Prostate cancer differential diagnosis: Difference between revisions
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*Renal cell carcinoma doesn’t usually cause any symptoms<ref name="pmid16336324">{{cite journal |vauthors=Barocas DA, Rabbani F, Scherr DS, Vaughan ED |title=A population-based study of renal cell carcinoma and prostate cancer in the same patients |journal=BJU Int. |volume=97 |issue=1 |pages=33–6 |date=January 2006 |pmid=16336324 |doi=10.1111/j.1464-410X.2005.05880.x |url=}}</ref> | *Renal cell carcinoma doesn’t usually cause any symptoms<ref name="pmid16336324">{{cite journal |vauthors=Barocas DA, Rabbani F, Scherr DS, Vaughan ED |title=A population-based study of renal cell carcinoma and prostate cancer in the same patients |journal=BJU Int. |volume=97 |issue=1 |pages=33–6 |date=January 2006 |pmid=16336324 |doi=10.1111/j.1464-410X.2005.05880.x |url=}}</ref> | ||
*As the disease gets more serious, you might have warning signs like: | *As the disease gets more serious, you might have warning signs like: | ||
**Lump on your side, belly, or lower back | |||
** | |||
**Blood in your pee | **Blood in your pee | ||
**Low back pain on one side | **Low back pain on one side |
Revision as of 18:22, 26 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Prostate cancer must be differentiated from benign prostatic hypertrophy, renal cancer, renal stones, bladder cancer, and cystitis.
Differential diagnosis
Prostate cancer must be differentiated from:
- Benign prostatic hypertrophy (BPH)
- Renal cancer
- Renal stones
- Bladder cancer
- Cystitis
- Glomerulonephritis
- Prostatitis
- Pyelonephritis
Benign prostatic hypertrophy
- The main difference between BPH and prostate cancer is that even though the prostate gland is enlarged in both, in BPH it is a benign or noncancerous condition[1]
- BPH is very common especially as a man ages and his prostate begins to grow. When this happens, it puts pressure on the urethra resulting in the following symptoms:
- An urgent need to urinate
- Having the need to urinate many times during the day and night
- Hesitancy or troubling starting a urine flow
- Weak or dribbling urine stream
- Digital rectal exam and elevated blood test called prostate specific antigen or PSA, can confirm if it might be BPH.
- BPH does not cause prostate cancer and unlike prostate cancer, it cannot spread to other areas of the body.
Renal Cancer
- Renal cell carcinoma doesn’t usually cause any symptoms[2]
- As the disease gets more serious, you might have warning signs like:
- Lump on your side, belly, or lower back
- Blood in your pee
- Low back pain on one side
- Losing weight for no clear reason
- Not feeling hungry
- Fever
- Feeling tired
- Not enough red blood cells (anemia)
- Night sweats
- High levels of calcium in your blood
- High blood pressure
Renal Stones
- Kidney stone usually remains symptomless until it moves into the ureter[3]
- When symptoms of kidney stones become apparent, they commonly include:
- Severe pain in the groin and/or side
- Blood in urine
- Vomiting and nausea
- White blood cells or pus in the urine
- Reduced amount of urine excreted
- Burning sensation during urination
- Persistent urge to urinate
- Fever and chills if there is an infection
References
- ↑ Chang RT, Kirby R, Challacombe BJ (April 2012). "Is there a link between BPH and prostate cancer?". Practitioner. 256 (1750): 13–6, 2. PMID 22792684.
- ↑ Barocas DA, Rabbani F, Scherr DS, Vaughan ED (January 2006). "A population-based study of renal cell carcinoma and prostate cancer in the same patients". BJU Int. 97 (1): 33–6. doi:10.1111/j.1464-410X.2005.05880.x. PMID 16336324.
- ↑ Chung SD, Liu SP, Lin HC (2013). "Association between prostate cancer and urinary calculi: a population-based study". PLoS ONE. 8 (2): e57743. doi:10.1371/journal.pone.0057743. PMC 3581486. PMID 23451265.