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Your doctor will examine you and do a digital rectal exam (DRE) to feel the prostate gland. During a DRE, the doctor inserts a gloved, lubricated finger into the rectum. The doctor can feel part of the prostate through the rectal wall. Swelling, lumps, firm spots, or enlargement may indicate prostate cancer.
At 81, a prostate cancer diagnosis is not entirely surprising. According to the Cleveland Clinic, 80 percent of men who reach their 80s will have some cancerous cells in the prostate. The severity of prostate cancer is measured in stages. Stage 1 is the least advanced, and only found within the prostate, according to The National Cancer Institute. It is detected by biopsy, testing for a man's Gleason score and PSA (prostate-specific antigen) level. The higher the PSA level in the blood, the more likely there is cancer.