Oct 14, 2022
In this podcast, Dr. Jeff Twidwell, a urologist (retired) and Dr. Jim Lehmann, an internist (retired) join the podcast to discuss various aspects of prostate cancer from a unique personal and professional viewpoint.
Enjoy the podcast.
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*See the attachment for additional information.
- Call to action - "I will not miss a case of cancer of the prostate." (Dr. Jim Lehmann)
- Main risk factors: age, black/hispanic ethicity, genetics
- Evidence based moment (see show note attachment for link to referenced article)
- PSA (prostate specific antigen) - level greater than 4.0 ng/ml is "abnormal"
- Age adjustment
- PSA levels reduced with 5-alpha reductase inhibitor
- PSA increases 0.75 ng/ml per year
- Stop screening when life expectancy is less than 10 years
- Shared decision making
Next Steps in Diagnosis
- Biopsy (template and MRI)
- 4K score blood test
- Gleason score and grade
- Decipher testing
- PSMA-PET scan
Prostate Cancer Care Team
- Primary Care
- Radiation oncology
- Surgery (open, DaVinci, Laparoscopy)
- Hormonal (androgen deprivation)
- Brachytherapy (prostate radioactive seeds)
- Immunotherapy (advanced prostate cancer)
- Proton therapy (up and coming)
Please check out the additonal show notes for additional resources.