Lots to unpack here. First of all, good luck to
DougE
in pursuit of treatment for this. I know it's got to be scary and frustrating and all those kinds of things. Definitely saying a prayer for you and ALL the survivors in this thread. When you bring up something like it, you begin to see how common it is.
Prostate cancer is the 2nd most commonly-diagnosed cancer among men, and most common among males in the United States.
The U.S. Preventative Services Task Force recommends screening for prostate cancer in men ages 55-70, usually with a blood test every 1 to 2 years. Many physicians strongly disagree with this recommendation and feel it is not aggressive enough. In general, most physicians I know seem to begin with blood tests annually at 50 years of age, although in men with a family history of prostate cancer or men of certain ethnic groups, (i.e., black males) with high instances of prostate cancer, screening at 45 or even 40 is not unheard of. Most physicians stop screening for prostate cancer sometime in the 70s or by 80 or so - depending on the individual health of the patient and their likelihood of surviving at least another 10 years.
Just as an aside, the DRE - or digital rectal examination - is no longer considered a particularly useful routine screening tool and is not generally recommended strictly for screening. At least not with your regular Family Medicine physician. I can attest to this - I haven't done one of these in years, and have no intention of doing so for prostate cancer screening. I can expound further on this if anyone wishes. Leave this to the Urologists, in my opinion.
So, just throwing it out there - I've had lots of friends who were diagnosed and treated for prostate cancer. I highly recommend having the PSA test done as part of an annual general physical. Interpretation of elevated numbers AND the rate of increase year over year is a little complex - it's not just "is it over the reference range or not?" As someone mentioned above, the RATE of increase can be an early warning sign, even before it gets "out of range".
So... hope this helps. Any questions, feel free.
Signed,
Your friendly neighborhood Family Medicine doc
In other words - get screened, guys! Both for prostate AND for colon cancer! Easy screenings, and generally pretty easily treatable if caught early - colon is actually
PREVENTABLE with proper screening.