A powerful article on prostate cancer

This Guardian article on prostate cancer is well worth reading:


For reference, I have an enlarged prostate and evident issues so it's actually somewhat comforting.

Get yourselves tested, guys.
My prostate gives me sporadic trouble. Definitely helps to avoid booze and stay well hydrated. About due for another PSA actually.
 
I agree with you. Imagine the uproar if the same were done with breast scanning.

But the difference is the breast screening generally works, prostate doesn't. It's far too prone to false positives and false negatives. Screening high-risk patients is one thing, but screening all men over (say) 45 would result in loads of un-necessary invasive biopsies at the minimum. The PSA test simply isn't reliabble enough for a general screen.
 
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But the difference is the breast screening generally works, prostate doesn't. It's far too prone to false positives and false negatives. Screening high-risk patients is one thing, but screening all men over (say) 45 would result in loads of un-necessary invasive biopsies at the minimum. The PSA test simply isn't reliabble enough for a general screen.
A medical scientist I follow wrote a blog post about this a few months ago, I can't remember the exact figures, but it was something like 100,000 potential false positives a year that would result in men receiving needless surgery and cancer treatment.
 
A medical scientist I follow wrote a blog post about this a few months ago, I can't remember the exact figures, but it was something like 100,000 potential false positives a year that would result in men receiving needless surgery and cancer treatment.

A positive result can be followed by a second check rather than immediate surgery or treatment.
 
A positive result can be followed by a second check rather than immediate surgery or treatment.
Yes, but you're talking about massive increase in biopsys, which will likely have a small risk of false positives in itself, but also identify men with benign cancers that would survive just fine without surgery or chemo.
 
Yes, but you're talking about massive increase in biopsys, which will likely have a small risk of false positives in itself, but also identify men with benign cancers that would survive just fine without surgery or chemo.

Surely with a biopsy the lab can make a decision on the likelihood that it is benign. Sounds a little better than do nothing.

Currently I am on a 12 monthly PSA which even after surgery is increasing. However I would be well over ninety and past caring at it's present rate of increase.

Plenty of men die with a prostate cancer it is preventing the early deaths that seems important and limiting a test to one or two genes present seems a bit cheap.
 
My father had prostate cancer but managed to catch it early enough to get it treated but lots of side effects from treatment but at least he's cancer free.

I do blood tests every 6 months and have been for years. It has a full biomarker profile including PSA and other related things - you can't afford not to look after yourself like this.
 
I do blood tests every 6 months and have been for years. It has a full biomarker profile including PSA and other related things - you can't afford not to look after yourself like this.


This is what I think I'll have to do. I think I'll start to do yearly tests from 40 so I can baseline it over time. Unfortunately for my Dad, when he had a test, his PSA was over 1000 and the cancer had spread.
 
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This is what I think I'll have to do. I think I'll start to do yearly tests from 40 so I can baseline it over time. Unfortunately for my Dad, when he had a test, his PSA was over 1000 and the cancer had spread.

Sorry to hear that. :(

My father being nearly 80 is struggling with the side effects but actually is overall for his age doing ok.

Other than MSK issues because of sport I've *touches wood* never had so much as a cold so barely ever go to the Dr. Unless I need a referral for PMI (again mainly for MSK issues) - however whenever I do go there's always a prostate check in spite of my blood tests. And honestly, whilst it's not pleasant I'd far rather a professional check as sometimes a blood test may not always tell you the full story.
 
It has aged my Dad significantly living with it and the associated medication. It is a shame men will have to take preventative care themselves. His first symptom was severe back pain.
 
My father had prostate cancer but managed to catch it early enough to get it treated but lots of side effects from treatment but at least he's cancer free.

I do blood tests every 6 months and have been for years. It has a full biomarker profile including PSA and other related things - you can't afford not to look after yourself like this.
Where do you get your blood tests done? Do you buy home test kits, if so which? Bit of a minefield with home test kits as to which are going to be any good or not.
 
Where do you get your blood tests done? Do you buy home test kits, if so which? Bit of a minefield with home test kits as to which are going to be any good or not.

I buy them from medichecks. I'm friends with the local practice nurse who can take the venous sample for me. Otherwise you have to pay a bit extra for someone to do it, or you can ask your GP's phlebotomist if they mind doing it. Don't try to do it yourself! I thought I could, was a bloody (literally) mess! :cry:
 
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