Interesting NY Times article on screening prostates at any age

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Date Joined Feb 2011
Total Posts : 4093
   Posted 4/13/2011 5:48 PM (GMT -6)

“What we were hoping was that young, healthy men who were most likely to benefit would be screened at higher rates and that screening would tail off in older men.”

Yes, because getting it at 40 is very different than getting it at 75. If you have it at 40 and do nothing, chances are you'll never see 75 because of it.

"A positive P.S.A. test usually leads to a biopsy and then, if cancer is found, to a decision about whether to treat it. Nearly all men opt for treatment, which includes surgery to remove the prostate or radiation to destroy the cancer. Side effects can include impotence and incontinence."

"One reason treatment is the most common choice is that it is hard to know if a cancer is lethal."

I personally ascribe to the theory that we ahve families and too much to loose, and better safe than sorry.

Post Edited (davidg) : 4/13/2011 4:53:47 PM (GMT-6)

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Date Joined Sep 2009
Total Posts : 664
   Posted 4/13/2011 6:44 PM (GMT -6)   

Thanks for the post,

Dr. Gerald L. Andriole is the director of the division of urology at Wash u…which is where I had my Surgery.  Wash U and Siteman Cancer Center in St. Louis is a wonderful place.  Dr. Andriole has an unbelievable talented group working for him.  I see one of his protégé twice a week that is a star in minimal invasive urologiocal surgery.  I’m going to send this to him via email.

Thanks again


John T
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Date Joined Nov 2008
Total Posts : 4268
   Posted 4/13/2011 7:54 PM (GMT -6)   
The flip side of the arguement is that 50% of all men over 50 have detectable prostate cancer and only 16% are ever diagonosed with it. Currently only 3.5% ever die of it. So there are millions of men with PC that will never be affected by it or even know they have it.
65 years old, rising psa for 10 years from 4 to 40; 12 biopsies and MRIS all negative. Oct 2009 DXed with G6 <5%. Color Doppler biopsy found 2.5 cm G4+3. Combidex clear. Seeds and IMRT, no side affects and psa .1 at 1.5 years.
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