Optimizing the diagnosis of prostate malignancy

Abstract

The establishment of the National Cancer Registry and its implementation as a computer and information system will help to understand the real burden of cancer diseases in Romania and could be the foundation on which to design, implement and run prevention programs. Its emergence is due to the rise in cancer incidence and mortality and re­pre­sents the last step taken by the political decision-maker for the management of these pathologies. The need for clear re­cords began to be formulated from a legislative point of view as early as 1980 when, by order of the Ministry of Health, reporting of these pathologies was made com­pul­sory. Subsequently, in 2008, the establishment of Re­gio­nal Cancer Registries began. According to the re­gis­tered data, a re­port of the European Journal of Onco­logy high­lighted the doubling of the number of deaths caused by cancer diseases in Romania in 2018, compared to 2009. The cen­tra­lized data showed that prostate cancer ranked third when the incidence is analyzed in both sexes and second when the incidence ana­ly­sis refers only to the male sex. The true extent of pros­tate cancer can only be determined by early and correct di­ag­no­sis. This involves presenting the pa­tient to the doc­tor when symptoms appear which may be suggestive of po­ten­tially malignant prostate disease. Unfortunately, many in­for­ma­tion channels promote re­me­dies that relieve such symp­toms, remedies available both in pharmacies and through on­line orders, and this can delay the presentation to the doc­tor and, thus, the diagnosis.