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Thread ID: 150606	2022-04-19 02:30:00	One for the Men	piroska (17583)	PC World Chat

Post ID	Timestamp	Content	User
1485648	2022-04-19 02:30:00	I've heard before this in a number of docos, books by doctors and so on. From the Herald today: A cancer diagnosis is scary. Some doctors say it's time to rename low-grade prostate cancer to eliminate the alarming C-word. Cancer cells develop in nearly all prostates as men age, and most prostate cancers are harmless , but treating the disease can lead to dysfunction and incontinence. Changing the name could lead more low-risk patients to skip unnecessary surgery and radiation. "This is the least aggressive, wimpiest form of prostate cancer that is literally incapable of causing symptoms or spreading to other parts of the body," said University of Chicago Medicine's Dr Scott Eggener, who is reviving a debate about how to explain the threat to worried patients. Others agree. "If you reduce anxiety, you'll reduce overtreatment," said Dr David Penson of Vanderbilt University. "The word 'cancer,' it puts an idea in their head: 'I have to have this treated.'" Often, doctors offer patients with the lowest score — Gleason 6 — a way to avoid surgery and radiation: active surveillance, which involves close monitoring but no immediate treatment. Name changes have happened previously in low-risk cancers of the bladder, cervix and thyroid. In breast cancer, there's an ongoing debate about dropping "carcinoma" from DCIS, or ductal carcinoma in situ. What to call it instead of cancer? Proposals include IDLE for indolent lesion of epithelial origin, or INERRT for indolent neoplasm rarely requiring treatment.	piroska (17583)
1485649	2022-04-19 03:31:00	call it cancer , because it is it is a killer "Every year more than 4000* men are diagnosed and over 700* die from the disease – the third highest cause of death after lung and bowel cancers." prostate.org.nz If someone has low risk cancer, then call it low risk cancer . Id imagine , in NZ waiting lists are so long that they wont be attempting surgery etc on low/zero risk cancers	1101 (13337)
1485650	2022-04-19 04:52:00	No quite saying the word CANCER because too many panic and think they need surgery. They don't.	piroska (17583)
1485651	2022-04-19 06:04:00	My Dr. told me some years ago, most men die with prostate cancer, but not because of it. I have an enlarged prostate gland but with the aid of a couple of pills a day, it doesn't give me much trouble. They stop testing men over the age of 75. You can still get tested but you have to pay for the test. Neighbour the road has got the prostate cancer and is undergoing treatment for it with chemo to start in a couple of weeks time. Lost a good friend to it 7 years ago. :( SWMBO says it's the same for breast cancer but at 70yrs. She was on the testing program for some years after some unusual lumps were found. Ken	kenj (9738)
1485652	2022-04-19 09:03:00	Thanks to my late father discovering he had prostate cancer in his mid 70s, managed in his case with androgen replacement therapy, I got the biopsy (not pleasant!) when my PSA tested above the threshold my doctor was comfortable with. The biopsy came back positive, but definitely caught early, with no sign that anything was metastasising (but close!), with intermediate risk. My specialist suggested that having a radical prostatectomy then, while I was still in my mid-50s, would allow me to get it over with, without the extra risk of getting surgery in my 60s, plus there was a worry that it was close enough to the surface to "escape". So I ended up taking that path, and consider it to be a success after 3 years; I was back to normal in all other respects within 6 months, and my PSA remains undetectable, long may that last - ideally forever. It's been interesting discovering quite a few men I know have been through variations in treatment since undergoing my surgery, I'd have never known otherwise. So, although many men die with, rather than from, prostate cancer, it's still worth paying attention to. Those of you with family history, or just getting on a bit, it's prudent to start at least monitoring for the signs early - it could save your life.	MushHead (10626)
1485653	2022-04-19 19:48:00	I have decided to live forever. So far that is working out just fine!	CliveM (6007)
1485654	2022-04-21 09:20:00	Back in 2012 after some years of constant monitoring and various non surgery attempts I had the TURP (Trans Urethal Prostate Reduction ) operation. -benign. As for monitoring else I was a bit careless and when i finally remembered to mention a something to Doctor I got sent for a colonoscopy. My fault -well advanced cancer in bowel plus liver. Bowel op first (after radiation (horrible) - and required blocking off big bowel (rear end) and use of Stoma bags in stomach -absolute nightmare for me. Then a few months later (early 2013) had the Liver op Chemotherapy for both . It was a huge relief to get Stoma removal .I was put on quarterly CEA tests . Early 2018 had another Liver cancer op but because of the early detection no Chemo and cleared within 3 months. Because of 2018 result I certainly recommend constant monitoring. FYI even while having Chemo I kept up physical and normal activities -vital for my mental wellbeing in an adverse situation. BTW in 2013 I had my laptop delivered to hospital and I borrowed staff meeting rooms to do work with it.	Neil F (14248)
1485655	2022-04-21 12:06:00	T.U.R.P.s (Trans-urethral resection of the prostate), yeah I had one of those about four years ago, no option, I couldn't pee anymore one day out of the blue really, after having a few glasses of wine. Attached to this is another story of events at the hospital not going as I expected and not being listened to by staff involved in the operation, still very annoying years later. Glad to hear you got through it all Neil F.	zqwerty (97)
1485656	2022-04-23 07:32:00	Jeez, NeilF, that sounds terrible. Sympathies....	piroska (17583)
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