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PATHOPHYSIOLOGY OF PROSTATE CANCER

Predisposing Factors
Precipitating Factors -Heredity
-Diet (Processed foods) -Age
-Gender (male)

Phase 1 Excretion
Enzyme

Phase II Excretion
detoxification
enzymes

Ultimate Carcinogen

DNA adduct
(DNA+Carcinogen)

Initiation

Mutation

DNA Normal DNA


repair

Promoters Abnormal DNA and cell replication

Promotion
Apoptosis

Precancerous lesion

1
Invasive lesion

Progression

Hyperplasia of
prostate periphery

Metastasis
at the testes

Atrophy of
the testis
Adenocarcinoma
of the testes

If untreated If treated

Further Medication
metastasis regimen / Surgical
removal of
adenocarcinoma

Wellness

Right orchiectony (scrotal)


Left orchiectomy
(inguinal)
Bicaluatmide 50 mg TID

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