PSA Test – Worthwhile or Worthless?
In 2004, Stanford University News reported:
“The most commonly used screening tool for detecting prostate cancer – the PSA test – is virtually worthless for predicting men’s risk of contracting the disease, medical school researchers have determined. Stanford scientists studied prostate tissues collected in the 20 years since a high PSA test result became the standard for prostate removal. They concluded that as a screen, the test indicates nothing more than the size of the prostate gland.”
Types of Treatment for Cancer Ranked In Order of Preference:___
Nutritional Treatment (non-traditional) – Support for this method is shown & ranked in order below: My notes: Highlights are that cancer cells thrive in low oxygen environment and they require glucose energy. Kg
Vitamin D – Proven to stop cancer growth and allow the body to get rid of the dead cells. Source:
Paw Paw – Article: http://
Curcumin – Blocks every stage of cancer development, from cell mutation, to tumor growth, to metastasis. It can also kill many different types of cancer cells by triggering apoptosis (
- Cancer can only process energy from glucose, not fat. Reference “when i had a pet scan and they said the glucose is what takes the radiation to the cancer” SOURCE: http://www.chrisbeatcancer.
com/b17-laetrile-alternative- cancer-treatment-suppressed- 50-years/ I have read this on other sites as well, stating that cancer cells can only process energy from carbs, i.e. that it cannot survive on fat. Kg
- Per the Mercola site, 4 Steps to take:
- Start by testing for what the body is deficient in with 62 blood panel test.
- Evaluate what the body is toxic with (Vit K-2 and Detoxigen (sp?).
- Find out what the body’s hormones are doing. Saliva panel test. Find out what the body is trying to get rid of.
- Emotional trama. http://articles.mercola.
com/sites/articles/archive/ 2015/09/06/survive-prostate- cancer-without-surgery.aspx?x_ cid=youtube
- The most basic and fundamental cause of cancer is the lack of oxygen to the cells discovered by Otto Warburg (nobel prize winner) MD, Phd in the 1930s from Germany. Brian Peskin discovered how to get oxygen to the cells. My wife and I are doing fine now…It all has to do with essential fatty acids and oxygen transfer to the cells. Brian lectures to MDs all over the country…He is an Electrical Engineer from MIT…his web site is www.brianpeskin.com
SOURCE: http://oxygen4cells. com/html/warburg.html Quote from the Peskin video: “Cure is more Omega 6 & omega 3 is needed. The body needs 11 times more Parent Omega 6 than Parent Omega 3”Hyperthermia – Targeted heating of cancer cells that kills them but not healthy cellsSee: http://www. cancerclinicstgeorg.com/en/ therapies/hyperthermiaSee: http://www.laura-bond. com/2011/11/hyperthermia/BlueLaser™ Focal Laser Ablation – Target and destroy the patient’s prostate tumor while sparing the remaining healthy tissue. See http:// sperlingprostatecenter.com/PBT (Proton Beam Therapy) – Shoots protons instead of photons as in IMRT. Releases energy at the specific target inside the prostate, not much enroute to or exiting the prostate. Nearly impossible to find unhappy patients.3T Multi-Parametric MRI – BlueLaser – See http:// sperlingprostatecenter.com/HIFU (high intensity focused ultrasound) –Cryosurgery – Freezing cells
Brachytherapy – Injecting radioactive seeds using needles into the prostate, radiating them from within. Can migrate into your heart, lungs and even be transmitted to your partner.
IMRT (intensity modulated radiation therapy) – Blasting the prostate with radiation from the outside. Note, it does put radiation into tissue on it’s way to the prostate and on the way out the other side of the body.
Hormone therapy – Stops testosterone feeding prostate cancer. See http://www.ncbi.nlm.nih.
Radical Prostatectomy i.e. removal surgery – Removal of the prostate. Too risky that other things get damaged.
Lupron – Chemical castration. Terrible side effects. Avoid, avoid, avoid!
| My research in progressive order from discovery to cure |
My questions for Pat Klammer:
- John Hopkin’s site shows that I will need medical records, bone scan, abdomen, pelvis scans. Is this correct? Same with any others as well?
My questions for the experts once I engage with them on the phone about a possible visit:
- What is the primary method your facility uses to determine whether cancer cells are present? And if so, are they inside and/or outside of the prostate?
- Do you favor color Doppler or biopsy as your first choice for testing?
Sites referred by Pat Klummer at HealthNetwork Foundation +1 866-968-2467 | Fax +1 440-893-0831 33 River Street, Chagrin Falls OH 44022
org/kimmel_cancer_center/ centers/prostate_and_ genitournary_cancer/prostate_ multi_d_clinic.html
What We Need Before Your Visit:
- All medical records about your diagnosis
- Pathology slides
- CD of bone scan and CT of abdomen and pelvis only if:
- -PSA level is greater than 20 or
- -Gleason score of 8, 9, or 10
diseases-conditions/prostate- cancer/basics/definition/con- 20029597
1. PSA tests don’t provide precise diagnostic information about the condition of the prostate. Many noncancerous conditions also can increase a man’s PSA level. Biopsy is a risky option and it can miss cancer detection.
org/tests-procedures/psa-test/ basics/why-its-done/prc- 20013324
The PSA screen is inexact because both benign (non-cancerous) and malignant (cancerous) tissue can cause PSA levels to rise. In addition, certain medical conditions, such as prostatitis, urinary tract infections, and prostate enlargement, can also raise PSA levels. PSA screening causes thousands of men every year to have needless biopsies and other medical procedures that carry the risk of bleeding and infection, and cause unnecessary anxiety. Further, screening leads to treatment of a lot of cancers that aren’t life-threatening. In addition, all the treatments have side effects and may erode a man’s quality of life.
clevelandclinic.org/health/ diseases_conditions/hic_ Prostate_Cancer_Basics/hic_ Prostate_Cancer_Screening_How_ Useful_is_the_PSA_Screening_ Test
What is known is that higher levels of PSA correspond to an increased risk of prostate cancer.
clevelandclinic.org/health/ diseases_conditions/hic_ Prostate_Cancer_Basics/hic- elevated-psa-level Good info about what PSA level means is in the few paragraphs following the ‘What is known…’ line above. Kg
- PSA testing hasn’t been proven to decrease deaths from prostate cancer. The main concerns noted are false-positives, overdiagnosis and overtreatment.
org/diseases-conditions/ cancer/expert-blog/psa- screening/bgp-20056386
Two types of radiation therapy:
- Brachytherapy – radioactive pellets implanted into the prostate (low/medium cancers)
- External Beam Radiation Therapy (Calypso Sys) – 5 per week for several weeks
SOURCE: Cleveland Clinic PDF in shared folder
- The five-year survival rate for all men with prostate cancer is nearly 100 percent. The relative 10-year survival rate is 98 percent, and 95 percent for 15 years. However, for “distant” prostate cancer, or cancer that has spread to bones, organs, or distant lymph nodes, the 5-year survival rate drops from nearly 100% to 28%. See Stage & Grading below.
A prostate biopsy is currently the only way to definitively diagnose prostate cancer.
a study conducted at the Cleveland Clinic and published in 2012, that of 179 men who underwent radical prostatectomy (removal of the prostate and more) between 2004 and 2008, about 71% had not needed the surgery.
Prostate-Cancer-Breakthroughs- Step—Step/dp/0988710501/ref= sr_1_2?s=books&ie=UTF8&qid= 1459277985&sr=1-2&keywords= prostate+cancer
- Benign Prostatic Hyperplasia (BPH)
Prostate is enlarged. Benign means not cancer and hyperplasia means abnormal cell growth. Prostates can double or triple in size and can press against the bladder and cause trouble with urination (peeing).
- Trouble starting a urine stream or making more than a dribble
- Frequent urination, especially at night
- Feeling that the bladder has not fully emptied
- Weak or slow urine stream
- Stopping and starting again several times while urinating
BPH cannot be cured. Drugs and surgery can help to relieve symptoms from the disease.
- Prostatitis is the inflammation or swelling of the prostate and it does not mean that a man has prostate cancer. The inflammation of the prostate can increase the PSA level in the blood. Men with prostatitis frequently have swelling and pain in their prostate. As many as 50 percent of all men will be diagnosed with one form of this condition. There are four types of prostatitis: acute bacterial prostatitis, chronic bacterial prostatitis, chronic prostatitis/chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis.
The symptoms a man will experience depend on the type of prostatitis and some men do not have any noticeable symptoms. The most common symptoms include:
- Trouble passing urine
- Burning or stinging feeling or pain upon urination
- Strong, frequent urge to urinate, even when there is very little urine
- Chills and high fever
- Low back pain
- Painful ejaculation
- Staging and Grading Once prostate cancer is confirmed by a biopsy additional tests are done to learn the location (stage) and Gleason Score (grade) of the tumor. It is important to know this information so that you can work with your physician to develop the right prostate cancer treatment plan for you. Staging determines if and how far the prostate cancer has spread beyond the prostate. Grading is about how fast the cancer is growing.
Gleason Scoring is about the Grading
NOTE: Stage II is in two parts, a and b:
- “a” is when the PSA level is at least 10 but lower than 20 and the Gleason score is 6 or lower.
- “b” is when the PSA level is 20 or higher and the Gleason score can range from 2 to 1. (My PSA was 33.89)
- The Gleason scoring system is used to grade prostate cancer and is a good indicator of the aggressiveness of the disease. Scores go from 2 to 10. The higher the number the more abnormal the prostate tissue is compared to normal tissue. The two numbers (I ask: What 2 numbers?) are then added to get a score. Higher Gleason Scores mean the cancer is more likely to spread.
- Treatment Methods:
Proton Therapy 15 minutes each treatment, 5 days/week for 7.5 weeks
- If local cancer in prostate only, 99% success of lowering PSA 5 years after PT, 94% after 10 years.
- Non invasive
- As successful as other treatment methods
- Lower risk than surgery
- No anesthesia
- Seldom constinence (urine control) problem
- Daily treatments for 15 minutes each day for 7 ½ weeks
- Basically none when compared to surgery or other treatments
- Proctitis (inflammation of rectal wall) has slim chance but not likely
- Urethra irritated slightly but not a problem usually
- 25% chance of erectile dysfunction vs. 50% risk with surgery
Prostate MR Imaging and biopsy MR imaging provides more detailed images of the prostate than is possible with ultrasound. Finally, a hybrid imaging method can be used in which the MR images are fused with the real-time ultrasound images — an approach known as MRI/TRUS fusion biopsy. This approach has the advantage of using the superior imaging of the MRI coupled with easier-to-use ultrasound guidance and can be done in the office setting.
Prostate ultrasound and biopsy uses sound waves to produce images inside the rectum to help guide the doctor in taking a biopsy (tissue sample) of the prostate gland.
org/health/diseases_ conditions/hic_Prostate_ Cancer_Basics/hic-prostate- ultrasound-and-biopsy
Radiation therapy uses high-powered energy to kill cancer cells, delivered in 2 ways:
- Radiation that comes from outside of your body (external beam radiation). Typically undergo treatments five days a week for several weeks.
- Radiation placed inside your body (brachytherapy) Involves placing many rice-sized radioactive seeds in your prostate tissue. The radioactive seeds deliver a low dose of radiation over a long period of time. Your doctor implants the radioactive seeds in your prostate using a needle guided by ultrasound images. The implanted seeds eventually stop giving off radiation and don’t need to be removed.
Side effects of radiation therapy can include painful urination, frequent urination and urgent urination, as well as rectal symptoms, such as loose stools or pain when passing stools. Erectile dysfunction can also occur.
Hormone therapy stops your body from producing the male hormone testosterone which helps cancer grow. Stopping testosterone may kill or slow cancer cell growth. Options include:
- Medications that stop your body from producing testosterone. Luteinizing hormone-releasing hormone (LH-RH) agonists prevent the testicles from receiving messages to make testosterone. Drugs include leuprolide (Lupron, Eligard), goserelin (Zoladex), triptorelin (Trelstar) and histrelin (Vantas). Others sometimes used include ketoconazole and abiraterone (Zytiga).
- Medications that block testosterone from reaching cancer cells. Anti-androgens prevent testosterone from reaching your cancer cells. Examples include bicalutamide (Casodex), flutamide, and nilutamide (Nilandron). The drug enzalutamide (Xtandi) may be an option when other hormone therapies are no longer effective.
- Surgery to remove the testicles (orchiectomy) reduces testosterone levels in your body.
In men with early-stage prostate cancer, hormone therapy may be used to shrink tumors before radiation therapy. This can make it more likely that radiation therapy will be successful.
Side effects of hormone therapy may include erectile dysfunction, hot flashes, loss of bone mass, reduced sex drive and weight gain.
The use of the drug Proscar to block DHT conversion from testosterone to shrink the prostate is also affecting the conversion of progesterone into allopregnenolone which is a potent neurosteroid that’s important in brain repair. So, being given DHT to shrink the prostate is shrinking the brain too!
SOURCE: p. 202 in Ageless by Suzanne Somers
Surgery to remove the prostate
There are three types of prostatectomy that can be performed to remove prostate cancer:
- open surgery
- laparoscopic surgery
- robotic-assisted surgery.
prostatecancernewstoday.com/ 2015/06/01/mayo-clinic- urologists-present-new-data- radical-prostatectomy- clinical-outcomes/
Experience of surgeon > method used. Surgery for prostate cancer involves removing the prostate gland (radical prostatectomy), some surrounding tissue and a few lymph nodes. Methods used include:
- Using a robot to assist with surgery. Instruments are attached to a mechanical device (robot) and inserted into your abdomen through several small incisions. The surgeon sits at a console and uses hand controls to guide the robot to move the instruments. Robotic prostatectomy may allow the surgeon to make more-precise movements with surgical tools than is possible with traditional minimally invasive surgery.
- Making an incision in your abdomen. During retropubic surgery, the prostate gland is taken out through an incision in your lower abdomen. Compared with other types of prostate surgery, retropubic prostate surgery may carry a lower risk of nerve damage, which can lead to problems with bladder control and erections.
- Making an incision between your anus and scrotum. Perineal surgery involves making an incision between your anus and scrotum in order to access your prostate. The perineal approach to surgery may allow for quicker recovery times, but this technique makes removing the nearby lymph nodes and avoiding nerve damage more difficult.
- Laparoscopic prostatectomy. During a laparoscopic radical prostatectomy, the doctor performs surgery through small incisions in the abdomen with the assistance of a tiny camera (laparoscope). This procedure requires great skill on the part of the surgeon, and it carries an increased risk that nearby structures may be accidentally cut. For this reason, this type of surgery is not commonly performed for prostate cancer in the U.S. anymore.
- Cryotherapy. Freezes the cancer cells inside the prostate. For cancer limited to the prostate.
- Hormone Therapy. Prevents certain cancers from growing. Many side effects! Is not a cure but a delay tactic.
Radical prostatectomy carries a risk of urinary incontinence and erectile dysfunction.
Freezing prostate tissue
Cryosurgery or cryoablation involves freezing tissue to kill cancer cells. Small needles are inserted in the prostate using ultrasound images as guidance. A very cold gas is placed in the needles, which causes the surrounding tissue to freeze. A second gas is then placed in the needles to reheat the tissue. The cycles of freezing and thawing kill the cancer cells and some surrounding healthy tissue.
Initial attempts to use cryosurgery for prostate cancer resulted in high complication rates and unacceptable side effects. However, newer technologies have lowered complication rates, improved cancer control and made the procedure easier to tolerate. Cryosurgery may be an option for men who haven’t been helped by radiation therapy.
Chemotherapy uses drugs to kill rapidly growing cells, including cancer cells. Chemotherapy can be administered through a vein in your arm, in pill form or both.
Chemotherapy may be a treatment option for men with prostate cancer that has spread to distant areas of their bodies. Chemotherapy may also be an option for cancers that don’t respond to hormone therapy.
Biological therapy (immunotherapy) uses your body’s immune system to fight cancer cells. One type of biological therapy called sipuleucel-T (Provenge) has been developed to treat advanced, recurrent prostate cancer.
This treatment takes some of your own immune cells, genetically engineers them in a laboratory to fight prostate cancer, then injects the cells back into your body through a vein. Some men do respond to this therapy with some improvement in their cancer, but the treatment is very expensive and requires multiple treatments.
Prostatic Artery Embolization (PAE) A catheter threaded into an artery in the leg. The catheter is guided to the artery that supplies blood to the prostate. Then, tiny beads are injected into the artery, which temporarily block the blood supply to the prostate.
- Reading & Research Material
- John Hopkin’s site shows that I will need medical records, bone scan, abdomen, pelvis scans. Is this correct? Same with any others as well?