Works Out said...
Actually, did not alter her plans. She would be treating the same way if she had not been tested/evaluated.
Is that right - 60% risk of PC irrespective of family history for over 60 year old guys? Didn't realize it was that high. And if you know your dad had it from a young age think what that does to the probability.
Thanks for your feedback. As I mentioned, I've been thinking casually about
the genetic testing, but have yet to find a real reason for it (for me). It seems that for me it would be an interesting novelty...but there are lots of other interesting novelties currently occupying my mindshare.
Yes, 60% at age 60 for US male population. 70% probability for 70 year olds. et cetera, et cetera. 50% for 50 year olds, but that's where the rapid ramp-up begins...far less than 40% for 40 year olds.
Keep in mind that less than 10% of prostate cancer cases are hereditary. Most are sporadic, but they do align with families...mostly because if your father was diagnosed with PC, then you are more apt to be PSA tested (and frequently PSA tested), and as the rule-of-thumb says: "the harder one looks for PC, the more likely one is to find it.
" Besides the likelihood of increased testing, you also tended to have similar foundation of diet (in particular) and lifestyle choices that your father had, at least for many years, and this is what causes most sporadic cancers. A lot of people (way more than 10%) like to think that they are amongst the less than 10% with hereditary cases...for the most part, they obviously aren't.
The percent probability of PC roughly equal to age came from a really interesting "autopsy study" reported by the Wayne County Medical Examiner, often called the "Wayne County Report," or the "Detroit Report." Over years, they examined the prostates of men who died accidental deaths
for evidence of detectable PC. The incredibly obvious take-away is that if this incidence rate is occurring in living men, then obviously by far most men with PC never know they have it and it never bothers them in their lifetimes. This was a landmark report which help enlighten (and alarm) the public as well as the professional medical societies about
prostate cancer overtreatment.
Age is, by far, the number one significant factor in the risk of prostate cancer detection. Number two is having a PSA test.
Post Edited (Blackjack) : 7/11/2019 9:11:05 AM (GMT-6)