Prostate Cancer: Why Is It Often Detected Late and What Are the Symptoms?

Recently, former US President Joe Biden, aged 82, revealed he has prostate cancer that has unfortunately spread to his bones. This type of cancer can be serious and tricky to detect early, which is why many men get diagnosed only when symptoms appear or the disease has advanced.


What Is Prostate Cancer?

  • The prostate gland is a small gland in men, located below the bladder and surrounding the urethra.
  • It produces fluid that nourishes sperm.
  • Prostate cancer happens when cells in the prostate start growing uncontrollably, forming a tumor.
  • It usually grows slowly and may remain confined for years.
  • But in some cases, it can become aggressive and spread to bones and other organs.

Why Is Prostate Cancer Not Detected Early?

  • Silent in Early Stages: Early prostate cancer usually does not cause any noticeable symptoms. This silent nature means many men don’t realize they have it until the disease has progressed.
  • Non-Specific Symptoms: The symptoms, when they do appear, can be mistaken for other common conditions like urinary infections or benign prostate enlargement.
  • Lack of Regular Screening: Unlike some cancers, routine prostate cancer screening (like PSA blood test or digital rectal exam) is not always done regularly, especially in men without symptoms.

Common Symptoms of Prostate Cancer

When the cancer grows or spreads, these signs may appear:

Urinary Problems

  • Frequent urination, especially at night
  • Difficulty starting or stopping urination
  • Weak or interrupted urine flow
  • Burning or pain during urination
  • Blood in urine

Changes Related to Semen

  • Painful ejaculation
  • Blood in semen

Pain and Discomfort

  • Pain or heaviness in the pelvic area
  • Persistent pain in lower back, hips, or groin (especially if cancer has spread)
  • Bone pain or fractures if the cancer spreads to bones

Sexual Symptoms

  • Reduced sex drive
  • Erectile dysfunction

Other General Symptoms (in advanced cancer)

  • Fatigue
  • Weight loss
  • Weakness

Who Is at Higher Risk?

  • Men over 50 years old
  • Family history of prostate cancer
  • High-fat diet
  • Certain ethnic groups, like African-American men, have a higher risk

How Can Risk Be Reduced?

  • Maintain a balanced, healthy diet
  • Regular exercise
  • Regular health check-ups and prostate screening if recommended by a doctor

Summary

Prostate cancer is often called a "silent cancer" because it shows no early symptoms. This delay in symptoms and limited screening causes late diagnosis in many cases, such as in Joe Biden’s case. Recognizing symptoms early and consulting a doctor for screening tests can improve chances of early detection and treatment.