THanks for sharing that piece.
It's real simple in my mind, the whole subject.
All men should still be tested. If no PC in the family, and if caucasion, then starting at age 50. If African-American, or if there is strong family history, at age 40. Or perhaps sooner, if there are other prostate related problems at an early age.
PSA screening has saved lives, I will never buy into what is pushed now by the "experts". It is a simple, inexpensive, non-invasive blood test.
What should be done with the results of a PSA test, should be well thought out. Rule out infections and enlarged prostate matters for starters. If it's a question of rapid PSA velocity (as I experienced), then get a biopsy sooner, rather than later.
The PSA is just a tool in a long and complicated process. If the PSA leads to a biopsy or biopsies, and there is a positive diagnosis, then treatment or non-treatment should be seriously reviewed, looked over, and consulted about
. A second opinion on a positive biopsy, should almost be a requirement prior to any treatment in my opinion.
AS should always be offered to any man with a positive dx, if all the safe criteria is met. AS shouldn't be avoided, denied if warranted, or hidden away as a treatment in it self.
Until there is that "perfect" test we all would agree upon, to know the variant and aggressivness of a PC dx, until that is available, we have to work with what we work with.
PC is not the good cancer, no cancer is good. But having PC shouldn't mean making rapid, drastic, invasive choices unto the best facts can be discovered about
a particular diagnosis.
I don't like where the "industry" is going with testing, I think it's short sighted at best. PSA testing does, and will continue to save lives, regardless of what some carefully worded study or group thinks or states otherwise.
I also don't like, or remotely agree, with this new notion of calling low-grade PC something other than "cancer". If the cells have mutated to be viewed as cancer cells by a qualified pathologist, then cancer it is. Telling a man, in the case of a PC dx, that it is anything else but what it is - cancer, is deceptive and I would dearly question the true motivation for doing so. Again, having the correct diagonois, is no excuse to panic and race out for immediate treatment, if treatment is not warranted. But let's call an apple, and apple.
As long as I am alive, I will continue to inform as many men as possible in my natural path, the need for regular PSA testing.
David in SC
Post Edited (Purgatory) : 5/8/2012 1:14:08 PM (GMT-6)