10.12.2014

Pros and cons of prostate cancer treatment options

Breaking news from the Diagnostic Center for Diseasea„? in Sarasota, Florida, identifies a previously underestimated risk that routine prostate biopsy performed to evaluate for prostate cancer spreads cancer cells and may be the reason that men have a recurrence of disease many years after the prostate was removed successfully with clear surgical margins.
A recent evaluation of data from patients noting a positive multi-parametric prostate MRI scan at the Diagnostic Center for Diseasea„? confirmed 75 percent of biopsies performed yielded a cancer, thereby, allowing many men without cancer to avoid a biopsy procedure altogether. TumorProstate Cancer tumor discovered in the wall of the rectum several years following a needle biopsy. A recent case of a 71-year-old man illustrates the benefit of the multi-parametric prostate MRI scan. Our PracticeKasraeian Urology is committed to providing the residents of Jacksonville with excellent urology care and have been doing just that for over 25 years.
We specialize in prostate cancer second opinions, kidney stones, urinary tract infections, prostate cancer robotic surgery, kidney cancer, erectile dysfunction, bladder cancer and vasectomies.
Pros and cons, I was listening this morning, as i always do on this particular day of days, to some news broadcast and commentary contemporaneous with the attacks on the world trade.
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Although further research is needed, physicians need to establish practical clinical recommendations for those men who have had testicular cancer, and may be at higher risk for prostate cancer. Patients who are newly diagnosed with prostate cancer, or prostate related illness, can contact world renowned prostate cancer surgeon and urologic oncologist, Dr. A urologist will obtain prostate tissue samples for further analysis by performing a procedure called a biopsy.
If the Gleason score is a 6 or lower, the tumor is in an early stage and the cancer is considered low-risk. If the Gleason score is a 7, the tumor is in between an early stage and an aggressive stage and the cancer is considered moderate-risk. If the Gleason score is 8 or higher, the tumor is in a more advanced tumor stage and the cancer is considered high-risk.
A new study from Northwestern University Feinberg School of Medicine sounds the alarm on finding almost double the rate of metastatic prostate cancer – cancer that has spread beyond the place it started – in men aged 55 to 69 since 2004.
While metastatic prostate cancer is rare, the rise shown in this study does cause some concern. The researchers wanted to determine if the relaxed screenings had led to changes in the numbers of advanced and metastatic prostate cancer at the time of diagnosis. It was found that out of the 767,550 men only 3 percent had metastases at diagnosis which was some good news out of the study.
The American Cancer Society released a statement questioning the manner in which the study was conducted. Each year in the United States, around 240,000 men are diagnosed with prostate cancer with 30,000 who will succumb to the disease. Patients newly diagnosed with prostate cancer can contact world renowned prostate cancer surgeon and urologic oncologist, Dr. If someone consumes a lot of water, the risk of kidney stones decrease & if someone already has them plenty of water consumption will increase the possibility of passing the stones.


When the needle is withdrawn from the targeted organ, the chance of spreading cancer cells (when encountered) establishes itself while every puncture of the prostate adds to this risk. David Samadi, encourages men to get annual cancer screenings, and stay proactive about their health. According to a new study at the University of Maryland School of Medicine, men who have had testicular cancer may have an increased risk for prostate cancer. Understanding the risk factors of prostate cancer and other cancers can help men make the right decisions about their health and potentially screen more often than those without a history of another cancer.
A biopsy aids in determining whether there are cancerous cells existent in the prostate and gauge the potential aggressiveness of the cancer.
This means that the prostate cancer is unlikely to grow or spread to other tissues or organs for many years. While this means that the prostate cancer is unlikely to grow or spread for many years, the doctor will likely recommend treatment such as surgery or radiation while taking into account the patient’s age and overall health. If the cancer has not spread beyond the prostate, it is still possible to treat it successfully which is usually done with surgery. David SamadiIn Mens Health, Prostate Cancer, Prostate Cancer Screening, Prostate Cancer Testing, Prostate Cancer Tips, Prostate Diet Tips, Prostate Health, Tips From Dr. Between the years 2004 to 2013 the number of new cases of prostate cancer that had metastasized rose by a steep 72 percent within that age group while all other age groups showed a statistically significant increased incidence of metastatic prostate cancer.
This was done by identifying all men diagnosed with prostate cancer (767,550) in the National Cancer Data Base (2004-2013) at 1,089 different healthcare facilities in the United States. One factor they attributed for the change in the rising numbers of metastatic cancer cases was due to a growing and aging population. Prostate cancer that has spread from the prostate into other areas of the body is much harder to treat and usually is not curable.
David Samadi, for a free phone consultation and to learn more about prostate cancer risk, call 212-365-5000. David Samadi describes that being overweight, consuming too much of animal protein, excessive salt & high fructose corn syrup in diets are some of the reasons that lead to kidney stones. Men have been told for years that the procedure is safe and the only way to diagnose prostate cancer.
Despite the significance of this risk to the patient, physicians generally fail to acknowledge a process that allows cancer cells to lie dormant or incubate for up to 10 years or more regardless of the treatment rendered.
While there have been previous studies that have shown an increased risk of prostate cancer in men who have previously had testicular cancer, this is the first one to observe the risk of getting intermediate or high-risk prostate cancer. David Samadi is a board certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. He developed his grading system by using information he had gathered from studies of the biopsies of men who had been diagnosed with prostate cancer. The prostate tissue sample is collected by the use of a hollow needle inserted through the rectum. Men with low-risk prostate cancer are often monitored with active surveillance and have frequent checkups that may include PSA tests, DREs, ultrasound or other imaging, and repeat prostate biopsies. Treating prostate cancer when the disease is in an early to medium stage gives the most optimal outcome.
Radiation may be required after surgery in case any prostate cancer cells may have escaped from the prostate gland due to being in an advanced stage.
Preventive Services Task Force (USPSTF) advocated against the prostate specific antigen (PSA) blood test to screen healthy men for prostate cancer, there have been declines in the overall incidence of the disease. Food that contain calcium is not the source of a stone unless extreme amounts of calcium is consumed for a lengthy period.
While this paradigm represents the current standard, the protocol exposes far too many men to needless biopsies.


This is a quantum leap from the blind biopsy approach that yields a cancer in 20-30% of patients when an elevated PSA selects the patient population to be biopsied. He is Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital and Professor of Urology at Hofstra North Shore-LIJ School of Medicine. The grading system is used in helping not only to assess the prognosis of men with prostate cancer, but also to provide a doctor with enough information in choosing the best treatment option . The samples are then given to a pathologist who will examine them thoroughly under a microscope to ascertain exactly where the cancer is the most prominent (the primary grade) and then where it’s next most prominent (the secondary grade).
The doctor will likely recommend immediate treatment because high-risk prostate cancers are likely to grow or spread within a few years.
The USPSTF reasoning for waiting to screen men until age 50 instead of age 40 was based on too many PSA tests resulting in the detection of many cases of asymptomatic prostate cancer that are slow growing and didn’t need aggressive treatment. This coincides with the frequency that ultrasound and biopsy encounters a cancer, suggesting that 70-80 percent of biopsies are performed unnecessarily, while putting the patient at grave risk. Allowing an imaging system to predict the presence of prostate cancer enables the potential savings of millions of dollars to the healthcare industry. A biopsy using a traditional gray-scale ultrasound evaluation resulted in eight negative cores.
The Gleason system is utilized by pathologists worldwide and provides a cogent measurement to determine the severity of prostate cancer.
Based on the examination the pathologist will then relegate a score ranging from 1 to 5 for both the primary grade and secondary grade. It was believed there was more harm from potential side effects such as impotence to incontinence than from small potential benefits. This is shocking information that patients need to know as they consider their diagnostic options. The secret to success highlights a multi-parametric prostate MRI scan, representing the most sensitive and specific diagnostic imaging modality for a prostate evaluation in the world, replacing substandard scanning procedures like PET scan, CAT scan and Prostascint scans.
David Samadi is also part of the Fox News Medical A Team as a medical correspondent and the Chief Medical Correspondent for am970 in New York City. To be certain, many men will have a small cancer that is missed on biopsy based on the inability of this standard procedure to isolate a suspected lesion in question (sampling error).
The MRI scan allows imaging of the entire prostate and pelvic region, thereby, creating a roadmap of disease recognition.
At the Diagnostic Center for Diseasea„?, physicians recognize that better imaging enables an improved opportunity to diagnose disease while ensuring a better, more predictable outcome. This time, in addition to the gray-scale ultrasound, the color flow doppler (CFD) ultrasound was utilized to isolate areas of blood flow, important to prostate cancer growth.
This, subsequently, allows selective targeting of specific regions of interest for biopsy when indicated. Despite the use of CFD to target areas of interest, the biopsy results were once again negative. Despite a lack of evidence for cancer on the physical examination of the prostate, the scan located a discreet, well-defined 4.5 mm lesion deep within the peripheral zone of the mid-prostate on the left side. In the event a lesion is isolated, a specific protocol is implemented to prevent cells that escape the capsule from proliferating; in effect, causing cells to become weakened, disabled and die through a process called apoptosis.



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