What causes prostate cancer?
The cause of prostate cancer is unknown, but the cancer is thought not to be related to benign prostatic hypertrophy (BPH). The risk (predisposing) factors for prostate cancer include advancing age, genetics (heredity), hormonal influences, and such environmental factors as toxins, chemicals, and industrial products. The chances of developing prostate cancer increase with age. Thus, prostate cancer under age 40 is extremely rare, while it is common in men older than 80 years of age. As a matter of fact, some studies have suggested that among men over 80, between 50 and 80% of them may have prostate cancer! Genetics (heredity), as just mentioned, plays a role in the risk of developing a prostate cancer. For example, black American men have a higher risk of getting prostate cancer than do Japanese or white American men. Environment, diet, and other unknown factors, however, can modify such genetic predispositions. For example, prostate cancer is uncommon in Japanese men living in their n
But researchers have found some risk factors and are trying to learn just how these factors cause prostate cells to become cancerous (see section, “What are the risk factors for prostate cancer?”). On a basic level, prostate cancer is caused by changes in the DNA of a prostate cancer cell. During the past few years, scientists have made great progress in understanding how certain changes in DNA can cause normal prostate cells to grow abnormally and form cancers. DNA is the chemical that carries the instructions for nearly everything our cells do. The reason that you might look like your parents is because they are the source of your DNA. DNA affects more than the way you look. Some genes (parts of your DNA) contain instructions for controlling when cells grow and divide. Certain genes that promote cell growth and division are called oncogenes. Others that normally slow down cell division or cause cells to die at the right time are called tumor suppressor genes. Cancer can be caused by