Active Surveillance
BY MARK SCHOLZ,MD A Cancer that Can be Watched If someone tells you your cancer can be watched instead of treated, your initial reaction might be that they have no …
Avoid Random Biopsy: PSA Screening Flowchart
Elevated PSA does not point specifically to prostate cancer; it is only an indication that further investigation is necessary. Each year one million men are biopsied when they do not …
Stay Away from Random Prostate Biopsy
BY MARK SCHOLZ, MD The Limitations of PSA PSA is nonspecific. Meaning it doesn’t distinguish between the harmless, low-grade type of prostate cancer that can be watched and the higher-grade …
Prostate Vanguard E008: Doctors Still Order Random Biopsies Despite Newer Technology
When people hear about multiparametric MRI, accurate imaging of the prostate, they are always surprised that doctors are still doing random biopsies. The question always comes up, “Why are we …
Prostate Vanguard E007: Sequential Scanning
https://youtu.be/1IFjr2fKPaU Patients ask me why their scans have to be repeated. The modern methodology, for monitoring prostate cancer, historically, was putting needles into the prostate on a regular basis. We …
Prostate Vanguard E006: Active Surveillance Scanning and Testing
The process of Active Surveillance, the way we practice in Marina del Rey, is to perform a PSA blood test every three months and plot these results on a graph, …
Prostate Vanguard E004: Elevated PSA
WHAT IF I HAVE AN ELEVATED PSA So what do you do when you have a high PSA? Is simply doing a scan enough? The scan not only helps men …
Prostate Vanguard E003: Useful Imaging
IS IT POSSIBLE TO SKIP A BIOPSY? We’ve been talking a lot about the different types of biopsies – targeted vs random and all these new developments. But what’s really …
Prostate Vanguard E002: No More Random Biopsies
NO MORE RANDOM BIOPSIES. Over a million men get a prostate biopsy every year and quite often, in fact almost always, they are unaware of how dangerous a biopsy can …
Prostate Vanguard E001: Why Prostate Imaging?
Why do we have scans all of a sudden as of 2013 for prostate cancer? We’ve had mammograms for years, we’ve had chest CTs for lung cancer – the problem …