prostate cancer! A 60-year-old man bids farewell to urinary problems with “1 operation”
A 67-year-old patient surnamed Li sought medical attention due to difficulty in urination and frequent nocturia. After examination, it was found that in addition to prostate hypertrophy, the prostate specific antigen (PSA) value was also high. Although a 1-centimeter nodule was found during transrectal ultrasound examination and transrectal ultrasound sectioning was performed, it was not possible to accurately section the lesion because the lesion was too small.
After 3 years of continuous PSA index tracking and prostate ultrasound examination, the third transrectal ultrasound section confirmed the diagnosis of stage II prostate cancer. The patient immediately underwent Da Vinci radical prostate cancer surgery. On the 4th day after the operation, the urinary catheter was removed and he was discharged from the hospital after urinating smoothly. He continued to be followed up in the outpatient department to prevent recurrence of the cancer.
Ranking fifth in Taiwan’s male cancer incidence rate! What are the symptoms and diagnosis of prostate cancer?
Dr. Zeng Wenxin, chief physician of the Department of Urology at Chi Mei Hospital, explained that the incidence of prostate cancer ranks second among men in the world, and its mortality rate even ranks first among men in the United States. In Taiwan, the prevalence of male prostate cancer has been rising in recent years, ranking fifth among the top ten cancers, and the mortality rate is still rising year by year.
Dr. Zeng Wenxin explained that the early symptoms of prostate cancer are similar to those of benign prostate hypertrophy, including frequent urination, nocturia, difficulty urinating, and reduced urinary flow rate. Patients often undergo routine health checkups or suffer from discomfort during urination. After a blood draw, it was discovered that the prostate specific antigen (PSA) was high and the disease was diagnosed. Common prostate cancer diagnosis include digital anal examination, PSA, transrectal ultrasound examination, etc. In the past, if abnormalities were found during examination, prostate biopsy would be arranged.
Traditional ultrasound positioning of prostate slices relies on the experience of the surgeon, and the diagnostic rate is related to the relative location of the tumor. In high-risk groups, the diagnostic rate is about 25-56%, and the false-negative rate of prostate slices is about is 25%. This condition forces high-risk patients to have annual follow-up tests such as PSA, ultrasound, and digital anal examination, each of which is as grueling as an exam.
According to statistics from the Urology Department of Chi Mei Hospital, about 450 people will be scheduled for traditional prostate biopsy in 2022, but nearly 200 new patients with prostate cancer are diagnosed every year, with a detection rate of about 50-60%; although no prostate cancer has been detected , but because PSA exceeds the standard, it often brings serious psychological burden to the subjects, and they are worried about the risk of infection when performing biopsy.
Introduction of MRI technology to increase accuracy and understand prostate cancer diagnosis technology in one go
Dr. Zeng Wenxin pointed out that multi-parameter magnetic resonance imaging (mp-MRI) is an emerging prostate cancer assessment tool in recent years. It uses a multi-parameter method to comprehensively evaluate various series of MRI images to determine the risk of prostate cancer. , tumor localization, cancer staging. During the examination, there is no need for anesthesia or invasive procedures, and the patient’s acceptance is also high. In recent years, in order to reduce unnecessary slices, European and American countries have given priority to prostate MRI to confirm lesions in patients with abnormal PSA.
“MRI fusion transrectal prostate slice” is an advanced prostate cancer diagnosis technology that combines mp-MRI and real-time ultrasound images, and uses a professional software platform to align and reconstruct the two images to form a 3D prostate model and mark the location of the suspected tumor. Under the operator’s control, the ultrasound probe scans the prostate through the rectum and guides the needle to the target location for sectioning. This method allows doctors to see the structure and details of the prostate more clearly, avoids blind or random slicing, and improves accuracy by nearly 70-80%.
Dr. Zeng Wenxin explained that the 3D MRI and transrectal ultrasound image fusion puncture guidance system, compared with traditional transperineal prostate slices, allows surgeons to have a better grasp of real-time images, and when patients undergo transrectal surgery, The pain can be greatly reduced, and the patient can even undergo examination immediately using local anesthesia. After the operation, oral prophylactic antibiotics can be used and the patient can leave the hospital immediately and return to normal life.
Treating prostate cancer too late may affect your life! Doctor: Go get a PSA test if you have a family history of it
Dr. Zeng Wenxin reminded that the 10-year survival rate for early-stage prostate cancer can reach over 90% regardless of radical prostatectomy, radiation therapy, or hormonal treatment. However, if the prostate cancer is in the advanced stage or has even metastasized, despite the continuous innovation of hormonal drugs, the pain caused by metastasis will still cause the patient’s quality of life to deteriorate and physical strength to deteriorate.
Therefore, it is more important for patients to bravely face cancer treatment, discuss with doctors, and receive more complete medical treatment to improve their quality of life, reduce complications, and ultimately solve the troubles caused by the disease. The public is reminded that it is recommended that men over 50 years old should perform PSA examination and digital anal examination every year. If there is a family history, PSA examination should be done every year as early as the age of 40.
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