DIALOGUEletters
CONTINUED FROM PAGE 9
Prostate pointers
Great article on prostate cancer (“Men vs.
prostate cancer,” January 2011). I’d like to
bring up some pointers, as I had this disease
diagnosed in 2004 and with radiation seed
implants have since had a PSA of 0.1 or less.
1) If any (first blood) relative has the disease, your risk goes up [an] order of magnitude! Get the PSA [prostate-specific antigen]
test every six months!
2) Along with a PSA test, also get a “free”
PSA test. Demand it; it’s just another vial of
blood. My PSA was a steady 2. 86 for 10 years.
It was the [percent-]free PSA that caught it.
3) Get an ultrasound to baseline prostate
size, especially if this cancer is in the family
tree. Get a biopsy if the size increases, especially in combination with a poor result from
a PSA or free PSA test.
4) Remember, no sex for several (three
to four) days before the PSA test; don’t want
any extra antigens swimming around in the
blood to throw off the results.
5) If I had been more aware of the exactness of robotic surgery techniques, I would
have had the prostate removed rather than
gone ahead with the radiation. Please speak to
your urologist in detail about this procedure.
Steve Baldel
Apple Valley, California
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