Prostate Cancer Breakthroughs

A Doctor with the Disease Shares What He Learned
Source: Jay S. Cohen, MD, author of Prostate Cancer Breakthroughs October 15, 2013

Sometimes the treatment is worse than the cure. In their zeal to prevent prostate cancer deaths, doctors send thousands of men for prostate-removal surgery or radiation, and more than half sustain sometimes lifelong impairments of their sexual functioning and/or bladder control. And surgery or radiation isn't always curative—about 25% percent of men relapse.

What's particularly alarming is that of the nearly 100,000 men who receive these treatments each year, 85% don't need them. This massive overtreatment has led expert government panels and medical associations to recommend discontinuing prostate specific antigen (PSA) testing, our most reliable early-warning test for prostate cancer—as if not diagnosing prostate cancer early will make the problem go away.

I was diagnosed with prostate cancer two years ago. Here's what I learned—and what every man should know…

http://www.bottomlinepublications.com/content/article/health-a-healing/pros tate-cancer-breakthroughs

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"What's particularly alarming is that of the nearly 100,000 men who receive these treatments each year, 85% don't need them."

but for the poor saps in the 15% that do it makes a hell of a difference. So what to do until medicine comes up with better methods?

Throw dice?

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What Dr. Jay S. Cohen said in this article was the majority of prostate cancers are low risk—the risk for death from this type of prostate cancer is only 2% over 10 years. So active surveillance sometimes is a good option. In active surveillance, your PSA levels are drawn regularly (every three months at the start) and a DCE-MRI is performed annually. Biopsy may be needed but not in every case. The key is that with the new tests, your prostate cancer can be tracked. Treatment can be delayed (or avoided) if the cancer doesn't change. With these methods, a man will know quickly if his cancer is getting more dangerous, and treatment can be started promptly.

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