Signs and symptoms of cancer in men
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Signs and Symptoms of Cancer in Men
Prostate Cancer Symptoms
Early Detection and Screening
Prostate cancer often does not cause noticeable symptoms in its early stages. Many men are diagnosed through health screenings such as blood tests for prostate-specific antigen (PSA) or digital rectal exams3.
Urinary and Reproductive Symptoms
As the tumor grows, men may experience difficulty starting or stopping the flow of urine, a feeling of incomplete bladder emptying, blood in the urine or semen, and pain during ejaculation3. These symptoms can also be associated with other genitourinary conditions, so having one or more does not necessarily indicate prostate cancer3.
Advanced Prostate Cancer
In advanced stages, prostate cancer can lead to skeletal metastases, causing significant pain and lack of energy. Men with metastatic castrate-resistant prostate cancer (CRPC) often suffer from fatigue, drowsiness, and pain related to skeletal metastases2 9. Other symptoms include loss of libido, hot flashes, depression, osteoporosis, weight gain, erectile dysfunction, and cognitive impairment due to hormone suppression treatments2.
Breast Cancer in Men
Rarity and Risk Factors
Breast cancer in men is rare, accounting for less than 1% of all breast cancers and less than 1% of all cancers in men4 6. Risk factors include a family history of breast cancer, genetic mutations (particularly BRCA2), age, race, and radiation exposure4 6.
Symptoms and Diagnosis
Men should be aware of symptoms such as a palpable mass in the subareolar area, breast pain, nipple discharge or bleeding, and dimpling of the nipple4 6. Due to the rarity of the disease, men often experience delays in diagnosis, which can lead to advanced stages at the time of detection4 6.
General Cancer Symptoms in Men
Red Flag Symptoms
Common symptoms that may indicate various types of cancer include unexplained weight loss, abdominal distension, abdominal pain, indigestion, dysphagia (difficulty swallowing), abnormal bleeding, and lumps1. General symptoms such as tiredness and constipation can also be indicative of cancer1.
Risk Factors
Risk factors for cancer in men include age, family history, smoking, alcohol intake, and certain medical conditions such as chronic pancreatitis, COPD, and diabetes1. These factors, combined with the presence of symptoms, can help in estimating the risk of different types of cancer1.
Psychosocial Factors and Help-Seeking Behavior
Cultural Beliefs and Delays in Seeking Help
Men's cultural beliefs about bodily changes significantly influence their help-seeking behavior. Symptoms such as blood in the urine and painful urination are often seen as warning signs, but beliefs that urinary symptoms are related to aging or infections can delay seeking medical help7 8. Additionally, sexual changes like impotence and ejaculation dysfunction are often considered private and embarrassing, further delaying help-seeking8.
Importance of Awareness
Awareness of cancer symptoms and the importance of early diagnosis is crucial. Men should be encouraged to seek medical attention promptly if they experience any concerning symptoms, as early detection can significantly improve outcomes7 8.
Conclusion
Understanding the signs and symptoms of cancer in men is essential for early detection and treatment. Prostate and breast cancers, although different in prevalence and presentation, both require awareness and timely medical intervention. General symptoms and risk factors should not be ignored, and cultural beliefs should be addressed to encourage prompt help-seeking behavior.
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