Prostate Findings

Tuesday, August 05, 2008

Durado Brooks, Director of Prostate and Colo-Rectal Cancers for the American Cancer Society's National Home Office discusses new Prostate Cancer screening guidelines.


Durado Brooks

Comments [13]

Paul from White Plains

Your segment was too brief, and incomplete. Yes, he was talking about older men, but the careless listener might have come away with the impression that this screening is not necessary for him, at any age. Wrong. At 61 and asymptomatic, I was found to have prostate cancer solely through the PSA test. It was very early and small, but high Gleason score (aggresive). I had a prostatectomy, and am fine seven years later. Do not give the impression that life after this operation is dire.

And what I heard was something like, "men just don't want to live with the knowledge that this is present. How about the fact that death from this form of cancer is ghastly and painful. I have lost two friends in this way.

I hate to hear stories which downplay the importance of PSA screening.

Aug. 05 2008 10:35 PM
Henry from Forest Hills

Thanks to your responses, particularly for summarizing the show!

Aug. 05 2008 02:50 PM
Gary Krasner from New York

However, cancer ebbs and flows all the time, depending on our overall health. The expression of any gene is determined by its environment. Good diets and exercise can affect the process. In the case of prostate cancer, for example, just lowering meat consumption will lower androgen levels. Thus, a harmless pre cancerous lession that would never have been detected 25 years ago could have easily gone into remission. But today, it's detected and treated. It has also been responsible for lead-time bias, which the GAO in 1997 had concluded (among other biases) artificially increased survival rate claims of the cancer industry.

Andrea Bernstein sounded incredulous to the idea that "not knowing" could be a good thing, simply because she shares the common mindset that modern medical intervention is medically efficacious. Yet we know as early as 1955 that the untreated live as long or longer than treated cancer patients (Harden B. Jones, Ph.D., Trasnactions of the NY Academy of Sciences; Series 3, Vol 18, 1955-1956, 36 pages. Also sumarized by Jones at the 11th Sience Writer's Seminar, March-April 1969, New Orleans, LA)

Aug. 05 2008 11:44 AM
Gary Krasner from New York

Some of you may be too young to remember, but these guidelines have a similar track to the amended guidelines about 15 years ago that it was contraindicated for women over 50 to get screened for breast cancer via mamography or physical exams. The major study which triggered the most discussion was the Canadian National Breast Cancer Screening Study (Can Med Assoc Jrnl; 147(10)1992; Miller, Baines, To, Wall.)

The data and theory is similar to what Durado Brooks described for prostate cancer, but more. It's not just based on the lower life expectancy from people treated to toxic therapy from false positive tests. The amount of cells mutate towards cancer gradually, and in phases. Technology has progressed to detect this process earlier.

Aug. 05 2008 11:44 AM
O from Forest Hills

There is a new article that men over age 75 are having a test called PSA to see if they have prostate cancer. They are finding that testing over age 75 for prostate cancer is doing more harm than good because most of these men over age 75 will have prostate problem but it is not fatal and there other health complications. They got into symptoms of prostate problems with the flow of urine when the male goes to the bathroom. Basically, if you are in your mid 40s, get screened proactively up to age 75, by then it is not so important.

Aug. 05 2008 11:12 AM
Henry from Forest Hills

I missed the program. Would anybody be kind enough to summarize; particularly if there was anything new presented.

Aug. 05 2008 11:09 AM
Jenny from Jackson Heights

We're going to take the men to the doctor if they refuse to go. Their health is vital to our future and to our happiness.

Aug. 05 2008 11:07 AM
O from Forest Hills

I just say that because I have a special friend whom is over 45 and does not take care of his health. What can you do? :(

Aug. 05 2008 10:56 AM
O from Forest Hills

So that means anyone over age 45 needs to be screened to take of their health then!!!

Including all listeners!

Aug. 05 2008 10:56 AM
Robert from NYC

Well, an honest answer from the medical profession? How old fashioned, but welcome. Thanks Doc.

Aug. 05 2008 10:54 AM
Barry Gerwinn from Ridgewood

I take Propecia for hairloss. Does this do anything to deter prostate cancer? Also I'm ask to get a PSA test what is that for? I'm 30.

Aug. 05 2008 10:52 AM
Michael from Manhattan


Aug. 05 2008 10:51 AM
O from Forest Hills

What age are men supposed to start screening for prostate cancer?

Aug. 05 2008 10:49 AM

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