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This section will address diseases of the prostate,
the pros and cons of aggressive screening for prostate cancer, and
where prevention and genetics play a role in your health plan.
Prostate disease is far less understood than
we would like to believe. We are having a particularly hard time
in delineating the natural aging process from disease with this
gland. The proportion of prostate cancers which are deadly is actually
quite small. The reason prostate cancer is a major cancer is that
it is so prevalent in aging males. The problem is we don't know
with enough accuracy which cancers are deadly and which can be left
alone. And nothing is more difficult for a patient who now knows
he has prostate cancer than to "leave it alone".
For example, a very large proportion of elderly
men die with prostate cancer that was never recognized. To have
identified their disease years earlier would not have impacted their
mortality, but would undoubtedly have adversely affected their quality
of life and cost of their healthcare. They would have years of worry
about the cancer and may have suffered side effects of medications,
radiation, and surgery.
This section will provide links to current research
and concepts relating to prostate disease and particularly the issues
of proper management I have just outlined.
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