MDNews - Central New York

March/April 2015

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S OME MEDICATIONS, PARTICULARLY glucocorticoids, are effective at fighting prostate cancer initially but appear to become ineffective or eventually even help the cancer continue to mutate and develop. However, a study from The Institute of Cancer Research, in London; The Royal Marsden NHS Foundation Trust; and the University of Trento, Italy, suggests that blood tests may be able to detect when treatments are counterproductive. The late 2014 study demonstrated that tumor DNA S Canadian Medical Officials W E IGH IN ON P S A S CRE E NING Blood Tests May Reveal W HE N C A NCE R T RE AT ME N T S BE C OME INE F F E C T I V E A DDING A NEW perspective to a simmer- ing debate, the Canadian Task Force on Preventive Health Care says the prostate-specific antigen (PSA) test should not be used to screen for prostate cancer. Between 11.3 percent and 19.8 percent of men diagnosed with prostate cancer through use of the PSA test receive a false positive, and overdiagnosis occurs among 40–56 percent of patients diagnosed via PSA, resulting in invasive treatment, according to the Task Force. Those treatments can lead to infection, incontinence and erectile dysfunction. The Task Force recommends that even men at high risk not undergo PSA testing. However, its members urge patients and physicians to make decisions jointly about treatment options, even with the PSA test, because different screening methods may be better for different individuals. The recommendation is in line with that of the U.S. Preventive Ser vices Task Force, though organizations such as the American Cancer Society have been open to broader use of the test. — By Dayton Humbles circulating in the blood could be a na lyzed a nd measured to show how the cancer is responding to medication. This could potentially replace repeated needle biopsies currently used to monitor the tumor, providing a cheaper and less invasive alternative. Researchers hope the blood tests — or "liquid biop- sies" — eventually will allow physicians to adjust treatments that could otherwise make prostate cancer more aggressive. — By Dayton Humbles + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + THAT'SNEWS Pizzolanti-NEW_25V_058200026N.pdf 1 2/12/15 4:33 PM 2 6 | Central New York MD NEWS ■ M D N E W S . CO M

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