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Ex-football star PAUL FERRIS: The brutal truth about prostate cancer every man must read

JohnKimble111

April 19, 2022
34 upvotes
/r/MensRights
https://www.dailymail.co.uk/health/article-10729403/Ex-football-star-PAUL-FERRIS-brutal-truth-prostate-cancer-man-read.html
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Title Ex-football star PAUL FERRIS: The brutal truth about prostate cancer every man must read
Author

JohnKimble111

Upvotes 34
Comments 9
Date April 19, 2022 6:03 PM UTC
(4 years ago)
Subreddit Posted in /r/MensRights
Original Link https://old.reddit.com/r/MensRights/comments/u7bdvs/exfootball_star_paul_ferris_the_brutal_truth/
Archive Link https://theredarchive.com/r/MensRights/ex-football-star-paul-ferris-the-brutal-truth.1112037
https://theredarchive.com/post/1112037
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Comments

[–]OldEgalitarianMRA 26 points27 points28 points 4 years ago (6 children) | Copy Link

The notion that prostate cancer is no big deal is only 15% of the cases. Prostate cancer is a big killer and about as common as breast cancer.

Get your PSA done every year. It saved this guys life.

[–]conradfart 0 points1 point2 points 4 years ago (5 children) | Copy Link

PSA isn't a good screening test for prostate cancer. Most guys with raised PSA don't have clinically relevant prostate cancer. Not all guys with clinically relevant prostate cancer have a raised PSA. Testing on a population basis doesn't lead to reduced prostate cancer mortality. Until we get a better screening test there's still more risk of harm in asymptomatic testing than there is of saving lives.

I would absolutely advocate getting PSA and clinical examination if you start getting any prostate symptoms like difficulty passing urine, reduced flow, getting up overnight, or having to rush to the toilet to pass urine suddenly.

Also get any problems like unintended weight loss, unexplained back pain or blood in your urine or semen investigated urgently.

MRI is more sensitive and more specific than either PSA or prostate biopsy for detecting cancer, though that doesn't seem to have led to much advocacy for MRI screening yet.

[–]OldEgalitarianMRA 0 points1 point2 points 4 years ago (4 children) | Copy Link

My brother in law and cousin were recently diagnosed with prostate cancer based on PSA tests both 61 y/o.

[–]conradfart 0 points1 point2 points 4 years ago (3 children) | Copy Link

That's statistically relatively rare, especially for the more aggressive cancers. I'm not saying people shouldn't get a PSA test done, just that it's a much greyer area than just doing a blood test every year asking the question "Do I have asymptomatic prostate cancer?" and getting a yes or no answer.

Hope your family members are doing OK at the moment.

[–]OldEgalitarianMRA 0 points1 point2 points 4 years ago* (2 children) | Copy Link

But there is no other screening test and screening tests are essential. I am a retired professional prostate pathologist. It isn't rare, prostate cancer is extremely common especially in older men. 13% of men will get prostate cancer at some point in their lives.

https://www.google.com/search?q=what+percent+of+men+will+get+prostate+cancer&oq=what+percent+of+men+will+get+prostate+cancer&aqs=chrome..69i57.7253j0j15&sourceid=chrome&ie=UTF-8

Only 15% of prostate cancers can be watched. 85% require aggressive therapy.

My brother in law has a small cancer which is grade III/III so he can be watched. My cousin has a IV/IV which is clinically palpable. But the PSA picked it up. He required radical surgery but still has a 30% chance of dying of his disease.

I really want to see a reduction in the death rate from prostate cancer in my lifetime.

[–]conradfart 0 points1 point2 points 4 years ago (1 child) | Copy Link

You're right, prostate cancer is a common cancer, it's specifically picking up clinically relevant i.e. would have led to harm or death without treatment, cancers at an asymptomatic stage, resulting in a clear mortality or morbidity benefit that PSA screening doesn't do well, and which is a rarer event.

I agree wholeheartedly that an effective screening test for prostate cancer is imperative but until it exists PSA is unfortunately all we have, it doesn't mean it's appropriate to do in all cases though.

One of the positive changes I've seen in the last few years is a switch to MRI and monitoring when patients have raised PSA, rather than proceeding directly to biopsy so with that potential harm of false positive PSA being taken out of the equation it's something to worry less about.

[–]OldEgalitarianMRA 0 points1 point2 points 4 years ago (0 children) | Copy Link

In the US with private health insurance most men who go to see the Dr. for checkups after a certain age get a PSA done yearly.

The new MRI technology is promising. My brother in law's was very small but seen on MRI. He had many biopsies before his cancer was detected.

I prefer a risk of PSA and negative biopsy to risking getting prostate cancer.

[–]AndyBrown65 10 points11 points12 points 4 years ago (0 children) | Copy Link

Prostate cancer is a nasty cancer.

[–]Sailbad_the_Sinner30 -1 points0 points1 point 4 years ago (0 children) | Copy Link

Practice digital inclusion, people!

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