Archived posting to the Leica Users Group, 2015/02/21
[Author Prev] [Author Next] [Thread Prev] [Thread Next] [Author Index] [Topic Index] [Home] [Search]Thank you Philip. This is the very helpful information, and links, I hoped would be offered. a note off the iPad, George On Feb 20, 2015, at 6:51 PM, Philip Leeson <leesonpj at gmail.com> wrote: > George: > > During most of my 30 yr career in Internal Medicine, we aggressively > pursued Prostate cancer, screening with > digital rectal exams and PSA?s, screening was never recommended at age 70 > and over. > My experience was that we discovered a large number of very slowly > progressive cancers, most of which may not have impacted longevity. > A large number of radical prostatectomies were done with the best of > intentions. > As CaP is usually very slow growing, it took 10-20 years for the studies to > be done which now show that there is little benefit of treatment for this > cancer in most (but not all) patients. > One occasionally sees a case of super-aggressive cancer, but this is rare; > and even then the treatment is not always very helpful. > > > The current USPHS recommendation for screening is NOT to screen: > < > http://www.uspreventiveservicestaskforce.org/Page/Topic/recommendation-summary/prostate-cancer-screening >> > > With your current PSA level, I would not be surprised that some cancer > would be found at prostate biopsy. > The issue is whether to treat?.not an easy question. > Most doctors continue to screen due public pressure and fear of lawsuits. > After all, who are you going to believe ? me or Arnold Palmer, Norman > Schwarzkopf, Warren Buffet, etc? > > Here?s some more not-so-light reading: > <http://www.cancer.gov/cancertopics/pdq/treatment/prostate/Patient/page1> > > First thing I would do is repeat the test in a month, prostatitis will > increase the level as well. > Hope this helps, > > Phil > > On Fri, Feb 20, 2015 at 5:06 PM, George Lottermoser < > george.imagist at icloud.com> wrote: > >> So I had a PSA blood test at the request of my new "primary care" doctor. >> First time I've ever had one of these PC doctors. >> He ordered a blood test for PSA, Cholesterol, Blood Sugar >> >> First PSA test was 4.1 in April, 2011 >> When enlarged prostate was diagnosed with digital exam. >> All the usual symptoms you'd expect with an enlarged prostate. >> >> Now, Second PSA test was 7.8 in February, 2015 >> >> My new young Doctor wants me to see a Urologist. >> >> I'd appreciate any and all opinions re: current state of the art >> for Screenings et al re: Enlarged Prostates, Pre Cancer, Cancer, etc. >> >> I know we must have a lot of experience among these OLD LEICA NUTS >> >> On or off list as you see fit. >> >> Thanks, >> >> Regards, >> George Lottermoser >> >> http://www.imagist.com >> http://www.imagist.com/blog >> http://www.linkedin.com/in/imagist >> >> >> _______________________________________________ >> Leica Users Group. >> See http://leica-users.org/mailman/listinfo/lug for more information >> > > _______________________________________________ > Leica Users Group. > See http://leica-users.org/mailman/listinfo/lug for more information