Pattern of prostate cancer presentation among the Egyptian population: A study in a single tertiary care center

INTRODUCTION Prostate cancer is a common health problem that in the majority of cases starts to develop at the age of 50 years, reaching its peak at 60-70 years of age. A variation in its incidence and prevalence exists between western, Asian and Arabic populations. The aim of our work was to report the pattern of prostate cancer presentation in Alexandria University that as a tertiary referral center provides care for uro-oncology cases. MATERIAL AND METHODS Data collection for all patients diagnosed with prostate cancer at Alexandria University in Egypt through the year 2012 was done. RESULTS The mean age of the patients was 67. Mean serum total PSA, prostate volume and PSAd were 149 ng/ml, 63 grams and 3.1 ng/ml/gm respectively. 25% of patients were asymptomatic diagnosed accidentally during screening for prostate cancer. The remaining group was presenting with LUTS, including 23 patients who presented initially with back pain. CONCLUSIONS Egyptian men with prostate cancer have a markedly high PSA density and Gleason grade at diagnosis.