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2014 Controversies of prostate cancer. We know many things about the prostate cancer, but we still have not found answers to critical questions! Here are 7 questions or controversies described in an excellent post published by @NewPCaInfoLink. 1. P as PSA! Who should we do a PSA as a screening? This is the biggest controversy! At what age, with or without symptoms, abnormal DRE of the prostate, men with a hereditary risk ?! Other factors may contribute to discriminate a population at risk? Baldness, for example? 2. P as PREVENTION! Is there a way to prevent prostate cancer? The answer is definitely no! There is nothing. 3. L as LOW RISQUE. The cancers classified as low risk : when to treat ? How to identify patients? I say again: we do not know reliably. But I know that we need to find more predictive factors to improve the classification in risk classe. Maybe using nomograms to reduce the range of predictions for a given individual. This is the challenge for the XXIst century urology. 4. C as CURE! Can we CURE a prostate cancer in a men with a high-risk form? 5. C as Chess Game. Medical treatment decisions for prostate cancer at low-risk is like a chess game: think carefully before choosing! Think about the disease, evolution, and sexual and urinary consequences. 6. Q as in Quantity and Quality. The Hormone therapy is not the vitamin therapy! When need to start a androgen deprivation therapy? 7. I as Intermittent! What kind of Androgen Deprivation therapy? Continuous or I n t e r m I t t e n t? I must admit once again that we do not know exactly. « The more you know, the more you realize you know nothing. » Says Socrates Finally, we know more things about #prostatecancer more we realize our ignorance. And that's why we work to understand and then to act. Any help is welcome! For further consideration I invite you to read the post: http://prostatecancerinfolink.net/2014/09/23/seven-critical-prostate-cancer-controversies/ https://medium.com/@hupertan/controversies-in-2014-of-prostate-cancer-c1dd6d16257e The images used are under creative commons license. If you u like this slide, please «RT» / «Like » / «Pin it» / «Share.it»
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Made by @hupertan
2014 CONTROVERSIES OF PROSTATE CANCER
Made by @hupertan
https://www.flickr.com/photos/rwassell/ Crédit photo (licence Creative Commons)
Posing for his photograph for The Belle Tout Builder Boys charity calendar, in aid of Everyman by Cancer Research, the charity that hopes to stamp out prostate and testicular cancer.
2014 CONTROVERSIES OF PROSTATE CANCER
Made by @hupertan
https://www.flickr.com/photos/rwassell/ Credit photo (licence Creative Commons)
2014 CONTROVERSIES OF PROSTATE CANCER
We know many things about the prostate cancer, but we still have not found answers to critical questions! Here are 7 questions or controversies described in an excellent post published by @NewPCaInfoLink.
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
1.P as PSA!
Who should we do a PSA as a screening?This is the biggest controversy! At what age, with or without symptoms, abnormal DRE of the prostate, men with a hereditary risk ?! Other factors may contribute to discriminate a population at risk? Baldness, for example?
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
Credit photo (licence Creative Commons)
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
2. P as PREVENTION!
Is there a way to prevent prostate cancer?
The answer is definitely no!
There is nothing.
Credit photo (licence Creative Commons)
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
http://imaging.ubmmedica.com/all/editorial/cancernetwork/cmhb/14_Table3_large.png
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER3. L as LOW RISQUE.The cancers classified as low
risk
• when to treat ?
• how to identify patients?
I say again: we do not know
reliably.
But I know that we need to find
more predictive factors to
improve the classification in risk
classe.
Maybe using nomograms to
reduce the range of predictions
for a given individual.
This is the challenge for the
XXIst century urology.
https://www.flickr.com/photos/april-mo/Credit photo (licence Creative Commons)
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
https://www.flickr.com/photos/starside/Credit photo (licence Creative Commons)
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
https://www.flickr.com/photos/starside/Credit photo (licence Creative Commons)
4. C as CURE!
Can we CURE a prostate cancer
in a men with a high-risk form?
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
https://www.flickr.com/photos/evoo73/Credit photo (licence Creative Commons)
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
https://www.flickr.com/photos/evoo73/Credit photo (licence Creative Commons)
5. C as Chess Game
Medical treatment decisions for prostate
cancer at low-risk is like a chess game:
think carefully before choosing! Think
about the disease, evolution, and sexual
and urinary consequences.
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
Credit photo (licence Creative Commons) https://www.flickr.com/photos/neilmoralee/
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
Credit photo (licence Creative Commons) https://www.flickr.com/photos/neilmoralee/
6. Q as in Quantity and
Quality
The Hormone therapy is not the vitamin therapy!
When need to start a androgen deprivation therapy?
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
Credit photo (licence Creative Commons) https://www.flickr.com/photos/neilmoralee/
Made by @hupertan2014 CONTROVERSIES OF PROSTATE CANCER
7. I as Intermittent!What kind of Androgen Deprivation therapy?
Continuous or I n t e r m I t t e n t?
I must admit once again that we do not know exactly.
Credit photo (licence Creative Commons) https://www.flickr.com/photos/neilmoralee/
David - The Death of SocratesJacques-Louis David — http://www.metmuseum.org/collection/the-collection-online/search/436105
David - The Death of SocratesJacques-Louis David — http://www.metmuseum.org/collection/the-collection-online/search/436105
« The more you know, the more you realize you know nothing. »
Socrates
@hupertan
Finally, we know more things about #prostatecancer more we realize our ignorance.
And that's why we work to understand and then to act.
Any help is welcome!
For further consideration I invite you to read the post: http://prostatecancerinfolink.net/2014/09/23/seven-critical-prostate-cancer-controversies/
https://medium.com/@hupertan/controversies-in-2014-of-prostate-cancer-c1dd6d16257e
The images used are under creative commons license.
If you u like this slide, please «RT» / «Like » / «Pin it» / «Share.it»
