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Home » Health » Researchers: Don't treat slow-growing prostate cancer
Researchers: Don't treat slow-growing prostate cancer
More and more studies show that men who do not have aggressive prostate cancer should not have it treated. However, regular checks are necessary.
Studies show that the life expectancy of those who choose treatment and those who don't remains the same. While those who do have their cancer treated have a high chance of very serious side effects such as impotence.
Sweden
In Sweden, the vast majority of men with low-risk prostate cancer are under medical supervision. For example, regular blood tests are performed. It is likely that they will live as long as those who opt for treatments such as radiotherapy and surgery.
At least 91 percent of men in Sweden diagnosed with very low-risk prostate cancer, and 74 percent with low-risk cancer, opt for active surveillance over treatment.
So say researchers from New York University and several universities in Sweden, who analyzed the impact of prostate cancer diagnosis on more than 32.500 Swedish men over a five-year period.
Source: JAMA Oncology
I fully support this. Aggressive prostate cancer cannot be cured anyway.
Incidentally, there is now a non-invasive treatment with a "light" for early prostate cancer. After treatment, years of checks are no longer necessary. The PSA test seems to have had its day.
http://nocamels.com/2016/12/bacteria-laser-treatment-prostate-cancer-cure/
Good to read this because many of us have to deal with this. It is a pity that it has to take another three years before it comes on the market or is applied. I read somewhere that if you live long enough you will get prostate cancer. Most die with this and not because of this. Only the cases with metastases you have a lot of hassle with.
PSA test.
I read this on a site: The Prostate Specific Antigen (PSA) is a protein that is normally present in small amounts in the blood. It is formed in the glandular tissue of the prostate, both in a healthy and in a diseased prostate. It is probably a measure of activity of certain parts of the prostate tissue, but it is not yet clear what causes the different PSA values. It is clear, however, that the PSA level in the blood can rise with age without abnormalities being found in the prostate (see table). PSA is currently the most important substance in the blood to diagnose prostate cancer.
Age PSA
40-49 >2.5 ng/ml
50-59 >3.5 ng/ml
60-69 >4.5 ng/ml
>69 >6.5 ng/ml
In Thailand, the psa maximum of 4.0 ng/ml is used to be insured for men between the ages of 60 and 69, in contrast to the graph, where it is apparently not too alarming if you fall below 4.5 ng/ml stays. People must therefore apparently stay under this, because otherwise you can pay for everything yourself. If applicable, of course.
For years I have had an enlarged prostate that negatively affects the urinary function. The urologist said after examination that the prostate feels smooth, from which he concluded that the prostate does not contain malignant cancer. Incidentally, every man can check for himself whether the prostate feels smooth.
In 2014 I was last with a urologist, incidentally for a different reason. I told them that my father also had prostate cancer before his death, but that he had died because of “old-age” leukemia. According to that urologist, 80% of men will get prostate cancer at some point. Just like Jacques wrote before, according to the urologist, most men die with and not because of prostate cancer.
I now check myself once a year whether the prostate still feels smooth. If that's not the case anymore, well, I'll still want to investigate further. But for now I'm not really worried.
My doctor will love reading this!
She has been complaining for years about the shame that elderly men (+ 80 years old) are still being treated for prostate cancer!!
This is completely unnecessary, she claims, since many elderly men die 'with' but not 'from' prostate cancer.
So let these older men continue to live with prostate cancer.
Younger men obviously need treatment, otherwise they will die from prostate cancer and that is not necessary, according to my doctor.
I've read that autopsies show that 80% of men over 80 who die had prostate cancer, when that was not the cause of death.
So you should actually only check 'young' men, but I don't see a general population screening for prostate cancer among young men happening anytime soon, and if the aggressive form cannot be treated, what else should you take than a wait-and-see position?
That is exactly what my doctor also claims, as I write above...
On the understanding that you don't get young men crazy enough to have themselves checked regularly. And if a young man is positive, it is probably aggressive and treatment is useless, if I may believe Dr. Vasbinder's first reaction, and I do.
I myself, 58 years old, had myself checked for prostate cancer last year because my PSA values were 10.2.
Fortunately, this is not the case.
With a follow-up check, this is now 8.3.
Does this also apply to people with an enlarged prostate like me, what can I do to lower the PSA?
I have been using firide for 6 months now to see if the prostate is decreasing in size, if not what is the next step.
I also use half a tablet of cazosin every 3 days for urination.
Maybe Maarten can give some advice on this because the Thai doesn't take it that seriously in life, advice from a doctor, have your prostate removed and you no longer need pills and no chance of prostate cancer!!
Perhaps an MRI scan will clarify the situation.
Dear Andrew,
Firide (finasteride) is indeed a way to shrink the prostate. Moreover, it will make your hair grow. However, if you stop, you can go bald very quickly.
Cazosin (doxazosin) dilates the urethra, they say. Also lowers blood pressure. Half a tablet every three days can hardly work, but you never know, of course.
An MRI of the prostate provides more information than a biopsy. The condition is that the radiographer has learned how to interpret this relatively new method.
If you can no longer urinate because the urethra is compressed by the prostate, the best treatment is currently the green laser, available in every well-equipped hospital. This means that the tube is, as it were, burned open.
I don't think you understood the whole article. By the way, how do you find out that your PSA values were 10.2 before you got checked? Carpe diem.
Those PSA values mean absolutely nothing. At one point I was sent to the urologist because of urinary problems. PSA values measured: 25! So I was immediately put on 3 monthly checks because it was only allowed to be 5. Then the following values became: 22, 18, 13. So they did not intervene. However, a biopsy was done in between, just to be sure, with the result: nothing was found. the time after that, the value regularly rose and fell.
I've been under surveillance for several years, finding that the value rose after a period of being excessively hot, and fell after a 'normal' period. So I made that connection for myself and could from now on predict at the urologist that the value would be higher or lower. He, of course, found that surprising.
2 things:
I remember being a 'walking stove' from an early age. At a very young age my brother sent me to bed earlier, because then it was already warm when he came. Secondary school: 15 km cycling one way. Also in winter, I drive to school with muffs but without gloves and those winters (1966 and after) were strong winters. I arrive with warm hands while the rest - with gloves - had numb hands. Long after everyone wore long sleeves, I still had short sleeves. Still now, by the way.
It is now abundantly clear to me that the warm feeling I have (and that does not depend on the outside temperature but comes from within) is clearly related to the height of the psa. In other words, my conclusion is: I've had that from an early age, so there's nothing wrong with that, I just have a congenital higher PSA.
point 2:
Since that temperature feeling may or may not occur, I suspected that it could have something to do with nutrition. So I started to pay attention to when I had urinary problems and what I had eaten before. Conclusion so far (to be clear, that's not a few months, but in the meantime 3 years): if I prepared a meal from Knorr (say, chicken Madras) or a soup from Honig yesterday, I'm in trouble today. After trying a dozen times, I have a very strong suspicion that it is due to salt. Those packages contain a lot of salt. of course I tried that by using meals with little salt. And yes: no problem.
For the time being, I stick to the conclusion: a lot of salt today means a urinary problem tomorrow. (tip: no, it's not the alcohol 😉 )
I kindly thanked the urologists and told them I'm not coming back because I'm not a single fagot.
I had surgery in the BovenIJ hospital in 2010. I was 68 years old at the time, the whole prostate was out, and I am very happy with it, everything is good, not incontinent or impotent. and with annual checks everything is OK. So what's advice????
@Frans, I've had myself checked since 2008, then it was 4.7 and I had myself checked every six months and the values only increased, until August 2016 my values were 10.2, you get it now, and I have all kinds of tests had it done, in a hospital in Lopburi it was reported that there was a high risk of cancer and I had a biopsy done, good or not, you have to do something, afterwards an MRI would have been better.
I used to use that Cazosin every day but because I have too low a blood pressure, just under 100-60, I started using this half every 3 days, if I now read that this does not help, I better stop this too, I In February I will have myself tested again and then see what the values are, if nothing has changed I will stop all medicines, maybe now you understand the situation and I have understood the story very well, so do not judge before you know the situation and then I put it mildly, and a healthy 2018.
Quote from Kanker.nl:
If there is a family history of prostate cancer at a young age (brothers, fathers, uncles, grandfathers), then go for a check-up with your doctor from about the age of 45. But if you haven't been awake for a second about your prostate and there is no hereditary or familial predisposition? Draw your conclusion.
My comment is therefore why you have been checked since 2008 while you do not report anything about it. Find French reaction therefore very normal.
and also 1 quote from the same website:
Screening
That is also the core of the discussion in a "population screening" for prostate cancer and individual screening. In a population study you would have to screen 1410 men, biopsy 340 men and diagnose prostate cancer in 82 men to prevent 1 case of death from prostate cancer. Regardless of the costs, you make many men "patient". We might be better off investing the money in better diagnostic techniques.
I sometimes do a health check myself and then I definitely rule out checking the PSA values because worrying about nothing given the static risk significantly increases your stress level and that is more harmful because of all kinds of health problems caused by stress.
Correction in the last paragraph: “static probability” should be “statistical probability”.
Having read all the comments, I wonder what the point of checking "PSA value" is. Has a direct link been shown between the “PSA value” and prostate cancer? Isn't there a better and more effective detection method for prostate cancer and in particular for the aggressive form? And if the aggressive form cannot be treated, why test for it? Or am I seeing it completely wrong?
france nico,
If you want to know the ins and outs, read: “The Great Prostate Hoax” by Richard J. Ablin, the discoverer of PSA. For sale on Amazon. It reads like a spanned book and he goes much further by discouraging all kinds of investigations.
https://www.amazon.co.uk/Great-Prostate-Hoax-Medicine-Hijacked/dp/1137278749