PSA Screening Flowchart
For decades the random 12-core biopsy has been the standard of care for diagnosing prostate cancer. What most men don’t know is that random biopsy can be dangerous and its …
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 …
Advances in Testing for Prostate Cancer
When I was 10 years old, my mother lost a close friend to cancer. I was too young to know anything about serious illness, but when I asked her why …
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 E005: Active Surveillance
Active Surveillance is a revolutionary concept: The thought you can monitor prostate cancer rather than treat prostate cancer. This is a surprising development because anything called cancer, one would assume …
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 …