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Monday, November, 30, 2009
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Marc Greenstein's SharePosts

PSA Velocity: What Does a Quick Rise in PSA Mean?

Dear Dr. Greenstein:   My friend ,who is in his early 50s, just got the results of his annual PSA test - it was between 4-5. The results of his previous 6 annual tests were in the 1-2 range every year, until now. His brother recently had his prostate removed due to cancer.   He now has to see a specialist. We are both... Read moreChevron

Prostate Biopsy: What is It and How Does It Work?

A prostate biopsy is a test performed to diagnose prostate cancer. There are two main reasons why a prostate biopsy might be performed. A man has a high prostate specific antigen (PSA) level. This is a blood test used to screen men for prostate cancer. A rising PSA or elevated PSA can suggest that a cancer is developing in the prostate gland.... Read moreChevron

Diabetes, Obesity and Prostate Cancer: Is Surgery Still an Option?

Happy New Year. I would like to start the New Year answering one of ProstateCommons SharePosts. An overweight man with diabetes was diagnosed with "early prostate cancer." He was advised against surgery because of his obesity and diabetes. He is looking for advice for men in a similar situation.  First, let me tell you that this... Read moreChevron

Rising PSA after Surgery

A 62-year-old patient had surgery to remove his cancerous prostate gland about 6 years ago. Two years after surgery his PSA started to rise and now his PSA is 4.6 ng/ml.   I hate to say it but, it is clear that this patient has failed surgery and has "biochemical failure." In other words, his prostate was removed but there is something in... Read moreChevron

The Results Are In: Do Robotic Prostatectomies Work?

In the October 2007 edition of the journal Cancer, the first article reviewing five years of data on robotic prostatectomies was published. This is a landmark paper in the field of robotic surgery and prostate cancer. Dr. Mani Menon, a urologist at Henry Ford Hospital, senior authored this paper reviewing his experience of 2,766 men who... Read moreChevron

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