Panel advises vs prostate cancer screening

Friday, October 7, 2011
WASHINGTON — Those PSA blood tests that check for prostate cancer do more harm than good and healthy men should no longer receive them as part of routine cancer screening, a government panel is recommending.
The recommendation by the U.S. Preventive Services Task Force, being made public on Friday, will not be a surprise to cancer specialists.
No major medical group recommends routine PSAs, and the government panel’s guidelines had long advised men over 75 to forgo them. The new recommendation extends that do-not-screen advice to healthy men of all ages.
Yet, the vast majority of men over 50 have had at least one PSA blood test. The assumption is that finding cancer early is always a good thing.
Not so, said Dr. Virginia Moyer of the Baylor College of Medicine, who heads the task force.
“We have put a huge amount of time, effort and energy into PSA screening and that time, effort and energy, that passion, should be going into finding a better test instead of using a test that doesn’t work,” Moyer told The Associated Press late Thursday.
Too much PSA, or prostate-specific antigen, in the blood only sometimes signals prostate cancer is brewing. It also can mean a benign enlarged prostate or an infection. Worse, screening often detects small tumors that will prove too slow-growing to be deadly. And there’s no sure way to tell in advance who needs aggressive therapy.
The task force analyzed all the previous research on this subject, including five major studies, to evaluate whether routine screening reduces deaths from prostate cancer. The conclusion: There’s little if any mortality benefit.
But there is harm from routine screening: impotence, incontinence, infections, even death that can come from the biopsies, surgery and radiation, Moyer said.
One study estimated 2 of every 5 men whose prostate cancer was caught through a PSA test had tumors too slow-growing to ever be a threat.
Yet Moyer said 30 percent of men who are treated for PSA-discovered prostate cancer suffer significant side effects, sometimes death, from the resulting treatment.
About a third of men ages 40 to 60 have brewing prostate cancer but “the huge majority of them will never know it in their lifetime if they are not screened,” she added.
The task force previously had considered the evidence for or against PSA screening inconclusive. The new recommendation says not to routinely screen. That recommendation is a draft that is open for public comment beginning next week.
“We have been long concerned, and it has been apparent for some years, that some supporters of prostate cancer screening have overstated, exaggerated and in some cases misled men about the evidence supporting its effectiveness,” said Dr. Otis Brawley of the American Cancer Society in a statement. “We need balanced, truthful information to be made widely available to physicians and patients when making important health decisions.”
The society had not seen the new recommendation yet, but has long advised men to consider the pros and cons of PSA screening before deciding on their own.
Moyer said the recommendation only means that doctors shouldn’t bring up the option for healthy men. If a man asks for a PSA test and wants it after being informed of the evidence, he should receive it, she said. Likewise, it’s appropriate to use PSA tests to examine a man with possible prostate symptoms. (AP)
Source: http://www.sunstar.com.ph/breaking-news/2011/10/07/panel-advises-vs-prostate-cancer-screening-183730

Leading Philippines Wine Supplier Yats Wine Cellars based in Clark Philippines with outlets in Angeles City, Subic Freeport and Manila Philippines has been not only a wine shop for fine wines covering all major wine regions but also a source of reliable and useful information about wine, wine appreciation, wine accessories, wine and health, food and wine pairing and all other matters relating to wine and its appreciation. This Philippines Clark Freeport based Wine Supplier and Wine Shop frequently holds public wine tasting events in Pampana Clark Freeport Zone, Angeles City, Subic Bay area, Makati, Fort Bonifacio and other areas in Philippines capital city Manila. Private Wine events such as private wine tasting and private wine dinners are also designed and organized for private clientele for their wine loving guests.

This wine shop in Angeles Clark Philippines is also renowned for a very unique product called Vintage Beer which many characterize as “Champagne beer” because it comes in a bottle with a Champagne stopper and metal restrainer. Vintage beers are top-of-the-line luxury beers bottle-conditioned for a slow fermentation to take place inside the bottle, a process that is very similar to Champagne which is designed to not only create the bubbles but also for an amazing complexity and depth of flavors.

For fans of Port and Sauternes, this wine shop in Clark Pampanga has a large selection of vintage port, Sauternes and Barsac as well as Eiswein/Icewine from Austria and Germany. Likewise, there is a good selection of Vintage Champagne at the wine shoppers’ disposal in the cellars of this wine shop in Clark Pampanga.

http://www.ClarkWineCenter.com

Getting to this wine shop in Pampanga Angeles City Clark Freeport Zone Philippines from Manila
Getting to the Clark Wine Center wine shop from Manila is quite simple: after entering Clark Freeport from Dau and Angeles City, proceed straight along the main highway M A Roxas. Clark Wine Center is the stand-along white building on the right, at the corner A Bonifacio Ave. From the Clark International Airport DMIA, ask the taxi to drive towards the entrance of Clark going to Angeles City. From Mimosa, just proceed towards the exit of Clark and this wine shop is on the opposite side of the main road M A Roxas.

Clark Wine Center
Bldg 6460 Clark Observatory Building
Manuel A. Roxas Highway corner A Bonifacio Ave,
Angeles Clark Freeport Zone, Pampanga 2023
0922-870-5173 0917-826-8790 (ask for Ana Fe)

Wine@Yats-International.com

YATS Wine Cellars
Manila Sales Office
3003C East Tower, Phil Stock Exchange Center,
Exchange Rd Ortigas Metro Manila, Philippines 1605
(632) 637-5019 0917-520-4393 ask for Rea or Chay

Best place to buy wine in Clark Pampanga outside Manila near Subic and Angeles City Philippines is Clark Wine Center. Visitors buy wine in Manila and Pampanga should not miss stopping at this wine shop for a few bottles of fine vintage wines to bring home.

Wedding couples looking for wedding reception venues and beach wedding venues can log on to this Philippines Wedding Venue web site for free information and assistance:

http://www.PhilippinesWeddingVenue.com

While in Clark, it might be a good idea to enjoy an evening of wine-and-dine in the fine dining Yats Restaurant and Wine Bar that features an award winning 2700-line wine list. It is located in Mimosa Leisure Estate of Clark Freeport Zone. For more information, visit http://www.YatsRestaurant.com

YATS Leisure Philippines is a developer and operator of clubs, resorts and high-class restaurants and wine shops in Clark Angeles Philippines http://www.yatsleisure.com

Looking for famous tourists spots, places to visit and see, relax and unwind in Clark, Pampanga, Philippines? You may want to check out these sites also:

http://www.LondonPubClark.com

http://www.HotelClarkPhilippines.com

http://www.ClarkPhilippines.com

http://www.YatsWineCellars.com

Yats Restaurant is the best restaurant for special dinner, best restaurant for dinner with friends near Manila, also the best place to celebrate special events.

A Well-known Restaurant in Pampnga, an interesting place to celebrate Birthday Party in Pampnga.
A best place to dine with friends in Pampanga

www.YatsRestaurant.com

Where to go in Clark? Hotel Clark Philippines is a De Luxe Hotel in Clark and Subic, a risk free place to stay, cozy and nice ambience, a nice function place for special occassion

www.HotelClarkPhilippines.com