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Thank you all for your kind thoughts. Now that the chemotherapy has ended I am virtually back where I was before; being normal and not really aware of my cancer condition except for little things that

Right then Miducks. Today my Cardioligist has given me the news I didn't dare hope for. All of my tests results are good and I start reducing a lot of the Heart Meds over the next two weeks. Starting

My last report (page 31, post 770) had my PSA number down to 10.7. It had shot up to 61 before the horse pills (Enzalutamide) arrested its upward trend. Today I went for a routine visit to oncology at



The main reasons why PSA testing is not at present suitable for population screening of asymptomatic men are summarised below.


  1. Lack of sensitivity. Around 15% of men with a normal (measured as =4ng/ml) PSA level will have prostate cancer.6 In other words, the test will provide them with false reassurance.4
  2. Lack of specificity. Conditions other than prostate cancer, such as BPE, prostatitis and lower urinary infections, can give rise to elevated levels of PSA. About two-thirds of men with an elevated PSA level (measured as 4ng/ml) will not have prostate cancer but will suffer the anxiety, discomfort and risk of follow-up investigations.2,4

  3. The natural history of prostate cancer is poorly understood. At present it is not possible to reliably predict which tumours will be aggressive and which will require little or no treatment. A proportion of patients with early, localised disease detected through PSA testing and then biopsy, will receive unnecessary treatment, with considerable side-effects.

  4. There is a lack of consensus on the best treatment for early stage prostate cancer.

  5. There is no evidence that screening reduces mortality. Screening trials are underway in the US, UK and in Europe but it will be some years before the results are known.7-11

  6. As a result of these problems, population screening is not recommended and instead the Department of Health launched the Prostate Cancer Risk Management Programme (PCRMP) in 2002.5 One of its main aims is to provide clear and balanced information about the benefits and limitations of PSA testing.4,5

Asymptomatic men can then make an informed decision about whether they wish to have a PSA test or not, after discussion with their primary care physician. Referral guidelines recommend that PSA levels take age into account with cut-off values of = 3.0ng/ml for men aged 50-59, = 4.0ng/ml for men aged 60-69 and 5.0ng/ml for men aged 70+.12 Inter-laboratory variability has also been identified and the PCRMP recommends that only laboratories participating in the UK National External Quality Assessment Service (UK NEQAS) are used.


From Cancer research UK




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Sorry statistics quotes etc dont mean a lot to me what does mean alot getting it diognosed and getting shifted and god willing keeping it clear . i have heard nothing that faced. with the same desions again i would make the same choices which were psa biopsy for me removal not therapy checks with advice that allows me check my psa is still rising.dont forget as part of that process MRI AND BONE scans are given which is another tool to detect any additional cancers i have already said i know jackshit about medicine and as far as i know there is no qualified person on this site so the norm would apply seek medicle advice from your gp if not satisfied get a second opinion which is were we started when i said get tested.

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It's a difficult one because I bumped into an old neighbour summer before last. He had terminal PC and was wearing a colostomy bag. He's probably dead now. He was only in his mid sixties. However, only about 10 people in a 1000 die that way at that age.

On balance I doubt that I'll bother. I've never won on a horse at 100 to 1.

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Thats kinda funny because money wise i have never been lucky and never won any large amounts but when i had the shop we sold tickets for local club Belper Town football club and iwon 2 grand plus 2 hundred po unds as agent it was not long after i got diognosed/. AO such is life wunt and dint buy much anyway but it sounds alot to an old old meadows kid if id a won that when i was at trent bridge seniors could have brought a house and a car them were the days when a new car would turn heads or was that the nits moving. must stop me heads itching wheres that nit nurse when u nead a

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MR COLE DAVES SPECIALIST TOLD US THAT IF YOU TESTED ALL MEN FROM 55 TO 65 1 IN 3 WHOLD BE POSITIVE AND FROM THAT 1 IN 3 1 IN 5 WOULD NOT MAKE IT BUT THE EARLIER THEY DIOGNOSE THE BETTER CHANCE OF A FULL RECOVERY THERE IS SO IF YOU HAVE ANY WORRIES GET IT DONE IF ITS NEGITIVE ALL THE BETTER THE DRS WOULD SOONER YOU GET A TEST AND IT BE NEGATIVE THAT YOU DONT GET IT IN THE EARLY STAGES AND IT BE TOO LATE.

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Well Stan. What will be the average age of death?

Who knows,? But my 2013 recent figures show According to the Prostate Cancer Foundation of Australia around two-thirds of Australian men aged 40 to 74 have been given the Medicare-covered PSA test.., and many thousands are alive and presumably happy to be so!

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Who knows,? But my 2013 recent figures show According to the Prostate Cancer Foundation of Australia around two-thirds of Australian men aged 40 to 74 have been given the Medicare-covered PSA test.., and many thousands are alive and presumably happy to be so!

The prostate cancer foundation are a body committed to testing - they aren't an independent organisation. Without testing they wouldn't exist - and many lucrative salaries would be lost. Now give me the figures from a legitimate source.

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From your earlier quote,Bilboro, Asymptomatic men can then make an informed decision about whether they wish to have a PSA test or not.My information is from 2013,not 2002. The jury is still out,but while ever a simple test increases my odds of longevity even slightly,guess which I recommend.

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MAKE PERFECT SENSE TO ME AND ANY BODY WHO KNOWS ME I SOMETIMES USE CAP LOCKS SO I CAN SEE IT

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From your earlier quote,Bilboro, Asymptomatic men can then make an informed decision about whether they wish to have a PSA test or not.My information is from 2013,not 2002. The jury is still out,but while ever a simple test increases my odds of longevity even slightly,guess which I recommend.

But the vast majority of doctors working in that field don't recommend it. Either people believe you or the medical profession. Guess which they should listen to.

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These are the key facts.

Key statistics
  • Nearly one in seven men aged over 55 with a normal PSA level will have cancer.
  • Two out of three men with a raised PSA level don't have prostate cancer.
  • One out of three men with a raised PSA level will have cancer.
  • Two out of three men who have a biopsy don’t have cancer.
  • Biopsies in one in five men fail to spot prostate cancer.
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Freedom of choice remains (until a better test evolves and until world authorities agree on a position)

Give me the paper that these details are from please. If it is earlier than 2013,please again refer to my previous discussions

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IT MEANS THAT ONE OUT OF EVERY THREE MEN IN THAT AGE GROUP WOULD BE FOUND TO HAVE PROSTRATE CANCER AND FOR EVERY FIVE MEN WITH THE CANCER ONE OUT OF EVERY FIVE WOULD DIE OF IT

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The only information that matters is historical - if it hasn't happened yet it's just a guess. Check out Cancer Research UK and NHS. Forget those with a vested interest. If you want to take a gamble on the test then go ahead. It's your prostate that will sit in a bucket. Good luck.

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IT MEANS THAT ONE OUT OF EVERY THREE MEN IN THAT AGE GROUP WOULD BE FOUND TO HAVE PROSTRATE CANCER AND FOR EVERY FIVE MEN WITH THE CANCER ONE OUT OF EVERY FIVE WOULD DIE OF IT

Well that can't be true as only 25 out of 1000 deaths are due to prostate cancer. That figure would be many times that if what you say was true.

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The American Cancer Society estimates that close to 239,000 men are expected to be diagnosed with prostate cancer this year, with an estimated 30,000 dying from the disease.

Have a look again at the figures,and evaluate,Bilboro`

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