Archive for the ‘Diagnosis’ Category

NZ DOCTOR: Harbour Health PHO told the NZ Health Select Committee yesterday [15 September] it is just weeks away from testing an electronic decision-support tool, which describes a care pathway for the assessment and management of prostate health. READ MORE>

Men and their GPs are often confused by the conflicting messages about prostate cancer, Dr Lannes Johnson (Harbour Health PHO medical director) told the committee.

“On one hand we tell GPs not to screen for prostate cancer; on the other, we say, every man has the right to testing and advice.

“The controversy has not been resolved by the evidence-based medicine approach…But sensible decisions can be made in primary care even without consensus between urologists, oncologists or epidemiologists.

“We really cannot leave things as they are.”

PROSTABLOG NZ:  Decision aids to assist men make choices about prostate cancer treatment have been around a while, but have only recently been adapted for use via the internet.

The Australians announced in July good results with one designed for men with prostate cancer in their families. READ MORE>

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URO TODAY: A series of proteins that might make it easier for doctors to better diagnose the more dangerous forms of prostate cancer has been identified by US researchers. READ MORE>

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RENAL & UROLOGY NEWS: A US jury has found two doctors not guilty of failing to care properly for a prostate cancer patient who died, after his wife took a case based on absence of a timely PSA test. READ MORE>

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WALL ST JOURNAL: Scientists may soon be able to answer the agonising question facing men with prostate cancer: does their cancer need immediate treatment or can it be left alone? READ MORE> and HERE> and HERE>

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NEW PROSTATE CANCER INFOLINK: For all of the academic literature and the recommendations of guideline-generating organizations on testing, diagnosis, and management of prostate cancer, urologists out in community practice may show considerable variation in their clinical practice patterns. READ MORE>

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REUTERS: Even without treatment, only a small minority of men diagnosed with early-stage prostate cancer die from the disease, Swedish researchers report. READ MORE>

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URO TODAY: Benign prostatic hyperplasia patients in whom prostate cancer is suspected and who have urination problems, with a previously negative biopsy result, can undergo transurethral resection of the prostate, which treats bladder outlet obstruction and gives early diagnosis of prostate cancer. READ MORE>

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PROSTABLOG NZ: I seem to be hearing from more and more friends and acquaintances that they’ve got prostate cancer.

And it’s not because they know I do this blog. These are people who’ve never read it. Why would they? Who would – until they are diagnosed, of course.

It’s difficult to know what to say to people who contact me. I never give medical advice (I’m not a doctor, after all), but I can tell people where to look for information. I guess that’s something.

It makes me think I should have another close look at current web postings on prostate cancer and update things.

Watch for new postings over the next few weeks.

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SCIENCE DAILY: The size and shape of the blood vessels visible within a prostate cancer tumour may be a useful clue to how the cancer will behave and how it needs to be treated. READ MORE>

A diagnosis of prostate cancer raises the question for patients and their physicians as to how the tumour will behave.

Will it grow quickly and aggressively and require continuous treatment, or slowly, allowing therapy and its risks to be safely delayed?

The answer may lie in the size and shape of the blood vessels that are visible within the cancer.

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URO TODAY: Giving newly diagnosed prostate cancer patients a bone scan has dropped off dramatically since the advent of PSA tests, but new research suggests reading PSA levels and Gleason score can accurately predict when bone scans are needed. READ MORE>

The combination of Gleason score and PSA enhances predictability of bone scans in newly diagnosed prostate cancer patients.

The PSA threshold for ordering bone scans should be adjusted according to Gleason score. For patients with Gleason scores less than 7, we recommend a bone scan if the PSA is higher than 30 ng/ml.

However, for patients with a high Gleason score (8-10), we recommend a bone scan if the PSA is higher than 10 ng/ml.

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