RE: What to do in the light of negative biopsy procedures

[Guest guest]

Hello, Terry, I don’t know if you noticed, but I made a comment regarding Ashutosh Tewari making the similar comment as Otis Brawley to pretty much disregard testing for prostate cancer for men over 70. Chuck Always as close as the other end of your computer to help address any prostate cancer concerns. " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack/Prostate Cancer Advocate/Mentor Wichita, Kansas Chapter, Us TOOBiography: http://www.ustoowichita.org/leaders.cfm?content=bio & id=1 Email: maack1@... Chapter Website " Observations " : http://www.ustoowichita.org/observations.cfm From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Terry HerbertSent: Tuesday, April 05, 2011 6:22 PMTo: ProstateCancerSupport ; newdx@...; ww@...Subject: What to do in the light of negative biopsy procedures Dr Snuffy Myers has a series of videos dealing with various aspects of PCA. The latest has Dr Ash Tewari, a much admired surgeon presenting and you can see the video here http://askdrmyers.wordpress.com/2011/04/04/dr-ash-tewari-on-biopsies/ In the light of the fury generated by various bodies (and I think the hapless Otis Brawley) suggesting that men over the age of 70 might not need annual PSA tests, it is interesting to see Dr Tewari’s views, which seem to coincide with this!! His closing advice is essentially that anyone with an ‘abnormal’ PSA (not defined in this video) who has a series of negative biopsy procedures should have a saturation biopsy with 30 – 40 needle cores taken. What he does not say ( and what would be particularly interesting, I feel) is how many of these very aggressive procedures discovered aggressive variants of the disease as opposed to variants that might be regarded as indolent, non-life threatening or insignificant. This would enable men to balance any potential risk associated with a saturation biopsy against any potential benefit. All the best Prostate men need enlightening, not frighteningTerry Herbert - diagnosed in 1996 and still going strongRead A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1209 / Virus Database: 1500/3553 - Release Date: 04/05/11

[Guest guest]

No, I didn’t notice, Chuck. If I had

done so, I wouldn’t have mentioned it myself.

All the best

Prostate men need enlightening, not

frightening

Terry Herbert - diagnosed in 1996 and

still going strong

Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html

From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Chuck Maack

Sent: Wednesday, 6 April 2011 11:01

AM

To: ProstateCancerSupport ;

newdx@...; ww@...

Subject: RE:

What to do in the light of negative biopsy procedures

Hello, Terry,

I don’t know

if you noticed, but I made a comment regarding Ashutosh Tewari making the

similar comment as Otis Brawley to pretty much disregard testing for prostate

cancer for men over 70.

Chuck

Always as close as the other end of your computer to help address

any prostate cancer concerns.

" What you leave behind is not what is engraved in stone

monuments, but what is woven into the lives of others. "

(Chuck) Maack/Prostate Cancer Advocate/Mentor

Wichita, Kansas Chapter, Us TOO

Biography: http://www.ustoowichita.org/leaders.cfm?content=bio & id=1

Email: maack1@...

Chapter Website " Observations " : http://www.ustoowichita.org/observations.cfm

From: ProstateCancerSupport

[mailto:ProstateCancerSupport ]

On Behalf Of Terry Herbert

Sent: Tuesday, April 05, 2011 6:22

PM

To: ProstateCancerSupport ;

newdx@...; ww@...

Subject:

What to do in the light of negative biopsy procedures

Dr Snuffy Myers has a series of videos dealing with various

aspects of PCA. The latest has Dr Ash Tewari, a much admired surgeon presenting

and you can see the video here http://askdrmyers.wordpress.com/2011/04/04/dr-ash-tewari-on-biopsies/

In the light of

the fury generated by various bodies (and I think the hapless Otis Brawley)

suggesting that men over the age of 70 might not need annual PSA tests, it is

interesting to see Dr Tewari’s views, which seem to coincide with

this!!

His closing advice

is essentially that anyone with an ‘abn ormal’ PSA (not defined in

this video) who has a series of negative biopsy procedures should have a

saturation biopsy with 30 – 40 needle cores taken. What he does not say (

and what would be particularly interesting, I feel) is how many of these very

aggressive procedures discovered aggressive variants of the disease as opposed

to variants that might be regarded as indolent, non-life threatening or

insignificant. This would enable men to balance any potential risk associated

with a saturation biopsy against any potential benefit.

All the

best

Prostate

men need enlightening, not frightening

Terry

Herbert - diagnosed in 1996 and still going strong

Read A Strange

Place

for unbiased information at http://www.yananow.org/StrangePlace/index.html

No virus found in this message.

Checked by AVG - www.avg.com

Version: 10.0.1209 / Virus Database: 1500/3553 - Release Date: 04/05/11