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Auburn journal inc11/13/2023 Readers may email questions to or send mail to 628 Virginia Dr., Orlando, FL 32803. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Men need to understand this before getting this blood test.ĭr. There are still some men who will benefit from prostate cancer screening, even at age 75. The average life expectancy of a 75-year-old man is about 11 to 12 years, and cancers in older men tend to be more indolent, which is why 75 is a reasonable time to stop screening. If a man’s life expectancy is less than 15 years, more men will be harmed from the side effects of prostate surgery and treatment than those who will be helped by removing the aggressive cancers. The best estimate is that it takes 15 years of treatment on average, following a positive PSA test, before the men who are screened receive better results than the men who are left alone. In a man with a high PSA level and no symptoms, it may take a long time for symptoms to develop, and longer still before a man gets really sick and dies. A man has erectile dysfunction and/or incontinence, which may improve over time, but the benefits only occur years later. The harms of an operation begin immediately. When it’s in a gray zone, most urologists and most men prefer proceeding with other treatments. Click here to watch scenes from the Folsom High School Holiday Festival. Soccer: Shutout vaults Colfax to NorCal D-4 final. Meet the new Placer County Sheriffs deputy. When the cancer looks risky, we recommend operating. Colfax races past Lassen into CIF NorCal Regional Division 3 semifinals. We are much better at identifying men whose risks are so low that they can be watched by a combination of the biopsy results, the PSA level, perhaps a genetic test like the 4Kscore, and the size of the tumor (by a CT or MRI scan). Consequently, the decision of who should get operated on becomes critical. Most men are willing to accept these risks if the surgery will prevent them from dying of prostate cancer, not when there isn’t any benefit. Although the risks are lower with other treatments, such as radiation, a man’s quality of life is still at risk after prostate surgery. About 10% to 40% will lose some or full control of urination. Nearly all men lose all, or part, of sexual function in the short-term, and over half of these men will continue to have erectile dysfunction a year after surgery. Mortality is uncommon, less than 0.5%, but 7% had a major complication during surgery. Despite advances in surgery, there are still risks. Prostate cancer treatment in men found through screening is most often surgery. The goal of prostate cancer screening is to identify and treat the aggressive prostate cancers, while not unnecessarily treating the slow-growing, indolent cancers. This is largely because a majority of prostate cancer is “indolent” - very slow-growing.įor most men, the prostate cancer found during screening would never cause symptoms until he died of something else. Only a minority (less than 15%) of prostate cancer diagnoses lead to the death of a patient. The goal of PSA testing is to find not just any type of prostate cancer, but the kind that is destined to spread and ultimately causes death. Can you clarify your comment? - G.K.ĪNSWER: A PSA test is a simple and safe blood test, but the results may put a man onto a pathway that can lead to both benefit and harm, from which it is difficult to step off of. (I’m 75 years old and certainly plan to live more than another 15 years.) I have been getting PSA tests yearly since my mid-40s. You mentioned that a PSA test could do more harm than benefit in men over 75, but since it is a simple blood test, I don’t understand what the harm would be. ROACH: I read your recent column on PSA testing and have a simple question. By submitting your information, you acknowledge that you have read our privacy policy and consent to receive email communication from Estes Express Lines.DEAR DR. DeAngelo, who was arrested on suspicion of being the Golden State Killer, was an Auburn police officer from 1976-79. If you need an accommodation to apply call the number on the website. A photo of Joseph James DeAngelo (second from left) from the 1979 Auburn Journal. Come find your new career at Applications are accepted online only through this website. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law. Upload Resume By uploading your resume, you are not submitting an application for employment.Įstes values a diverse workforce and affirmatively promotes a company culture that embraces the concept that outcomes are improved when our workforce is made up of people with different viewpoints.
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