Hero, 36 years old, a general health check suddenly discovered prostate cancer – the disease is only seen in people over 50 years old.

“This is the youngest prostate cancer patient at the Institute,” said MSc Nguyen Tan Cuong, Deputy Head of Urology, Urology Center – Kidney – Male Department, Tam Anh General Hospital of Ho Chi Minh City, for Ho Chi Minh City, for Knowing on February 21, adding that this type of cancer mainly occurs in men over 50 years old, under 40 very rare.

Recently, the hero has urinated more times, in addition to no other abnormalities. The test showed that the PSA index (signs of prostate cancer) of the UK twice as much as normal. The results of MRI scan and biopsy determine cancer in the right prostate lobe, early stage 2A, average malignant level.

Assoc.Prof.Dr. Vu Le Chuyen, Director of the Center for Urology – Kidney – Male Medicine, evaluated the prostate surgery at the root of the root of the prostate is an essential choice to eliminate cancer for hero. This method is less invasive, the patient recovers quickly, reduces the risk of intestinal paralysis and intestinal obstruction after surgery.

The doctors put the endoscope and surgical instruments into the patient’s anterior abdominal cavity. Through the Karl Storz 3D/4K screen, the crew determines the exact boundary of the tumor, thereby removing the entire prostate and seminal vesicles into one block. The crew continues to scrap the lymph nodes around the arteries, pelvic veins and nerves to thoroughly remove the lymph nodes with metastatic cancer cells (if any).

 

Endoscopic surgeons cut the prostate to the root for hero. Image: Tam Anh General Hospital

According to Dr. Cuong, after surgery, cancer cells have been completely removed, so the possibility of relapse is very little. The nerves and sphincter are preserved, so the sexual function and minor function of the hero are not affected. However, a part of the vasectomy and vemperized vesicles are removed, and the nerve is related to erectile and ejaculation may be damaged, so the patient almost loses its natural fertility. In case of wanting to have children, they have to apply fertility supports such as artificial insemination. Luckily, Mr. Hung had two children before detecting cancer.

In Vietnam, prostate cancer ranks 7th in the new incidence and 9th in the number of deaths in cancer in men, according to the International Cancer Research Agency (Globocan) in 2020.

The exact cause of prostate cancer has not been determined. The risk of disease is related to age, race, genetics in the family, habitat exposed to toxic chemicals … “Hero has prostate cancer at a young age. This disease should be likely to be due to gene mutations, ”Dr. Cuong said.

The specialist said that prostate cancer patients may be cured if diagnosed early before the cancer spreads outside the prostate. The survival rate after 5 years can reach 99%. The cancer phase has spread outside the prostate (phase 4), the survival rate after 5 years decreases to about 30%. Endoscopic surgery to cut the prostate at the root due to cancer is usually indicated when the tumor is still localized in the prostate. If not treated promptly, the patient faces many complications such as blood urination, bone pain, non -control urination, kidney failure, life -threatening.

The doctor recommends that men, especially people over the age of 50, so prostate cancer screening should be periodically controlled by prostate ultrasound and blood test. Eating and healthy living helps reduce the risk of disease.

By Editor

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