Figures prostate cancer incidence has increased in the last 10-20 years in Asian countries. In Indonesia alone, the incidence of prostate cancer is estimated at 7 per 100,000 population. Currently, to address prostate cancer is still difficult because of the high number of patients with advanced stage of 65%, and the existence of excessive treatment (over treatment) and less treatment (under treatment) for early-stage cancer patients.
RSCM Medical Committee member who is also faculty Urology Division, Department of Surgery Faculty of medicine / RSCM Prof. dr Rainy Umbas in its latest research found a need for a multidisciplinary approach to early diagnosis and avoid over treatment or under treatment on prostate cancer treatment. Rainy revealed the need to deal with cancer treatment approach with other specialists or super specialists.
"For example, prostate cancer is necessary for cooperation with the laboratory, pathology, part-ray, medical oncology, as well as the examination of photographs and so forth," explained Rainy after the inaugural as a Professor of Faculty of medicine, some time ago in Jakarta.
Rainy added, multidisciplinary approach that trends actually have long existed, but only recently realized. The move aims or the interests of patient safety and get the best treatment outcomes for patients.
According to Rainy, over treatment or excessive treatment often occur because doctors are not aware of the condition of patients who are not good. This was also due to doctors less willing to cooperate with other specialists. Under treatment occur because doctors do not know the exact disease patients and not specialists or experts. Patients should be given more adequate treatment after diagnosis specialists. "Approximately 70% of prostate cancer patients experiencing over-or under treatment due to lack of multidisciplinary approach," said Rainy.
Without typical symptoms
More Rainy explains prostate cancer generally did not show typical symptoms. Therefore, frequent delays in diagnosis. Symptoms are generally similar to the symptoms of benign prostate enlargement or prostatytis, example pee stagnating or not current. Complaints can also be a bone pain and neurological disorders. Two complaints that arise when there is already spreading to the spine.
Efforts to find patients at an early stage need cooperation and a general physician role in evaluating the form of digital rectal examination and prostate specific antigen (PSA) in men aged over 50 years old who came with complaint urinate or have a history of stagnating in prostate cancer family.
"Hopefully, this examination can be suspected of prostate cancer than benign prostate enlargement and prostatytis," said Rainy. Definitive diagnosis can only be known by biopsy. Biopsy should be done when the PSA levels of more than 4 mg / ml
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