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Old Saying About Prostate Cancer Not True When It's Metastatic (80% die from it)
Medscape / JAMA Netw Open ^ | Sept. 2, 2021 | Nick Mulcahy / Ahmed Elmehrath, MD, Omar Alhalabi, MD, Samuel Merriel, MSc, Tanimola Martins, et al

Posted on 10/24/2021 9:17:29 AM PDT by ConservativeMind

Nearly 80% of men with metastatic prostate cancer died from their malignancy, according to a retrospective cohort study.

The findings fill an information gap because, remarkably, "data are lacking" on causes of death among men whose prostate cancer has spread to other sites, say lead author Ahmed Elmehrath, MD.

"It was an important realization by our team that prostate cancer was the cause of death in 78% of patients," said senior author Omar Alhalabi, MD, of University of Texas MD Anderson Cancer Center, Houston, in an email to Medscape Medical News.

The findings represent the near opposite of a commonly held — and comforting — belief about early-stage disease: "You die with prostate cancer, not from it."

That old saying is articulated in various ways, such as this from the Prostate Cancer Foundation: "We can confirm that there are those prostate cancers a man may die with and not of, while others are very aggressive." The American Cancer Society says this: "Prostate cancer can be a serious disease, but most men diagnosed with prostate cancer do not die from it."

However, these commonplace comments do not cover metastatic disease, which is what the authors of the new study decided to focus on.

The majority of these deaths (77.8%) were from prostate cancer, 5.5% were from other cancers, and 16.7% were from noncancer causes, including cardiovascular diseases, chronic obstructive pulmonary disease, and cerebrovascular diseases.

Most of the prostate cancer deaths (59%) occurred within 2 years. The 5-year overall survival rate in the study group was 26%. The deadliness of metastatic disease "reinforces the need for innovations to promote early-stage diagnosis," comment the editorialists. Striking a hopeful note, they also say that "new tests for prostate cancer detection may reduce the proportion of patients who receive a diagnosis at a late stage."

(Excerpt) Read more at medscape.com ...


TOPICS: Health/Medicine
KEYWORDS: prostatecancer
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Guys, please get at least semi-regular check ups to nip this in the bud early. Symptoms do not generally show up until it’s too late.
1 posted on 10/24/2021 9:17:29 AM PDT by ConservativeMind
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To: ConservativeMind

For metastatic PC that is probably true.
The opposite is also true. Something like 80% of men eventually develop PC but they die of something else before it becomes an issue. It’s a strange disease, usually very slow. But for the other 20% it’s tough.


2 posted on 10/24/2021 9:20:19 AM PDT by monkeyshine (live and let live is dead)
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To: ConservativeMind

I’m 68 and have no health insurance (Only medicade A, which I have for free whether I want it or not). I’ve not had a checkup in 20 years. I put my faith in the great healer and take very seriously the apostle Paul’s words, “for me, to live is Christ and to die is gain.”

The Lord will take me at a time of his choosing and I will call it gain.

So, either I get Prostate cancer and die, or I die of something else of the Lord’s choosing.


3 posted on 10/24/2021 9:20:53 AM PDT by cuban leaf (My prediction: Harris is Spiro Agnew. We'll soon see who becomes Gerald Ford, and our next prez.)
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To: ConservativeMind

My Best Childhood friend died of Prostate Cancer in November of 2020 at age 69 - his death certificate listed Covid as the cause of death.

The family argued, but the hospital would not change the Death Certificate.


4 posted on 10/24/2021 9:20:57 AM PDT by EC Washington
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To: ConservativeMind

My HMO on medicare seems to have me with a quack Dr.

I was told at age 65, last year, that the HMO wanted quarterly visits and blood work. Now, after refusing any covid vaccine he doesn’t want to see me for six months.

I think there are ‘markers’ in blood work as to prostate conditions, aka cancer. So not willing to do three month blood work anymore seems problematic and dangerous.

It’s like he doesn’t want unvaxxed patients in his office, but wants the $$$ from the govt each month.


5 posted on 10/24/2021 9:21:57 AM PDT by George from New England
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To: ConservativeMind

Yet women get more money spent on breast cancer with tax payer money than men do for this type of cancer.


6 posted on 10/24/2021 9:22:21 AM PDT by for-q-clinton (Cancel Culture IS fascism...Let's start calling it that!)
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To: ConservativeMind

Take IP6, the unprofitable cancer cure and preventative.
https://pubmed.ncbi.nlm.nih.gov/9244360/


7 posted on 10/24/2021 9:24:13 AM PDT by devere
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To: George from New England

Switch from the HMO to a PPO and choose your own doctor. Medicare open enrollment is right now.


8 posted on 10/24/2021 9:26:26 AM PDT by devere
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To: cuban leaf

A PSA test is $69 bucks at Quest.

https://questdirect.questdiagnostics.com/products/prostate-screening-psa


9 posted on 10/24/2021 9:26:39 AM PDT by mad_as_he$$
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To: ConservativeMind

There’s nothing to be concerned about when getting examined. My doctor told me he’s giving me a DIGITAL examination. I didn’t want to go when they were doing the old fashioned glove and finger exam.

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10 posted on 10/24/2021 9:27:03 AM PDT by The Antiyuppie (When small men cast long shadows, then it is very late in the day.)
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To: cuban leaf

I like your post - and your tagline.


11 posted on 10/24/2021 9:27:34 AM PDT by Empire_of_Liberty
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To: ConservativeMind

I feel like this is going round in circles.

Stating METASTATIC Prostate cancer is DIFFERENT from just “prostate cancer”.

This seems to be conflating the 2 definitions. All metastatic PC is PC, but not all PC is metastatic.

So I’m confused how this “old adage” is really wrong?


12 posted on 10/24/2021 9:28:18 AM PDT by the OlLine Rebel (Common sense is an uncommon virtue./Federal-run medical care is as good as state-run DMVs.)
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To: Empire_of_Liberty

Case study. My father in law and his brother were both diagnosed with prostate cancer within three months of each other back in 2014. My father in law went natural. No chemo. No radiation.
He’s alive. Still has cancer, numbers are low. His younger brother went whole hog conventional. Chemo and radiation. He died in 2018. Connection?


13 posted on 10/24/2021 9:31:29 AM PDT by KierkegaardMAN (This is the sort of stuff up with which I shall not put!)
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To: EC Washington

It’s all about the Benjamins. They don’t get paid a bonus if he died of prostate cancer.


14 posted on 10/24/2021 9:32:52 AM PDT by Lurkina.n.Learnin (The road to tyranny is paved with compliance )
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To: ConservativeMind
Old Saying About Prostate Cancer Not True When It's Metastatic (80% die from it)

22.2% with metastatic cancer of any kind not dying from it, I would think, is still a pretty good number.

Anyway I would think that people don't die from non metastatic cancer, they die from metastatic cancer.

So the question is how long on average does it take prostate cancer to go metastatic?

The answer to that is perhaps where the old saying comes from.

15 posted on 10/24/2021 9:33:53 AM PDT by FreeReign
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To: cuban leaf

Yeah, and the saying goes you’re walking to your car after testing negative at the cancer center and a garbage truck runs you over. God is in control. What amazes me most about the COVID hype is that it demonstrates on a worldwide scale the utter terror people have of death. It’s not death we should fear but an unholy death.
“There is nothing more profitable for the soul than to meditate on one’s own death.” The Imitation of Christ


16 posted on 10/24/2021 9:36:04 AM PDT by KierkegaardMAN (This is the sort of stuff up with which I shall not put!)
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To: George from New England

Could be. And believe me I COMPLETELY sympathize with people dealing with REAL medical issues in this COVID hysteria. Medical behaves the worst with this. Still treating it like it’s the worst thing ever and your heart attack be damned! You might have COVID!

But 3mos checking seems excessive. THAT might be the money-maker. My father didn’t get checked like that until after he was diagnosed with PC.


17 posted on 10/24/2021 9:36:21 AM PDT by the OlLine Rebel (Common sense is an uncommon virtue./Federal-run medical care is as good as state-run DMVs.)
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To: KierkegaardMAN

I have a father and grandfather whose lives were made miserable by reacting to this test. I expect them both to have died from what was done to them and not gotten a day from it.

Medicine has been quackery for long before COVID.


18 posted on 10/24/2021 9:37:41 AM PDT by Empire_of_Liberty
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To: for-q-clinton
Yet women get more money spent on breast cancer with tax payer money than men do for this type of cancer.

When men take those billions of dollars they spend on prostitutes and sugar babies every year and spend it on activism and research instead, then I'll care about how much money the Fed spends on each.

19 posted on 10/24/2021 9:39:17 AM PDT by TwelveOfTwenty (Will whoever keeps asking if this country can get any more insane please stop?)
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To: for-q-clinton

I don’t know about that. It certainly gets more attention.

Overall, BC and PC are actually very manageable. You wouldn’t know that from the BC ads (sort of like COVID, eh?). As a layman who has experience with it all I’d say PC generally is a little less dangerous than BC.

The outlier is Inflammatory BC, which is actually quite different and vastly more dangerous than “breast cancer”, as people think of it. It killed my sister. The few that get this can really skew how dangerous regular BC seems.


20 posted on 10/24/2021 9:40:30 AM PDT by the OlLine Rebel (Common sense is an uncommon virtue./Federal-run medical care is as good as state-run DMVs.)
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