Slainte an Chlar Health Education Day Cancer 20 th Feb 2010.

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Presentation transcript:

Slainte an Chlar Health Education Day Cancer 20 th Feb 2010

Prostate cancer Very common Over 2500 men diagnosed per year in Ireland Over 500 deaths Very treatable!

Trends in prostate cancer mortality

Trends in prostate cancer incidence

Prostate Cancer Ireland vs USA USA: 186,320 per year, and 28,660 deaths (2008) Crude death rate 15.3 % Ireland: 1687 per year, and 520 deaths ( average) Crude death rate 30.8% An Irish man diagnosed with CaP is at least twice as likely to die of his disease than his US counterpart… Source: SEER database; Cancer in Ireland

Prostate cancer incidence by County

What is your prostate and why should you care? Secondary sex organ (see breasts) Produces seminal fluid Commonest male cancer DRE PSA Evaluation Treatment options

Are we looking for prostate cancer?

Annual number of PSA tests

Percentage of men over 50 having a first PSA test

Prostatic biopsies, by age

New and suspected prostate cancer cases seen by hospital Ireland Hospital New prostate cancer cases diagnose d in 2006 New prostate cancer cases diagnose d in 2007 Suspected prostate cancer cases seen in 2006 Suspecte d prostate cancer cases seen in 2007 Benign: malignant ratio 2007 AMNCH :1 Beaumont :1 CUH :1 Limerick Regional :1 Mater (estimate) 1200(est)5:1 (est) MUH :1 St James’101105Unknown2802.6:1 St Vincent’sUnknown180Unknown3352:1 UCHG :1 Waterford105107Unknown1501.4:1

Testing for the spread of the cancer An MRI Machine…and image A Bone scan Machine… and image

Treatments for Prostate Cancer Radical surgery –Open prostatectomy (retropubic/transperineal) –Laparascopic prostatectomy –Robotic laparascopic prostatectomy (“DaVinci”) External Beam Radiation Therapy (EBRT) –Conventional –3D conformal –IMRT –Image guided hypofractionated IMRT Brachytherapy –Permanent low dose Temporary HDR –Combinations Hormone treatment Novel drugs for hormone resistant prostate Cancer badly needed

National planning National Cancer Control Program –National Cancer Screening Service Standard setting committees –Diagnostic/treatment recommendations “Rapid Access Clinics” –Prostate and Lung –Pilots open

Take home message Prostate cancer very common and very treatable Early warning devises are available Report any symptoms Check with your doctor Multiple treatment options…one size definitely does not fit all! Be aware….

12 New Jersey Women Pose Nude for Prostate Awareness Calendar October 28, 2009