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Diagnosis of prostate cancer
The diagnosis of prostate cancer can be made onclinical suspicion of the disease, followingscreening, or as an incidental finding duringtransurethral resection for suspected benigndisease (TURP). Clinically suspected prostate cancer Prostatecancer can be completely asymptomatic or presentwith symptoms similar to benign prostaticenlargement (see symptoms). It can also presentwith the symptoms of metastatic disease. Ondigital rectal examination prostate cancer feelsrock hard and nodular. Invasion into thesurrounding structures may be palpable as a hardmass. Spread to the lymph glands may be palpablein the groins or pelvis. Bony metastases to thelumbar spine or pelvis are often tender topalpation. PSA (Prostate Specific Antigen) is asubstance...
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