As we continue to move through our month of “Movember” that focuses on Men’s Health, specifically prostate and testicular cancer, I asked Dr. Carlos Garcia, a well-known urologist in the area a few questions.
Is prostate cancer on the increase or is it decreasing in frequency?
It is on the increase. For early cancers, we have in the past used the PSA test (blood test) when prostate cancer is suspected. Since three months ago, here in the area, we have a multi-parameter MRI of the prostate which is able to detect and localize very small lesions. This allows us to more accurately take biopsies.
How is treatment determined when prostate cancer is diagnosed?
After taking a biopsy, the pathologist will report a “Gleason Score”. This scoring determines the architecture of the prostate glands. We use a scoring from six to ten. Depending on the PSA, Gleason Score and number of positive nodes, we are able to determine focal treatments such as HIFU for a PSA between 4 and 15, Gleason scores of 6, 7 and very localized 8. If the number of positive nodes more than 50% and PSA less than twenty, we recommend radical prostatectomy. If the Gleason Scores are 9 or 10, we suggest radiotherapy.
Is prostate cancer hereditary?
Yes, prostate cancer has a hereditary pattern, mainly if the cancer is present before 60 years of age. This presentation is more aggressive and with a higher hereditary risk.
At what age should a man begin with PSA tests?
If there is a family history of prostate cancer, and only prostate cancer, the males in the family should begin at age 40 years of age. If not family history, then between 45 and 48 years for the first checkup is recommended.
For the rest of November, we continue as well with several very good and economical packages for men and prostate health. From 500 pesos to 2,800 pesos. For details, questions, please send me an email.
And a PSA (Prostate-specific antigen, is a very simple blood test. A PSA is a protein produced by normal, as well as malignant, cells of the prostate gland. The PSA test measures the level of PSA in a man’s blood.
I would like to take this opportunity to thank Tracy Parks, owner of Incanto, and Mary Parks, singer extraordinaire, for the touching show done yesterday, Sunday at Incanto to benefit our kids with cancer and their families. These funds will go a long way to help with food, medicines and so many other items that are needed. We thank you from the bottom of our hearts!
Here’s to a sumptuous week!