I overgeneralized a little and did not footnote my statement because it was not my main point, my point being that setting an age for limiting testing is a dangerous precedent. In another thread talking about
Canadian and Swedish health care cost control, this is one of the ways they can do it. By limiting the testing, or the number of doctors and health care facilities, they can control the costs to the governemnts.
The Canadian Task Force on Preventative Health does not recommend PSA testing for men over 50. The American Academy of Family Physicians makes statements something they should counsel men over 50 about
the risks of PSA testing and DRE's, and potential follow-up with biopsies, etc. If the patient still wants to continue, then they can have the testing. Even the American Cancer Society is a little nebulous on recommending routine PSA testing over 50. They have some counseling verbage in their statements. The point is, if today it is 70, tomorrow it could 60, or 50, depending on factors not related to the welfare of the patient.
If I am 50 years old, have heart issues, or some other disease that I am not expected to survive more than 10 years, then PSA testing is not recommended. Medicine and the human body is that predictable. The 10 years is only some physicians estimate. This forum is full of men who have defied the odds and gone way beyond original expectations. I am thinking we ought to be recommending annual PSA for all men. How we treat it may vary, but the 1 in 36 that die from PCa could possibly have had a better shot at recovery. Maybe breast exams and pap smears are a parallel example in women. Recommended annually.
Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09
0/23 lymph nodes involved
pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.
Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Thankful for early diagnosis, and U.S. healthcare
Living the Good Life, cancer free
6 week PSA undetectable.