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

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

3. Trends in prostate cancer mortality 1995-2005

4. Trends in prostate cancer incidence 1994-2005

5. 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 (1994-2005 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 1994-2000

6. Prostate cancer incidence 2004-2006 by County

7. 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

8. Are we looking for prostate cancer?

9. Annual number of PSA tests

10. Percentage of men over 50 having a first PSA test

11. Prostatic biopsies, by age

12. New and suspected prostate cancer cases seen by hospital Ireland 2006 - 2007 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 AMNCH3272737976762.5:1 Beaumont1511795304532.5:1 CUH186210 340 3822:1 Limerick Regional1121043013113:1 Mater2202401000 (estimate) 1200(est)5:1 (est) MUH1451713042741.6:1 St James’101105Unknown2802.6:1 St Vincent’sUnknown180Unknown3352:1 UCHG27236582011003:1 Waterford105107Unknown1501.4:1

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

14. 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

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

16. 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….

17. 12 New Jersey Women Pose Nude for Prostate Awareness Calendar October 28, 2009