There are a couple risk factors in the world of prostate cancer that I'd like to ask.
1> Do you know your risk factors before screening for prostate cancer?
2> Do you know your risk factors after diagnosis?
I did not know that I was a high risk man when I was screened. The primary reason is that no one had the disease in my family. I have a brother and a father still alive and there was no history. My father was the only male in his family and his father died at 60 from complications due to diabetes. This is a very real question when deciding whether to be screened. We have adopted sons and we have, as in my case, patients that are the first in the family to be detected. My brother and my father know they are at higher risk because of me. But I had no clue. Now my dad's issue is real and didn't rear it's head until after I was treated for advanced disease. I would ask the question "if you don't know what your risk factors are, should you error on the side of caution and be screened at a younger age?"
On the second question, Patients with a Gleason 6 low PSA, say 3.5, only one core of 16 positive 5% may appear to be an indolent case. But if their brothers had aggressive disease and they lost a father and uncle to the disease they are not a low risk patient and should consider intervention. This one did not apply to me, but if my brother, who is 51 get's those results, I would probably encourage intervention.
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas
Blog : www.caringbridge.org/visit/tonycrispino
Post Edited (TC-LasVegas) : 6/1/2010 2:41:49 PM (GMT-6)