Rompiendo estigmas: el cáncer de próstata no discrimina edad

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¿Es el cáncer de próstata exclusivo de hombres mayores? No. Aunque es más común en hombres mayores de 65 años, también afecta a hombres menores de 55. Este es uno de los principales mitos sobre una enfermedad silenciosa y de alta incidencia.

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Según Globocan, en 2022 el cáncer de próstata fue el cuarto cáncer con más casos nuevos a nivel mundial, con más de 1.4 millones de diagnósticos y unas 397,430 muertes. En Panamá, fue el cáncer más común entre hombres, con aproximadamente 1,476 casos diagnosticados y 390 fallecidos ese año.

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¿Qué es el cáncer de próstata? Se origina por la multiplicación anormal de células en la próstata, una glándula que contribuye a la producción de semen. La detección temprana es fundamental, ya que en etapas iniciales ofrece altas probabilidades de cura mediante tratamientos como cirugía o radioterapia.

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Otro mito común es que la ausencia de síntomas descarta el cáncer de próstata. En sus primeras etapas, suele ser asintomático, lo que resalta la importancia de revisiones médicas regulares. Cuando aparecen síntomas, pueden incluir sangre en la orina (que puede verse rosada o como refresco de cola), sangre en el semen, necesidad urgente y frecuente de orinar (especialmente de noche) o dificultad para orinar.

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En etapas avanzadas, el cáncer puede diseminarse a otras partes del cuerpo, presentando síntomas como dolor de espalda, dificultad para lograr una erección (disfunción eréctil), sangre en orina o semen y problemas urinarios.

Mitos y verdades adicionales sobre el cáncer de próstata

Mito. El cáncer no es hereditario en mi familia, es probable que no se desarrolle uno de  próstata.

Realidad: si bien las probabilidades de padecer este cáncer aumentan con los antecedentes familiares, no todos los casos son hereditarios. 

El cáncer de próstata es el más común entre los hombres y los factores de riesgo puede incluir desde la raza negra, hasta la edad, obesidad y factores de estilo de vida (por ejemplo, el tabaquismo).

Mito. Un diagnóstico de cáncer de próstata es una sentencia de muerte.

Realidad: si bien es una enfermedad grave, es altamente tratable, más cuando se identifica en estadios tempranos.

De hecho, la tasa de supervivencia a 5 años del cáncer de próstata es de un 98.6% si se trata a tiempo. La identificación temprana es la parte importante.

Mito. Las pruebas de detección del cáncer de próstata no son útiles.

Realidad: las pruebas de detección son importantes y aunque son poco frecuentes en etapas tempranas, se recomienda consultar con el médico sobre los posibles factores de riesgo del paciente. 

Estas pruebas pueden permitirle al especialista detectar el cáncer, incluso, antes de que aparezcan los síntomas. Las más comunes son: análisis de sangre del antígeno prostático específico (PSA) y examen rectal digital.

Mito. El cáncer de próstata y su tratamiento puede causar incontinencia urinaria.

Hecho: ciertos tipos de cáncer de próstata pueden necesitar cirugía, los urólogos pueden realizar algunas estrategias quirúrgicas para prevenir o disminuir los problemas de fuga de orina. Sin embargo, no todos los hombres experimentarán estos efectos secundarios, lo que les permite continuar con su vida diaria sin alteraciones.

Mito. Si un hombre se hizo la vasectomía tiene más probabilidades de tener cáncer de próstata.

Hecho: después de una amplia investigación, se ha  demostrado que las vasectomías no se relacionan con un mayor riesgo de padecer esta enfermedad; por lo tanto, hacerse una vasectomía no aumenta las posibilidades un cáncer de próstata.