Despite the large number of men who get screened for prostate cancer each year, there is still a debate about the pros and cons of screening.
NYUCI experts discuss the facts necessary to make an informed decision about getting screened.
Alan Arslan, M.D., is an Assistant Professor at NYU's Langone Medical Center.
Arslan attended Dagestan Medical Academy, Russia.
Samir S. Taneja, M.D. is the James M. Neissa and Janet Riha Neissa Associate Professor of Urologic Oncology, Director of the Division of Urologic Oncology in the Department of Urology at the NYU Langone Medical Center, Program Leader of the Genitourinary Oncology Program of the NYU Cancer Institute, and, currently, Chief of the Urology Section at the Veterans Administration New York Harbor Healthcare System Manhattan Campus (Manhattan VA Medical Center).
Dr. Taneja received his undergraduate and medical education at Northwestern University Medical School. He completed his surgical and urologic training at the University of California at Los Angeles and joined the NYU faculty in 1996.
surprising and interesting
My husband was diagnosed with aggressive prostate cancer 3 years ago. Here is the chronology.
1)PSA7.9 from 2.4 in one year with DRE, biopsy and gleason 8
2) robotic Prostatectomy in Detroit 3 months later with the comment by Dr Menon-the most advanced tumor he has ever removed and 1 lymph node positive.
3) Hormone therapy 3 months later with PSA at 7(cassodex, lupron and proscar) 1 year
4 )1 year break from treatment
5)Back on hormone therapy with PSA rising- doubling time 6 weeks and schedule combidex MRI in Amsterdam
This brings us to the results from the Combidex MRI from Dr Barentz," No cancer visible in lymph nodes or bone."
So what does this say. Is the hormone therapy in this particular case so effective that tumors are reduced to a size that enables detection? And what to do from here.
His plan is to confer with his oncologist about the long term risks of continuing hormone therapy and delaying any other treatments until indication of cancer growth. Is PSA rising always indication of growth after prostatectomy and do we really know that to be fact?