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Health experts: Routine PSA tests for prostate cancer not good for health
CBS ^ | 5/21/2012 | ByJonathan LaPook

Posted on 05/21/2012 4:49:36 PM PDT by tobyhill

A top panel of health experts called the U.S. Preventive Services Task Force says that men should no longer get routine prostate-specific antigen (PSA) tests to screen for prostate cancer. The reason, it says, is that the tests may lead to treatments that do more harm than good.

U.S. panel recommends against PSA tests for screening prostate cancer in men of all ages

More than 33,000 American men die of prostate cancer each year. And, every year, 20 million get the PSA test to detect the disease early. The recommendation is already causing a lot of criticism. Dr. Jon LaPook reported on the issue.

For 20 years, the message has been the same: Get a PSA test every year or two, detect prostate cancer early -- and save your life. Dr. Michael Lefevre helped lead the panel that said the message was wrong.

"The problem is that in contrast to the small benefits, a significant number of men will be harmed by the test and treatments that follow prostate cancer screening," he said to CBS News.

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


TOPICS: Extended News; News/Current Events
KEYWORDS: agenda21
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1 posted on 05/21/2012 4:49:40 PM PDT by tobyhill
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To: tobyhill

It’s good, it’s bad, it’s good, it’s bad, it’s good, it’s bad, it’s good, it’s bad...

Coffee will kill you. Coffee will stave off Alzheimer’s. Fat will kill you. Fat is good for you. Eggs will raise your cholesterol. Eggs will keep LDL cholesterol low.

How can anyone in the US, let alone the world, believe anything coming out of health care circles if studies are back and forth twice a year?

I did read recently, however, that taking a wait-and-see approach on prostate “positives” is the best course of action. Treatment up to and including removal of the prostate oftentimes leave men impotent and miserable for the rest of their lives due to sexual dysfunction.


2 posted on 05/21/2012 4:53:09 PM PDT by rarestia (It's time to water the Tree of Liberty.)
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To: tobyhill

Danged if you do, danged if you don’t.


3 posted on 05/21/2012 4:53:29 PM PDT by ocr1 (Sowell FTW)
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To: tobyhill

“We have been taught for years to fear cancer and that only hope is early detection and treatment,” Lefevre said. “And so for both doctors and patients alike, it’s difficult to accept that some cancers don’t need to be discovered and don’t need to be treated.”

WTF? Is he saying ‘Don’t fear the REaper?’ Cause prostate cancer has taken two people close to us.


4 posted on 05/21/2012 4:54:57 PM PDT by griswold3 (Big Government does not tolerate rivals.)
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To: tobyhill
Obamacare lo$$ prevention.

Your prostate and cancer screening funds are needed for more important programs, like Green Energy seed money to be laundered into campaign contributions.

5 posted on 05/21/2012 4:55:30 PM PDT by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: blackdog

Seems like we’ve had more than a couple news stories along these lines recently.


6 posted on 05/21/2012 4:56:53 PM PDT by John W (Viva Cristo Rey!)
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To: tobyhill

Proactive death panels............


7 posted on 05/21/2012 4:56:53 PM PDT by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: rarestia
An old friend got prostrate cancer at age 75. You'd never know it.

The radiation and the meds sent him down hill. Up until that time he was getting around just fine....no pain...no disability.

8 posted on 05/21/2012 4:57:08 PM PDT by Sacajaweau
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To: griswold3

Yes, when you watch someone die of prostate cancer, it makes you sick at the thought that a panel of political appointees can actually say with a straight face that ‘some cancers don’t need to be discovered and don’t need to be treated’.

Also this panel is going to push for no mammograms for women over 65 because, you see, we just aren’t productive drones anymore and are expendable.

I bet if it is them or their parents, those test will be performed. Regularly.


9 posted on 05/21/2012 5:00:35 PM PDT by SusaninOhio
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To: John W
Another decade and any illness which has a treatment cost greater than your future anticipated tax payments to the US Treasury will leave you with two choices.............

Morphine in mega doses, or Morphine in small doses with a weekly massage with warm stones. Either until you are dead.

10 posted on 05/21/2012 5:01:38 PM PDT by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: blackdog

Yes-—worth repeating -—proactive death panels....


11 posted on 05/21/2012 5:02:42 PM PDT by savagesusie (Right Reason According to Nature = Just Law)
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To: tobyhill

There’s a more accurate test that’s better anyway.


12 posted on 05/21/2012 5:03:08 PM PDT by Secret Agent Man (I can neither confirm or deny that; even if I could, I couldn't - it's classified.)
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To: tobyhill

Just schilling for Obamacare.....

Die old men....


13 posted on 05/21/2012 5:03:08 PM PDT by Vendome (Don't take life so seriously, you won't live athrough it anyway)
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To: blackdog

More like elective abortions and sex-change operations.


14 posted on 05/21/2012 5:03:08 PM PDT by ConjunctionJunction
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To: Secret Agent Man

What is it?


15 posted on 05/21/2012 5:04:29 PM PDT by ConjunctionJunction
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To: Secret Agent Man

Which is? Death.


16 posted on 05/21/2012 5:05:15 PM PDT by UB355 (Slower traffic keep right)
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To: Sacajaweau

Supposedly, and I not a medical person, as you get older, cancers DO grow much more slowly. OLDER is the operative word and also it depends on the kind of cancer.

Breast cancer will kill at any age. Apparently prostate cancer is not as serious (so I hear) in the elderly.

However if it was my husband, I would certainly want to know if he had it, even if he was 90. We both come from very long-lived ancestors who generally remain healthy into their 90s or higher, and then drop dead.

I guess a government-issued pain pill will take care of everything.

Would soilant green be considered an Obama green initiative?


17 posted on 05/21/2012 5:06:01 PM PDT by SusaninOhio
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To: John W
"A top panel of health experts called the U.S. Preventive Services Task Force says that men should no longer get routine prostate-specific antigen (PSA) tests to screen for prostate cancer. The reason, it says, is that the tests may lead to treatments that do more harm than good."

I think I'll trust my physician to help me sort out the risks and benefits of any medical procedure I may need to consider, Thank You!

18 posted on 05/21/2012 5:07:01 PM PDT by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: tobyhill

I’m scheduled for a colonoscopy on Thursday. Will someone please convince me to cancel it? It is my first, I’m over 60 and healthy as a horse. Am I wasting my time?


19 posted on 05/21/2012 5:07:06 PM PDT by gorush (History repeats itself because human nature is static)
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To: tobyhill
My PSA test went up quite quickly and a Biopsy revalues cancer. I got the cure. I guess liberals are so good that they do not get cancer and no medical treatment is needed.
20 posted on 05/21/2012 5:09:29 PM PDT by mountainlion (I am voting for Sarah after getting screwed again by the DC Thugs.)
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To: gorush
I’m scheduled for a colonoscopy on Thursday. Will someone please convince me to cancel it? It is my first, I’m over 60 and healthy as a horse. Am I wasting my time?

No, just do it. It's not that bad. One day of the trots. The procedure is nothing. And if you come out clean, you can probably never worry or bother with it again.

21 posted on 05/21/2012 5:10:22 PM PDT by ChildOfThe60s (If you can remember the 60s....you weren't really there)
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To: gorush
Had my first colonoscopy @ 31, after severe food poisoning damaged some of my intestines. They went wayyyyyyyy up there though.

Valium injections (IM) followed by a Nubaine or Demerol push IV.

La-la land.

Easy Breezy!

22 posted on 05/21/2012 5:11:54 PM PDT by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: Sacajaweau

Same thing just happened to a family member. He was very healthy, 71, diagnosed with the psa screen as grade I prostate cancer.

Had the radiation, and 6 months later developed lymphoma (likely secondary to immune suppression from the radiation).
16 months after the diagnosis, chemotherapy, and he is dead

Probably would have lived a lot longer if he hadn’t undergone any treatment.


23 posted on 05/21/2012 5:12:01 PM PDT by CharlotteVRWC
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To: gorush
Don't cancel it. It has nothing to do with the prostate and everything to do with polyps and Colon cancer.

The worst part of the whole thing is the prep at home, the actual colonoscopy is not a big deal.

24 posted on 05/21/2012 5:15:20 PM PDT by jazusamo ("Intellect is not wisdom" -- Thomas Sowell)
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To: gorush

It’s best to have the procedure done. It only takes a few minutes. I was in and out of the hospital in about 2 1/2 hrs. That includes admitting and release. I had the doctor knock me out too. The worst part is the stuff you have to drink the day before to clean you out. It tastes like the water from a bait tank on a fishing boat.


25 posted on 05/21/2012 5:15:28 PM PDT by skimask
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To: blackdog

“I think I’ll trust my physician to help me sort out the risks and benefits of any medical procedure I may need to consider, Thank You!”

Agreed. And just who are the “U.S. Preventive Services Task Force” anyway, are they peer reviewed?

I think I’ll trust my physician too.


26 posted on 05/21/2012 5:15:33 PM PDT by ScottfromNJ
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To: rarestia

More people die with it, than of it..


27 posted on 05/21/2012 5:18:07 PM PDT by goseminoles
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To: tobyhill
I hope people commenting here know that PSA tests have virtually nothing to do with prostate cancer. Dr Thomas Stamey was the doctor who did the research that was used to popularize the idea of doing regular PSA tests. 20 years later and after following the history of a lot of patients, he declared that the PSA test was useless and a waste of time.... http://www.naturalnews.com/002650.html .

Also, some time ago there was another study discussed here on FR... this was one where they biopsied the cadavers of young men (still teens?) and they found that a very significant percentage were found to have cancerous cells in their prostates (I seem to remember a number like 15 or 20). Having been down this road of being told that by the doctor that my PSA numbers had all of a sudden gone sky high, the approach of watchfulness has a lot of merit. As my doctor tells me, “you’ll have prostate cancer when you die... it just won’t be what kills you”.

And just today, Dr Oz made a very similar statement about mammograms when he was commenting on a recent study.... “Now, a new study from the Harvard School of Public Health adds fuel to the debate by stating that routine mammograms may lead to significant overdiagnosis of breast cancer, causing undue anxiety, additional costly testing, and unnecessary breast cancer treatment.” .....http://www.realage.com/womens-health/are-mammograms-overrated-for-detecting-breast-cancer?eid=1010657344&memberid=29975582

28 posted on 05/21/2012 5:20:32 PM PDT by hecticskeptic
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To: rarestia

It’s very simple. Government studies and academic research have lost all credibility. I don’t believe anything they say anymore. It’s all about their self-interest, socialist agenda, and getting more grant money. It’s no longer about altruism and looking out for us, the unwashed masses.I don’t trust government, bureaucrats, unions, academics, intelligentsia. I do trust my doctors.


29 posted on 05/21/2012 5:26:13 PM PDT by rebooted
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To: SusaninOhio

One word sums up this ‘panel’...
Eugenics


30 posted on 05/21/2012 5:29:25 PM PDT by griswold3 (Big Government does not tolerate rivals.)
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To: SusaninOhio

Prostate cancer’s a naturally occuring disease of aging. Virtually every man at age 90 has it, and almost all of them will die of something else.


31 posted on 05/21/2012 5:31:00 PM PDT by ArmstedFragg (hoaxy dopey changey)
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To: hecticskeptic

The incidence of detectable prostate cancer tracks age. It’s not linear, but roughly 10 points below age expressed as a percentage. If you biopsy symptomless young men at random, you’ll find a significant amount of it, most of which will never be discovered and never cause a problem.

The big missing link here is a test that will accurately predict which PC will become aggressive and which can safely be left alone. Until that’s developed, there’ll be a hell of a lot of men getting unnecessary treatments and experiencing the side effects associated with them. It’s a craps shoot.


32 posted on 05/21/2012 5:43:46 PM PDT by ArmstedFragg (hoaxy dopey changey)
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To: hecticskeptic

and FWIW: PSA tests ARE useful for tracking post-treatment recurrence.


33 posted on 05/21/2012 5:52:06 PM PDT by ArmstedFragg (hoaxy dopey changey)
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Click the Pups

Calling for Donors!

Please Donate Monthly
Sponsors will bark up $10 for each new monthly sign-up
FReeper RonC will give FR $25 for each new Dollar-A-Day Club member!

34 posted on 05/21/2012 5:58:44 PM PDT by TheOldLady
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To: tobyhill

A big problem of high PSAs when no cancer is present - is that it often leads to a biopsy, where they do about 30 pokings into the prostate for samples, leaving your prostate a bloody mess of holes. It will heal, but there are ramifications of that where the healing process takes time, an in the meantime you are uncomfortable, and experience unsettling bleeds.


35 posted on 05/21/2012 6:15:27 PM PDT by C210N ("ask not what the candidate can do for you, ask what you can do for the candidate" (Breitbart, 2012))
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To: rarestia
I quit taking my hypertension medication and my blood pressure went down.
36 posted on 05/21/2012 6:18:30 PM PDT by steve86 (Acerbic by nature not nurture TM)
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To: tobyhill
Typo. The actual headline:

TSA tests for prostate cancer not good for health


37 posted on 05/21/2012 6:19:01 PM PDT by Jeff Chandler (The best diplomat I know is a fully-activated phaser bank. - Montgomery Scott)
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To: C210N

>> A big problem of high PSAs when no cancer is present - is that it often leads to a biopsy <<

But often not. In my case, a high PSA reading led to a six-week course of antibiotics, which zapped a prostate infection and brought the PSA back down.


38 posted on 05/21/2012 6:34:22 PM PDT by Hawthorn
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To: gorush

Family history is definitely an issue. If there is a history of colon cancer or similar problems then without question, do it. I mean, I would (and have) had the test regardless. It’s no big deal, very safe, and if there is a problem, finding it now could make a huge difference to your future.


39 posted on 05/21/2012 6:37:37 PM PDT by expat1000
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To: All

funny thing. Since they passed Obamacare, breast cancer screenings and now prostate cancer screenings and wasteful and unnecessary..


40 posted on 05/21/2012 6:38:24 PM PDT by newnhdad (Where will you be during the Election Riots of 2012/2013?)
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To: gorush

Go have your colonoscopy. Please.

My sister’s cancer was discovered when she was 53. It was stage 4 and had metastasized already. Trust me, you don’t want to go there.
She should be here with her family and friends who loved her so much.
She would have needed a colonoscopy in her early to mid 40’s.


41 posted on 05/21/2012 7:04:27 PM PDT by ntnychik
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To: gorush
I’m scheduled for a colonoscopy on Thursday. Will someone please convince me to cancel it? It is my first, I’m over 60 and healthy as a horse. Am I wasting my time?

Go ask Tony Snow.

42 posted on 05/21/2012 7:15:33 PM PDT by VeniVidiVici (The Democrat Ku Klux Klan is alive and well - Ogletree, Sharpton, Williams, Jackson)
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To: tobyhill

” The study showed more than 1,000 need to be screened to detect 37 cancers and prevent a single prostate cancer death. “

Sounds like good odds in favor of screening to me.

Welcome to the Doublespeak of Obamacare.


43 posted on 05/21/2012 7:17:54 PM PDT by Humble Servant
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To: blackdog

And when the rationing of morphine and warm stone massages hits full tilt, they’ll just hit you over the head with the warm stone, and send your family the bill for the rock.


44 posted on 05/21/2012 7:20:46 PM PDT by Humble Servant
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To: Jeff Chandler

ROFLMAO! Now that’s a whole different thing, isn’t it?


45 posted on 05/21/2012 7:32:42 PM PDT by ItsForTheChildren
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To: tobyhill

PSA tests tracked a gradual increase in PSA until my Primary Care physician insisted I see a urologist for a biopsy which detected Stage II A cancer. It was removed via a robotic procedure. That was 7 years ago. Post procedure biopsy revealed a very small amount of aggressive cancer that confirmed that it was a good choice to remove the gland. I am alive today, and living life to the fullest, due to the PSA.


46 posted on 05/21/2012 7:45:41 PM PDT by bogeybob
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To: tobyhill

PSA tests tracked a gradual increase in PSA until my Primary Care physician insisted I see a urologist for a biopsy which detected Stage II A cancer. It was removed via a robotic procedure. That was 7 years ago. Post procedure biopsy revealed a very small amount of aggressive cancer that confirmed that it was a good choice to remove the gland. I am alive today, and living life to the fullest, due to the PSA.


47 posted on 05/21/2012 7:46:00 PM PDT by bogeybob
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To: ArmstedFragg

As I recollect, PSA is useful for tracking Benign Prostatic Hyperplasia....but that’s about it.


48 posted on 05/21/2012 7:47:16 PM PDT by hecticskeptic
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To: gorush

Go ahead and do it. If they find nothing, that’s reassuring. If they find a polyp, better to have it removed now rather than risk it becoming cancerous.


49 posted on 05/21/2012 8:50:55 PM PDT by Verginius Rufus
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To: hecticskeptic
After surgical removal of the prostate, PSA should fall to zero and stay there, an increase is reason for investigation. Also, after radiation PSA should reach a stable low (nadir) then stay there. (Though there's sometimes a temporary bump) The definition of biochemical failure (the radiation didn't work) uses PSA increases as a reference.

As you indicated, since PSA is nonspecific, BPH or PC or some kinds of infections can all produce PSA increases. You can also have fairly advanced Prostate cancer without a PSA increase.

50 posted on 05/21/2012 9:11:39 PM PDT by ArmstedFragg (hoaxy dopey changey)
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