Gold, The way it really happens...One mans story as follows: I am posting the link below for the entire story. Please click on the link and read the entire story. It is very telling.
An Urgent Plea I'm not a physician, so what follows is just my personal opinion. You be me for a moment, except this time we'll get it right! Once past 50, you start by getting annual PSA's and digital rectal exams. If you come from a family with a cancer history, you start these at age 40. If you do develop prostate cancer, get a ProstaScint exam if at time of biopsy (or surgery), it appears (or you have evidence) that the cancer penetrated your prostate capsule; similarly you get this exam done as soon as there is any suspicion that you have systemic disease (possible metastases to lymph nodes or bone). Don't depend upon PSA as your only marker. Mutations do occur; these tend to be aggressive, and they may not produce PSA. Instead these mutations may produce other markers such as CGA, NSE, and CEA. Get these measured at time of diagnosis and routinely thereafter if results are elevated. Don't take chances. Look what happened to me! My PSA went way down, but very likely I have metastatic disease.
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