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Advanced Prostate Cancer Cases on the Rise After Years of Decline: What You Need to Know
Epoch Times ^ | 1/12/2024 | Cara Michelle Miller

Posted on 01/12/2024 8:25:26 AM PST by george76

U.S. Defense Secretary Lloyd Austin was recently diagnosed and is being treated for prostate cancer. He is one of the nearly 290,000 American men who will be diagnosed with the condition this year.

Nearly all types of cancer have become less deadly over the last 30 years, with one notable exception: advanced-stage prostate cancer, according to a recent report from the American Cancer Society (ACS).

“We have had more men diagnosed with more advanced prostate cancer over the last decade,” Dr. Sam S. Chang, the Chief Surgical Officer at the Vanderbilt Ingram Cancer Center, told The Epoch Times in an email. “The good news, many men with prostate cancer can be monitored safely and never require treatment.”

Survival Rates Are High, But Concerns Grow Over Advanced Cases..

One in eight men will be diagnosed with prostate cancer—the second leading cause of cancer death among men in the U.S. after lung cancer—in their lifetime, according to ACS.

While concerning, the vast majority do not die from it. In fact, this type of cancer has one of the highest survival rates. The 5-year relative survival rate, which refers to the percentage of people with a prostate cancer who will still be alive five years after diagnosis, compared to people without that cancer, is over 90 percent.

However, advanced prostate cancer rates, after declining for decades, are rising again.

The Debate Around PSA Screenings for Prostate Cancer..

Overall prostate cancer rates grew 3 percent annually between 2014-2019, per the ACS report. Meanwhile, advanced cases have increased 4-5 percent yearly since 2011, likely due to decreased screenings, according to Dr. Chan.

“The American Urology Association (AUA) guidelines recommend screening people for prostate cancer through bloodwork, which is obtained with a prostate-specific antigen (PSA) test,” Dr. Adnan Dervishi, a urologist with Ascension Saint Thomas Hospital specializing in urologic cancers, told The Epoch Times. Elevated PSA levels can be an indicator of potential prostate cancer. A “biopsy is needed to look at specimens under a microscope to get an accurate diagnosis,” he added.

In the past, PSA screenings posed health risks, yielding false positives or prompting unnecessary, potentially harmful procedures. This is why, in 2008 the U.S. Preventive Service Task Force advised against routine PSA testing for men 70 years and older.

False positives are when the test indicates high PSA levels, but there is no prostate cancer. Because some men with prostate cancer live for decades without any problems, there are concerns about over treatment. Cancer treatments, like surgery or radiation, may result in other health issues, including loss of bladder and bowel control, and erectile dysfunction.

“My standard practice is to recommend getting an MRI prior to proceeding with a biopsy,” Dr. Dervishi said. “It is more comprehensive.” A 2017 study in The Lancet suggests that 27 percent of men at low risk who get a prostate MRI may be able to avoid a biopsy.

Still, screenings can prevent advanced disease and death, which is why the AUA recommends them for men ages 55-69 on a case-by-case basis.

Researchers attribute rising advanced cancer rates to multiple factors, including improved diagnostic tools, more screenings, an expanding and aging population.

Risk of Developing Prostate Cancer..

The risk factors for developing prostate cancer vary based on a man’s age and ethnicity. For example, men with obesity, older men, and African American men, as well as Caribbean men of African ancestry, are more prone to prostate cancer. Men of this ethnic background have a 70 percent higher likelihood of developing prostate cancer compared to white men.

The National Comprehensive Cancer Network recommends that patients in this higher risk ethnic group or anyone with a family history of prostate cancer receive bloodwork testing beginning at age 40.

The risk of prostate cancer starts to increase significantly after the age of 55 and reaches its highest point between the ages of 70 and 74. Prostate cancer is still rare in men under 40. The average age for a first diagnosis is about 67.

With patients who are categorized as low-risk prostate cancer, doctors use a wait and see approach called “active surveillance.” It delays treatment until there are indications that the cancer has progressed.

What to Know About Prostate Health..

The prostate, a small walnut-sized gland in the male reproductive system situated below the bladder, surrounds the urethra—the tube carrying urine from the bladder. With age, the prostate may enlarge, exerting pressure on the urethra and causing a slower urine flow. This “benign enlargement of the prostate is very common and results in urinary symptoms such as hesitance, frequency, nocturia (waking up at night to void) and urgency to void,” Dr. Chan said.

The most prevalent form of prostate cancer is adenocarcinoma, where cells in the gland lining grow uncontrollably, Dr. Chan added. Prostate cancer often goes unnoticed in its early stages, lacking symptoms. Currently, an estimated 2.9 million men are living with prostate cancer.

At later stages, prostate cancer can obstruct the kidneys and the bladder. Advanced prostate cancer spreads to the bone which can be very painful and even cause bone fractures, Dr. Chan noted.

When symptoms are serious, surgery is recommended to remove the section of prostate tissue causing the most harm. However, he stresses that while “many men live without sequala (complications that exist from a pre-existing illness) it is important to remember that there is no cure for prostate cancer once it has become metastatic and spread to the bones.”

...

Exercise regularly..

A sedentary lifestyle, such as prolonged periods spent working at a computer, can be detrimental and may contribute to inflammation in the prostate. To counteract this, incorporating regular exercise is essential to mitigate the negative effects of extended sitting.


TOPICS: Culture/Society; News/Current Events; Politics/Elections
KEYWORDS: cancer; lloydaustin; prostate; prostatecancer
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1 posted on 01/12/2024 8:25:27 AM PST by george76
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To: All

In the end, cancer will get you…in the end.


2 posted on 01/12/2024 8:26:56 AM PST by thegagline (Sic semper tyrannis! Goldwater in 2024)
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To: george76; grey_whiskers; ransomnote; metmom; kiryandil

Maybe......It’s the $hots!


3 posted on 01/12/2024 8:28:00 AM PST by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: george76

I already know.


4 posted on 01/12/2024 8:29:43 AM PST by roving (Deplorable Listless Vessel Trumpist With Trumpitis and a Rainbow Bully)
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To: george76

I think there’s a few things at play:

#1-—WAY expensive and complicated regarding insurance, doctors involved, taking numerous days off, etc to get checked.

#2-—Lack of trust in the medical institutions. So people don’t go....


5 posted on 01/12/2024 8:30:09 AM PST by mikelets456
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To: george76
Geeze...I see my PCP next week for my yearly assault. He insists on giving me the finger every time.
6 posted on 01/12/2024 8:30:54 AM PST by Gay State Conservative (Proudly Clinging To My Guns And My Religion)
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To: george76
"What you need to know" Take more clot shots!
7 posted on 01/12/2024 8:31:41 AM PST by wildcard_redneck (He who sacrifices freedom for security deserves neither.)
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To: thegagline

I’m not worried. The Resident Joseph Robbinette Biden said he will cure cancer


8 posted on 01/12/2024 8:31:51 AM PST by GrandJediMasterYoda (As long as Hillary Clinton remains free, the USA will never have equal justice under the law)
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To: Jane Long

It could be-—but the article states it’s been rising steadily for at least a a decade-—on advanced cases.


9 posted on 01/12/2024 8:31:52 AM PST by mikelets456
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To: george76

Prostate cancer isn’t as fancy as the ‘save the ta-ta’s’ cancer...


10 posted on 01/12/2024 8:34:44 AM PST by jeffc (Resident of the free State of Florida)
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To: george76

Gee, what’s new with the nation’s herd of sheep that may be causing all the aggressive cancer?

Hmmmm


11 posted on 01/12/2024 8:36:03 AM PST by cyclotic (Don’t be part of the problem. Be the entire problem)
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To: george76

I had it and fortunately they caught it early. Had the Brachytherapy surgery rather than removal. The 3 weeks following the procedure were a living hell. It was like passing a kidney stone every 20 minutes. But I’m good now and my PSA is low.


12 posted on 01/12/2024 8:36:24 AM PST by circlecity
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To: george76
The scary thing about prostate cancer is that it's so out-of-sight and most of the time doesn't cause any symptoms at all. Mine was caught in early stage, and completely contained in the gland, through several years of monitoring. Thankfully, I had a good GP monitoring my PSA and referred me to a good urologist when it got too high.

Get checked, men!

13 posted on 01/12/2024 8:38:20 AM PST by fwdude (.When unarmed Americans are locked up for protesting a stolen election, you know it was stolen.)
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To: mikelets456

FTA…

However, advanced prostate cancer rates, after declining for decades, are rising again.


14 posted on 01/12/2024 8:42:33 AM PST by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: thegagline

It’s either a pump, plumbing failure or a cells going rouge and doing their own thing that’s gonna get us.


15 posted on 01/12/2024 8:42:49 AM PST by Red6
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To: george76

Turbo cancers kicked into gear by vaccinations that lowered immunity


16 posted on 01/12/2024 8:44:15 AM PST by frogjerk (More people have died trusting the government than not trusting the government.)
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To: circlecity

Great to hear you are good now.


17 posted on 01/12/2024 8:45:03 AM PST by frogjerk (More people have died trusting the government than not trusting the government.)
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To: frogjerk

Turbo cancers kicked into gear by vaccinations that lowered immunity


Indeed.

:-(


18 posted on 01/12/2024 8:47:55 AM PST by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Jane Long

Dr. Ryan Cole from Idaho : incidents of cancer up 20- fold in his clinic in vaxxed patients


19 posted on 01/12/2024 8:49:23 AM PST by george76 (Ward Churchill : Fake Indian, Fake Scholarship, and Fake Art)
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To: george76
Exactly.

💉


20 posted on 01/12/2024 8:49:54 AM PST by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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