What are the warning signs of prostate cancer

Prostate cancer gives no typical warning signs that it is present in your body. It often grows very slowly, and some of the symptoms related to enlargement of the prostate are typical of noncancerous enlargement of the prostate, known as benign prostatic hyperplasia (BPH).

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With more advanced disease, you may have fatigue, weight loss, and generalized aches and pains.

When the disease has spread to the bones, it may cause pain in the area. Bone pain may present in different ways. In some men, it may cause continuous pain, while in others, the pain may be intermittent. It may be confined to a particular area of the body or move around the body; it may be variable during the day and respond differently to rest and activity. If there is significant weakening of the bone(s), fractures may occur. More common sites of bone metastases include the hips, back, ribs, and shoulders. Some of these sites are also common locations for arthritis, so the presence of pain in any of these areas is not definitive for prostate cancer.

If prostate cancer spreads locally to the lymph nodes, it often does not cause any symptoms. Rarely, if there is extensive lymph node involvement, leg swelling may occur.

In patients with advanced cancer that has spread to the spine, paralysis can occur if the nerves are compressed because of either collapse of the spine or tumor growing into the spine.

If the prostate cancer grows into the floor (bottom) of the bladder, or if a large amount of cancer is present in Ureters the pelvic lymph nodes, one or both ureters can be obstructed. Signs and symptoms of ureteral obstruction include decreased urine volume, no urine volume if both ureters are blocked, back pain, nausea, vomiting, and possibly fevers if infections occur.

Tubes that connect the kidneys to the bladder, through which urine passes into the bladder.

Blood in the urine and blood in the ejaculate are usually not related to prostate cancer; however, if these are present, you should seek urologic evaluation.

In individuals with widespread metastatic disease, bleeding problems can occur. In addition, patients with prostate cancer may develop anemia. The anemia may be related to extensive tumor in the bone, hormonal therapy, or the length of time you have had the cancer. Because the blood count tends to drop slowly, you may not have any symptoms of anemia. Some individuals with very significant anemia may have weakness, orthostatic hypotension (lowering of the blood pressure when you stand up), dizziness, shortness of breath, and the feeling of being ill and tired. Symptoms of advanced disease and their treatments are listed in Table 4.

Blood in the

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blood in the

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prostate cancer.

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