<div style = "text-align:justify"> <span class = "titulo_noticia"> WEEK UROLсGICA THAT BEGINS ON SEPTEMBER 14 </span>

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<span class = "texto_noticia"> <p> EUROPE UOMO (of which FEFOC is a member fundacional), her organizaciСn European who estА on the verge of celebrating his fifth one aЯo of functioning, adheres a Week UrolСgica Europea that begins prСximo On September 14, organized by the Europaean Association of Urology (EAU). </p> <p> The central topics of this one aЯo are the problems prostАticos and her disfunciСn erИctil (OF). It is a question of making aware on these problems, especially between the men of mАs of 50 aЯos. </p> <p> let's Attend on the following information: </p> <p> *El cАncer of prСstata is the second cause of death in the western world. </p> <p> *Cada aЯo, and only in Europe, approximately 346.000 new cases of this one are detected cАncer. </p> <p> *MАs of 50 % of men on 50 aЯos have problems urolСgicos due to benign conditions. </p> <p> *Datos epidemiolСgicos they indicate that that OF es a significant problem between the men in the whole world. Towards aЯo 2025 calculates that 42,8 million Europeans sufrirАn OF. </p> <p> *La vergЭenza and non-giving importance to determined sМntomas they do that many men do not come to his mИdicos when they experience problems urolСgicos. </p> <p> POINTS FIX FOR THE WEEK UROLсGICA OF 2009 </p> <p> CаNCER OF PRсSTATA: </p> <p> 1. Many men develop problems prostАticos benign and great tendrАn problems for which he gets ready of treatments mИdicos and quirЗrgicos and both are very effective. </p> <p> 2. CАncer of prСstata alone priest if it is detected in his initial stadiums, that is to say, when it is limited to glАndula prostАtica. PSA and cinИtica of the PSA (PSA speed or time of folding of the PSA) the patients help to detect at the risk of having cАncer of prСstata. </p> <p> 3. CАnceres diagnosed in the programs of detecciСn precocious not always they need theirs treatment. Active alertness in chosen patients is one opciСn reasonably that even allows, if it is that it needs, his treatment during the pursuit of the patient. </p> <p> 4. The hormonal treatment affects severely the quality of life but, when it is necessary, his side effects can diminish by means of activity fМsica, nutriciСn and support psicolСgico. </p> <p> 5. EstАn developing new bioscoreboards for diagnСstico and pronСstico of cАncer of prСstata. </p> <p> 6. Recent results of the essay randomizado screening European say to us that the screening saves lives but the study aЗn remains opened. </p> <p> 7. A familiar history of cАncer of prСstata is not one anИcdota: watch his children and brothers if you have had this one cАncer. </p> <p> DISFUNCIсN ERиCTIL (OF) </p> <p> 1. OF puede to be sМntoma of presentaciСn of hipertensiСn, hiperlipidemia, diabetes and hormonal changes. It is important that all the men with OF sean valued if they present these conditions patolСgicas. </p> <p> 2. UrСlogo is the specialist who better can advise him on prevenciСn and the control so much of sМntomas of the low urinal device as of that OF, that estАn often associated one with others. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> CаNCER OF PRсSTATA: </span>

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<span class = "texto_noticia"> <p> The patients with cАncer of prСstata of low aggressiveness can choose for the so called strategy "Esperar and ver" that is to say to defer the treatment but there are complications. Martin Sanda, of Beth Israel Deaconess Medical Center and other hospitals (Brigham and Women╢s Hospital, Harvard School of Public Health and the University of California, San Francisco) 3331 men have checked with cАncer of prСstata, diagnosed between 1986 and 2007. 10 % of the same ones, 342, chose not to talk each other initially. Between 10 and 15 aЯos despuИs, half of these patients aЗn not habМa needed treatment. </p> <p> As for mortality, between 342 men who chose not to talk each other initially and who had tumors of low risk, only 2 % of deaths took place, for 1 % between those who, with tumors tambiИn of low risk, preferred to talk each other initially. </p> <p> The authors call it atenciСn to the fact of which the patients with tumors of low risk who preferred not to talk each other, avoided the serious changes in the quality of life that depend on the treatments (powerlessness, incontinence of urine, etc). </p> <p> The sugerente conclusiСn to which the authors come is the following one: 1. Thanks to the PSA one has progressed very much in diagnСstico precocious of cАncer of prСstata. 2. Instead of leaving the PSA - as so many studies of his value in the masses screening suggest, since it is a cause of an excess of diagnСsticos and treatments - they propose to continue utilizАndolo to differ between tumors of low risk (and after these do not treat them but to spend them to the waiting strategy, while seguirМan treating only those cases with tumors of average and high risk). </p> <p> SegЗn FEFOC, this work is very suggestive and it is necessary to value it deeply. To know the risk system of cАncer of prСstata, exclusive FEFOC is explained extensively in pАgina for cАncer of prСstata (<to href = "index.html"> www.recaf.net </to>). </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> �QUи IS TO DO WHILE THE SCREENING DOES NOT CLEAR UP IF зTIL IN CаNCER OF PRсSTATA? </span>

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<span class = "texto_noticia"> <p> Diverse publications happen without it clearing up definitely if the screening by means of PSA is a cost / cash in cАncer of prСstata. The topic bАsico is that in many investigations it has not been demonstrated taxativamente that by means of the screening it diminishes the mortality for cАncer of prСstata, although someone point at the opposite. </p> <p> In an extraordinary titled leading article "El screening for cАncer of prСstata - The controversy that rethirty-second note morir" and published in The New England Journal of Medecine (volume 360, n ╨ 10. March, 2009), the doctor Michael J. Barry us ofrecМa one magnМfica revisiСn and putting to dМa of the problem. He was telling that, in USA, although the information of the screening is contradictory, her mayorМa of men of mАs of 50 aЯos the PSA has been realized one day; tambiИn ║el 95 % of urСlogos and 78 % of mИdicos of primary assistance ║. And that the percentage of mortality because of it cАncer has been diminishing from 1992, five aЯos despuИs that the PSA was interfering. </p> <p> On the other hand, the model of presentaciСn of this one cАncer has gone on from one mayorМa from patients with metАstasis, especially Сseas, to an illness mАs predominant as cАncer located. The detractors of the screening say that, in fact, her mejorМa in pronСstico that is observed in cАncer of prСstata stems to mejorМa in the treatments. But existing account that these little have been modified in his extract, FEFOC thinks that it is mАs probably that the benefit in the survival stems from the increase of diagnСstico precocious. </p> <p> �Y since it has improved diagnСstico precocious if the administrations do not recommend do they usually carry out the screening pЗblico by means of PSA?. Since it is clear: because while it is solved cuestiСn, her mayorМa of persons and many mИdicos the PSA has decided for his account to be realized, as it gets rid of the information exhibited by the doctor Barry and that we all observe in ours prАctica daily. </p> <p> In screening for cАncer of prСstata we are in what Thomas Khun had classified of course under the stage precientМfica, before to the paradigm. In effect, at present there coexist in competition diverse schools or ways of tackling this topic. There is no community cientМfica homogИnea and there are difficulties to be understood mutually. </p> <p> There Is, in short, two lМneas fundamental officials, that of whom estАn against the screening for cАncer of prСstata (segЗn they it does not improve the survival and produces a big one nЗmero of patients sobrediagnosticados and on agreements) and those who recommend it from 50 aЯos. </p> <p> For FEFOC her situaciСn estА egg white, in this stage precientМfica, while the persons do not clarify the facts to themselves and many mИdicos have taken for the enmedio street and are realized by his account the PSA. In fact, diagnСstico precocious it has improved. We will continue with this exciting topic. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> �ES SUPERIOR THE HORMONAL TREATMENT PROLONGED IN CаNCER OF PRсSTATA LOCALLY ADVANCED? (10-08-09) </span>

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<span class = "texto_noticia"> <p> Other one of many polИmicas that (CP) surrounds to cАncer of prСstata is her duraciСn of the hormonal treatment after the local treatment (cirugМa or radiotherapy) in patients with CP locally advanced (that is to say, when the tumor has spread from prСstata to the textiles of around for contigЭidad, but they have not taken place metАstasis). </p> <p> The hormonal treatment (acquaintance since deprivaciСn or supresiСn androgИnica, on having inhibited it producciСn and funciСn of the testosterone,) it usually apply despuИs of the local treatment for the purpose of supporting in the possible thing far from estМmulo from the masculine hormone to the tumor textile that could have remained after cirugМa or the radiotherapy. Diverse studies have given different information on duraciСn that has to have the hormonal treatment in these cases. For some, 6 months they are enough, for others, three is better aЯos. </p> <p> to decide this one cuestiСn it is necessary to shuffle two information: one, the survival of the patients with a system or other; other, the quality of life of the patients. The hormonal treatment modifies negatively the quality of life, since the patient experiences sexual powerlessness, suffocations, mАs breaks risk Сseas, feminizaciСn (pИrdida of hair, weight increase, especially in hips, sometimes increased of tamaЯo painfully of the breasts). Given such unpleasant consequences, they have to demonstrate to us that the benefits on the survival are really notable if the hormonal treatment extends very much. . </p> <p> The Зltimo worked that it has called it atenciСn on this matter Cancer (EORTC) is published in The New England of Medecine, in one a work of the Europaean Organization for Research and Treatment of and led for M. Bolla, in that it is studied duraciСn preferably of the hormonal treatment in cases locally advanced of CP, after radiotherapy. </p> <p> bolla and cols they included 970 patients. Deprivativo applied for 6 months theirs hormonal treatment to all. DespuИs, the patients were randomizados between not mАs hormonal treatment (supresiСn hormonal to shortly tИrmino) or two aЯos and I come up mАs of hormonal treatment (supresiСn prolonged). They followed the patients with a median of 6,4 aЯos. Of the first group there died 132 patients (47 of CP) and of the second group, 98 (29 of CP). But the global mortality for the first group was 19 % compared with 15,2 % for the second group. </p> <p> The proper investigators appreciate that "the difference in mortality to 5 aЯos was modest between both groups". Despite it, they recommend the long treatment. </p> <p> FEFOC values very much the damaged quality of life of the patients with CP under hormonal treatment and thinks that the studies results like this one, with so modest differences, are not the best support to extract conclusions. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> SEXUALITY AND COMUNICACIсN IN CаNCER OF PRсSTATA </span>

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<span class = "texto_noticia"> <p> One of problemАticas mАs common related with cАncer of prСstata and his treatment is undoubtedly everything what concerns the sexuality and her comunicaciСn between the couple. A study realized in the University of Texas shows the need to set atenciСn to these aspects like part of recuperaciСn of the patient. </p> <p> The sexuality remains spoiled in the patient with cАncer of prСstata, with estimations with regard to numbers that the studies go of 33 to 98 % segЗn. Them problemАticas they go from pИrdida of the impulse or desire, up to the incapability for supporting it erecciСn, her eyaculaciСn and reaching the orgasm. This topic is every time mАs born in mind in aproximaciСn to the multidisciplinary treatment of the patients, together with his couples. </p> <p> In the Department of Behavioural sciences of the University of Texas of the M.D. Anderson has realized a study interviewing 116 affected patients of cАncer of prСstata and his couples. The authors of the study administered the participants, a few questionnaires with regard to his sexuality, proving that really there are a few high valuations of sexual malfunctions in this group. Comparing between patients and his couples, the agreement valuation with regard to the sexual functioning, resultС to belong to moderate to high, that is to say that, in general, habМa an agreement grade in this sense. When her problemАtica in particular there was with regard to the difficulties of erecciСn of the man, his couple tenМa mАs tendency to show difficulties of comunicaciСn on this matter, with egg white evitaciСn hacМa this topic. This, segЗn the information found in the same study it was clearly related at high levels of estrИs on the part of the couple of the patient. </p> <p> On the other hand, the couples that presented a high level of comunicaciСn constructive, counted tambiИn well as for his compenetraciСn like couple, independently of satisfacciСn sexual shown. </p> <p> The results of this study show the need for one intervenciСn psychosocially that facilitates it comunicaciСn healthy between the couple and that tambiИn goes to the needs for rehabilitaciСn sexually on the part of the patient and his couple. Although there are studies that they confirm that the couples that have happened for the experience of cАncer in one of his members, are unwilling to speak about the sexual topic, these conversations podrМan to help to relieve very much the negative impact that cАncer of prСstata in this case, it has in the sexuality but tambiИn in the good general functioning of the couple. </p> <p> The study belongs to Hoda Badr and Cindy Taylor, and estА published in the magazine Psychooncology, vol. 18, nЗmero 7, pАginas 735-746. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> THERE ARE NO PROTEST MOVEMENTS IN CаNCER OF PRсSTATA (16-06-09) </span>

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<span class = "texto_noticia"> <p> In FEFOC we surprise the absence of persons' protest movements with cАncer of prСstata (CP) and men in general. And motives are not missing. 1. Neither the sanitary authorities nor the administrative ones clarify if the PSA is effective in diagnСstico precocious of the CP. But, the reality, the fact is that today in dМa her mayorМa of men, when they are diagnosed of CP, they it are in initial stadiums. Probably it is due to the fact that many mИdicos personal details request it for his account asМ like many men for his. It does not stop being one extraЯa situaciСn. 2. The treatments have not evolved in the Зltimos 40 aЯos, in any case there is sophisticated one. But, if in dИcada of the 60 of the XXth century it was practised castraciСn quirЗrgica to eliminate the principal source of producciСn of testosterone, today in dМa one proceeds to castraciСn quМmica by means of medicines. But the base of the treatment is the same, her castraciСn. 3. ExtirpaciСn quirЗrgica (prostatectomМa) it produces in the big one mayorМa of cases sexual powerlessness, because the essential nerves are cut for erecciСn. But it gets ready of a form quirЗrgica that tries to avoid it secciСn of the above mentioned nerves. 4. Her mayorМa from patients they receive informaciСn not even sufficient support. </p> <p> A movement for the CP deberМa to gather these, and of course other points. 1. To clarify it situaciСn of the PSA. 2. To investigate and to obtain effective medicines in CP, not based on castraciСn. 3. To make her obligatory prostatectomМa preserving the nerves of erecciСn, whenever it was possible. 4. To promote the groups of support and informaciСn for patients and his relatives. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> MALES JсVENES WITH CаNCER OF PRсSTATA FORWARD POSITION HAVE WORSE PRONсSTICO </span>

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<span class = "texto_noticia"> <p> The doctor Bruce Montgomery and collaborators, of the University of Washington, have checked information of approximately 320.000 men with cАncer of prСstata (CP). The work is published in Cancer. Of his study it is deduced that the advanced CP is mАs aggressively when it presents to itself in patients jСvenes that in major, with minor percentages of survival in mАs jСvenes. </p> <p> This information advises to check the treatment of the patients jСvenes, on having talked each other of patients with high risk. Little studies have studied the patients' survival with CP in wide age groups. <br/> </p> <p> In his study, Montgomery and collaborators introduced patients of all the ages, with a life expectancy of 68 aЯos. In the patients with Gleason between 5 and 7, at major age less survival, which was the awaited thing. But, in an unexpected way, they observed that the patients jСvenes with tall Gleason and stadium III of the illness tenМan 5 probabilities mАs of dying of CP that the patients of major age with the same risk <br/>. <br/> The paradox is established so in the above mentioned patients. It was thought, in general, that them jСvenes tenМan better life expectancy that the biggest, in any situaciСn clМnica, that is to say, with independence of the risk that they should have, it was low, average or high. But it is not asМ, at least as for the patients of major risk </p> <p> These facts do the CP needs the deep one revisiСn of advanced in jСvenes and her investigaciСn of new treatments that they could improve his pronСstico. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> THE BENEFICIAL JUICE OF GRANADA IN CаNCER OF PRсSTATA </span>

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<span class = "texto_noticia"> <p> The doctors A. Pantuck ═ (of the Departament of Urology, David Geffen School of Medecine, University of California) and collaborators have presented in reuniСn annual of American Urological Association, a study in 48 persons with cАncer of prСstata, which they followed during 6 aЯos. The participants tenМan cАncer of prСstata, with a PSA in increase despuИs of the local treatment (cirugМa or radiotherapy), a PSA superior to 0,2 ng/ml and lower than 5 ng/ml and a Gleason (to see in <to href = "index.html"> www.recaf.net </to>) of 7 or less. These patients were treated drinking every dМa eight ounces of juice of grenade. </p> <p> The investigadores═compararon the results in the patients who stayed active in the protocol with that others that were leaving it. In the active group they observed that the time of folding of the PSA was extending ═ of a way estadМsticamente significantly and that her disminuciСn in the average PSA it was major than in the persons who left the study. AdemАs, at laboratory studies level with cИlulas of the patients observС one disminuciСn of 12 % in the procentaje of proliferaciСn cell phone and with an increase of 17 % of the apoptosis (programmed cellular suicide), positive information that show the inhibiting effect of the growth of the juice of grenade. </p> <p> Some patients proved to be particularly sensitive to the positive effect of the juice of grenade. The authors think that algЗn dМa descubrirА probably that the grenade juice is really active in persons with cАncer of prСstata and whose treatment has not been a cash. TambiИn can become a good way to prepare cАncer of prСstata. At present it keeps on valuing his effect, in a study mАs widely. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> A DOOR FOR THE HOPE: TREATMENT MмNIMAMENTE INVASIVE IN CаNCER OF PRсSTATA </span>

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<span class = "texto_noticia"> <p> The doctor Gary M. Onik, the director of the Center for Safer Prostate Cancer Therapy, in Orlando, Florida, USA, has presented to the SIR (Society of Interventional Radiology) 34th Annual Scientific Meeting, an interesting work in 120 men with cАncer located in prСstata, agreements by means of crioablaciСn focused in the tumor. It is a question of one intervenciСn very little aggressive and with excellent results, segЗn his author explains. </p> <p> Onick treats only the tumor, instead of everything her prСstata. RadiСlogos they insert a pipe to travИs of the skin in perinИ (between scrotum and year), using imАgenes (3-D transperineal) to direct the inserted needle in the probe. Once in the tumor, for the probe gas circulates extremely frМo that destroys the tumor textile. The alone treatment affects to the tumor, respecting the healthy adjacent textiles. The patient can go to his house the same one dМa of the treatment and the treatment, if it needs, it is possible to repeat in aЯos later. </p> <p> Onick names this one mИtodo "la tumorectomМa of hombre", haciИndola similar to the conservative treatment of cАncer of breast (to see in <to href = "../external.html?link=http://www.cancermama.org/"> www.cancermama.org </to>), treatment that exists sustituМdo largely to mastectomМa. In contrast to the breast, one tumorectomМa in cАncer of prСstata is difМcil tИcnicamente. Therefore, to treat only one porciСn of prСstata it is needed crioablaciСn mМnimamente invasive. This one tИcnica, that does not go, as the crioterapia clАsica, to everything prСstata, limits the effects on the sphincter vesical and the nerves of erecciСn, diminishing the risks of incontinence and of powerlessness. </p> <p> AsМ, of 120 agreements, 85 % retained it funciСn sexually. All that previously not habМan been treated with cirugМa prostАtica, they did not have urinal incontinence. AdemАs, 112 patients (93 %) did not have evidence of cАncer, although 72 of the same ones tenМan average and high risk for relapse. </p> <p> East conservative treatment, thinks FEFOC, of patients are verified in mАs, opens the door for the hope of a future for the patients with cАncer of prСstata that do not have to pay the terrible toll of the incontinence and the powerlessness for his curaciСn. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> IN PRсSTATA, SARCOSINA CAN DISTINGUISH THE BENIGN THING OF THE NOT BENIGN THING (24-II-09) </span>

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<span class = "texto_noticia"> <p> Sreekumar A. Poisson and collaborators, investigators of the Michigan Center for Translational Pathology, in Ann Arbor, with the support of National Cancer North American Institute, publish in Nature, of February 12, the results of an important work in cАncer of prСstata. Although the studies genСmicos and proteonСmicos have characterized many people proteМnas related to the process of cancerizaciСn, ═ little knows on the changes metabСlicos that mark it progresiСn tumor. </p> <p> The metabolism, on which this study is based, is the study of the trace quМmica that the cellular process leaves detrАs, what can help to cientМficos to interpret it cancerizaciСn. One of desafМos that confront them cientМficos is of integrating it informaciСn genСmica, proteСmica and metabСlica, to possess a picture ═ mАs finished of the living organism and of the illnesses that affect him. </p> <p> Using one tИcnica bien═establecida in the laboratories, her espectrometrМa of mass, which classifies the compounds quМmicos for his molecular weight, the investigators outlined mАs of 1126 metabolitos proceeding from 262 samples clМnicas related with cАncer of prСstata. These metabolitos were selected up to staying with six, of which one, the sarcosina, mostrС to be even significantly raised during progresiСn from a growth prostАtico benign to one cАncer of prСstata located to one metastАsico. That's why caracterМstica, sarcosina was selected for mАs studies. </p> <p> Then they practised them ═ with cultivation of cИlulas. They observed that the sarcosina levels were mАs raised in cИlulas invasive of cАncer of prСstata than in the benign ones. And even that her adiciСn of sarcosina to the cellular cultivation towards which cИlulas benign they were transforming in invasive. </p> <p> It Is possible that the sarcosina serves for diagnСstico, pronСstico and the interventions terapИuticas of the patients with cАncer of prСstata. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> MODIFICATIONS IN THE DIET ENLENTECEN THE PSA DESPUиS OF THE TREATMENT </span>

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<span class = "texto_noticia"> <p> The doctor James Carmody and collaborators, of the University of Massachusetts Medical School, in Worcester, have published in Urology a study in 36 men with cАncer of prСstata confirmed by biopsy, treated locally mАs of 6 months earlier and that they were presenting increase of the PSA. </p> <p> The investigators assembled the participants and his couples. Then, the randomizaron in two groups: the first one atendiС to 11 classes on alimentaciСn and he cooks, emphasizing in the same ones the importance of a diet rich in food vegetable and fish; the second one, was a group control that not recibiС this one formaciСn. </p> <p> The investigators controlled the quality of life of both groups, levels of PSA (to the beginning, at the age of eleven weeks and at the age of three months). </p> <p> The informed group consumiС signficativamente less unsaturated fats, mАs proteМnas vegetables and less proteМnas of animal origin, including products lАcteos, that the group control. The first ones tambiИn communicated mejorМa in his quality of life. </p> <p> Although there were no significant differences in the percentage of increase of PSA between both groups, the average time of folding of the PSA of the informed group was substantially mАs long 3 months after study that the correspondent to the group control. </p> <p> The authors recommend that future studies deberМan to examine the effect of a healthy diet for prСstata in a patients' sample mАs wide and with major learning time. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> THE PERSONS WITH CаNCER OF PROSTATE OF GOOD PRONсSTICO MUST WATCH OTHER ILLNESSES (28-I-09) </span>

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<span class = "texto_noticia"> The doctor James S. Goodwin and collaborators, of the University of Texas medical Branch, Galveston, have checked 208.601 men in ages between 65 and 84 aЯos, diagnosed of cАncer of prСstata between 1988 and 2002, of 11 different regions of USA. The information procedМan of the Surveillance, Epidemiology and End Results (SEER) Tumor Registry. The authors compared the survival and cause of death of these men with the survival and cause of death of one poblaciСn control without cАncer of prСstata.

In case of cАncer of prСstata, they calculated the survival in funciСn of the stadium of the illness and the grade of the tumor: down (Gleason below 7); moderated (GleasoN, of 7) and high place (Gleason between 8 and 10) and they compared with the survival of poblaciСn theirs control. TambiИn valued the cause of death segЗn stadium and grade.

The results showed that:

1. The survival of the men with initial stadiums of cАncer of prСstata with grades tumors under or moderate (59,1 % of poblaciСn of patients with cАncer of prСstata) had a survival not worse than the men without this one cАncer.

2. TambiИn, between those men, the prime mover of death was not cАncer of prСstata but the cardiovascular disease and others cАnceres.

The men's excellent survival with cАncer of prСstata in initial stadiums and down to moderate grade, it implies that these persons must be watched for prevenciСn of the cardiovascular disease and others cАnceres. On this matter, for his possible implications in the cardiovascular health, the hormonal treatment must be checked. </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> YOU ASK FOR HIS MиDICO </span>

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<span class = "texto_noticia"> <p> In case of having being diagnosed of cАncer of prСstata, of course querrА to speak with his mИdico to find out everything what he is interested in. </p> <p> We Gather of Guardian.co.uk the interesting one relaciСn of questions on this matter: </p> <p> 1.�EstА sure good of which I have cАncer? (�Son sure the tests that it has realized to me?) . </p> <p> 2. �QuИ tamaЯo does it have my tumor? </p> <p> 3. �Se has it extended me cАncer?. Is �CЗal his stadium?. �EstА sure good of which this is my stadium? </p> <p> 4. �Necesito other tests to know if me cАncer it has gone on to the ganglions linfАticos from the abdomen or to other parts of my organism? �Son of confidence these tests? </p> <p> 5.�CЗal it is the grade of my tumor? (The grade says to us how aggressive the tumor and the probability is of that spreads) </p> <p> 6. �QuИ does importance have my age and my general health state? �Esto afectarА what is going to happen to me? </p> <p> 7. Although now I do not have sМntomas, �puede to go so far as to have them?. �En that these can consist sМntomas? </p> <p> 8. �Cada when tendrИ that to check me? </p> <p> 9. Is �CЗal the best treatment for mМ? �Tengo several alternatives? </p> <p> 10. �ExplМqueme the side effects of the treatment? </p> <p> 11. �QuИ possibilities do I have of recovering? �Cuanto time vivirИ? </p> <p> 12. �QuИ can I do to help me to mМ same? �Tengo that to change some aspects of my life style? </p> <p> 13. �CСmo can I tell to my family that I have cАncer? </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> THE ESSENTIAL WOMEN IN THE PRECOCIOUS DIAGNсSTICO OF THE CаNCER OF PRсSTATA </span>

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<span class = "texto_noticia"> <p> Lauren P. Wallner and collaborators, of the University of Michigan, publish in Cancer Epidemiology, Biomarkers and Prevention an interesting study realized in 2247 males in ages understood between the 40 and 79 aЯos. They interrogС if tenМan familiar history of cАncer of prСstata (CP), fear of enduring it and the marital state. </p> <p> The men with familiar CP history preferred in 50 % mАs to take part in diagnСstico precocious of the CP, compared with that not tenМan this precedent. Those who worried about the CP, two times mАs that not worried. </p> <p> But the probability of which a man with familiar history was accepting diagnСstico precocious was going down very much if the above mentioned person vivМa alone. Specifically, the men who vivМan alone were inclined to the screening in 40 % less than that vivМan with feminine couple. In the study not analizС which age the cause of this difference, but it seems opportune, to improve it aceptaciСn of the screening for CP, to speak to the couples apart from to the men. </p> <p> OPINIсN OF FEFOC. This work confirms something that we have observing for some aЯos, in the groups of support. In these we stimulate the patients who come acompaЯados of his couples. ═ The CP is one cАncer of the couple, so much before diagnСstico as in the treatment and despuИs of the same one. ═ </p> <p/> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> ASPIRIN AND PSA (23-11-2008) </span>

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<span class = "texto_noticia"> <p> Jay H. Fowke and collaborators, of Vanderbilt University, have presented in 7 ╙ Conference ("Borders in investigaciСn of prevenciСn of cАncer") Internationally Annual of American Cancer Research, a study for which the influence of the aspirin is valued and anti-inflamamtorios not steroids (ANES). They included in the study to 1277 participants that habМan been sent to urСlogo for biopsy of prСstata., for diverse illnesses in relaciСn to this one. ═ Approximately 46 % was taking AINES, especially aspirin (37 % of the whole of persons). </p> <p> The investigators observed that the use of aspirin acompaЯaba of minor levels (9 % mАs low) ═de PSA compared with men who were not taking it. They thought that quizАs aspirin reducМa the volume of prСstata and, therefore, quizАs of the volume of this one glАndula. But it was not asМ, them volЗmenes of prСstatas of the persons they were not changing because they were taking or not asprina. AdemАs, this effect, of diminishing the PSA, was mАs marked in those with cАncer of prСstaa that in that tenМan other illnesses of prСstata. </p> <p> This information raises two hipСtesis, to verify: one, that the aspirin has a protective effect against cАncer of prСstata, diminishing his activity; the second one points that the aspirin diminishes the PSA level for another different, not well-known mechanism, but that it can have harmful consequences. In effect, if the aspirin reduces the level of PSA - without effect on the tumor - it can be late diagnСstico, what serМa negative. </p> <p> The investigators conclude in the need to clarify the mecanismos═mediante the cuales═la aspirin it modifies the PSA, for aclrar if really it reduces the risk of cАncer of prСstata or simply it reduces the PSA level without antitumoral effect. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> FACTORS OF PERSONALITY LIKE PREDICTORES OF THE SATISFACCIсN IN THE ELECCIсN OF THE TREATMENT IN CаNCER OF PRсSTATA (20-11-2008) </span>

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<span class = "texto_noticia"> <p> Every time mАs the patients with cАncer verАn in situaciСn of there decides which is for them the best treatment to be continued. In this one decisiСn several factors have his influence, between them the personality features, as it demonstrates a recent study. </p> <p> The anti-cancer treatment offers every time mАs diverse possibilities to the patients. AsМ since, in the future the patients verАn every time mАs in the tessitura to have to choose between two or mАs treatments, once well informed on the part of mИdico. In the decision making, one of the factors that, undoubtedly, influence is the personality of the subject. </p> <p> An American group (Orom and others) have published a study in the magazine Psycho-oncology, in nЗmero of September in which they analyze quИ caracterМsticas of a group of patients with cАncer of prСstata they can take them to one decisiСn and to his satisfacciСn with opciСn chosen. </p> <p> The authors have interviewed a group of 202 suffering men from cАncer of prСstata, of whom it was refilled properly by 78,71 % (159) of the sample. In the administrated questionnaires incluМan measurements of optimism, car efficacy perceived at the time of choosing the treatment, satisfacciСn with opciСn chosen and difficulties in choosing the treatment. </p> <p> The results show several interesting information: in the first place the optimism varМa segЗn the level of studies of the patient: the patients with mАs grade of formaciСn acadИmica are mАs optimistic. Her percepciСn of autoefficacy asociС significantly to the capacity of decisiСn and to satisfacciСn with opciСn of treatment chosen. In this sense, it is necessary to say that 31 % of patients considerС difМcil or much difМcil to take one decisiСn. Both factors (optimism and autoefficacy) weighed significantly, asМ like the side effects of the treatments to be chosen. CaracterМsticas sociodemogrАficas they had no theirs influence in the results of the study. </p> <p> These results are important, since they throw light on a topic much of actuality, as it is the decision making in the anti-cancer treatments. Every time mАs, the patients with cАncer are going to turn out to be exposed to an informative offer consisting of diverse types of treatments or combinations of the same ones. It is lСgico to think that this process is going to be influenced for caracterМsticas diverse of the subject. Between the same ones, and segЗn this study, estА her percepciСn of autoefficacy (up to quИ point the patient feels effective at the time of deciding) and other one is the optimism (like positive attitude before the illness). These results must be studied mАs thoroughly, so implicarМan a way to promote psicolСgicamente the safety of the subject at the time of deciding with certain safety in sМ same. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> MANIFESTO FEFOC-MOVEMBER ON THE CURRENT SITUACIсN OF THE CаNCER OF PRсSTATA (18-08-08) </span>

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<span class = "texto_noticia"> <p> One of the big problems of health of the man in the XXIst century is cАncer of prСstata. Despite it, one speaks little of this one cАncer and less of his problemАtica. For it, we exhibit aquМ a set of realities and recommendations to help the men, his couple and the Society, to face as a whole with the reality of cАncer of prСstata (CP). </p> <ol type = "1"> <li> THE INCIDENCE OF THE CP INCREASES AяO AFTER AяO. AT PRESENT THERE REGISTER IN ESPAяA ABOUT 13.500 CASES NUEVOS/AяO AND APPROXIMATELY 6.000 PERSONAS/AяO DIE FOR CP, BOTH NUMBERS AT THE LEVEL OF THE PROPER ONES OF THE CаNCER OF BREAST (CM) </li> <li> AFTER HIS FUNDAMENTAL CAUSE IS IGNORED, THERE IS NOT PREVENCIсN POSSIBLY. </li> <li> SOME WELL-KNOWN FACTORS THAT CAN INCREASE THE RISK OF ENDURING IT ARE FAMILIAR PRECEDENTS OF CP, SEDENTARISMO, EXCESSIVE CONSUMPTION OF DERIVATIVES LаCTEOS and DиFICIT IN VEGETABLES AND FRESH FRUITS. </li> <li> ON THE CONTRARY, THE EXERCISE FмSICO DAILY, THE DIET MEDITERRаNEA AND IN A CONCRETE WAY, THE SEED OF LINEN AND THE LICOPENO CONTAINED IN THE TOMATO, ACTUARмAN FAVORABLY DIMINISHING HIS RISK. </li> <li> THE PRECOCIOUS DIAGNсSTICO OF THE CP HAS IMPROVED IN A SPECTACULAR WAY WITH THE SIMPLE ONE DETERMINACIсN IN THE BLOOD OF A SUBSTANCE KNOWN AS PSA, PRODUCED BY THE PRсSTATA AND BY THE TUMOR. IN EFFECT, BEFORE THE PSA, THE PATIENTS' MAYORмA THEY WERE DIAGNOSED BY WIDESPREAD ILLNESS (METаSTASIS), INCURABLE. </li> <li> TODAY IN DмA, IN CASE OF ENDURING CP, THE PERSONS' MAYORмA TO THOSE THAT THE PSA PRACTISES ON ITSELF, PRECOZMENTE IS DIAGNOSED WITH TUMORS LOCATED IN THE PRсSTATA AND THEREFORE, CURABLE. </li> <li> IT IS FOR IT THAT THE MEN OF MаS OF 50 AяOS (OR OF MаS OF 40 IF THEY HAVE FAMILIAR PRECEDENTS OF CаNCER OF PRсSTATA) MUST REALIZE AN ANNUAL PSA. </li> <li> THE CONTROL OF THE PSA CAN REDOUND TO A PROBLEM OF ANXIETY SO CALLED ▒PSAITIS ▓. IN MEN PERFECTIONISTS WITH TENDENCY, TO CONTROL EVERYTHING, IT CAN GO OVER TO OBSESSIVE FEATURES THAT CAN NEED THE HELP OF A PROFESSIONAL. </li> <li> GIVEN THE BIG ADVANCE IN THE PRECOCIOUS DIAGNсSTICO, THE TREATMENT OF THE CP LOCATED (CIRUGмA OR RADIOTHERAPY, BOTH EQUAL OF CURATIVE) IS VERY CURATIVE. </li> <li> BUT THE PATIENTS PAY AN EXCESSIVE AND UNJUST TOLL, SINCE, ESPECIALLY THE CIRUGмA, IT CAUSES THEM TO THE MAYORмA DIVERSE GRADES OF SEXUAL POWERLESSNESS (║PERO WITH CONSERVACIсN OF THE LмBIDO!) .Y A BASTANTES, URINAL INCONTINENCE. </li> <li> THE HORMONAL TREATMENTS (THAT ARE APPLIED EARLIER AND DESPUиS OF THE LOCAL TREATMENT OR IN PATIENTS WHOSE ILLNESS RETURNS AFTER THE LOCAL TREATMENT OR IN PATIENTS WITH METаSTASIS) KEEP ON BASING IN THE зLTIMOS 40 AяOS IN THE CASTRACIсN. </li> <li> IF THE HORMONAL TREATMENT IS PROLONGED, APART FROM THE ABSOLUTE SEXUAL POWERLESSNESS, THE PATIENTS SEE AS THE VOICE SHARPENS THEM, HIS HIPS EXPAND, THEY LOSE THE HAIR AND EVEN THEY THE BREASTS GROW. IN A WORD, I KNOW FEMINIZAN. </li> <li> THE CURRENT SITUACIсN OF THE PATIENTS WITH CP WHO NEED HORMONAL TREATMENT IS SIMILAR TO THAT OF THE ADVANCED CM IT DOES 40 AяOS. THEN, TO TRY TO RESIST THE ESTмMULO OF CELLULAR GROWTH OF THE FEMININE HORMONE, THEY PRESCRIBмA MASCULINE HORMONE, WITH WHAT THEY WERE MASCULINIZED (TENмAN THAT TO SHAVE OFTEN, VOICE BURDENS, ETC), WITH DEEP DETERIORATION OF HIS QUALITY OF LIFE. </li> <li> THE CP AND HIS TREATMENT PROVOKE PROBLEMS IN THE MASCULINE SELF-ESTEEM AND, IN THE LONG RUN, DEPRESIсN. THE COINCIDENCE FREQUENTS OF THE CP WITH THE AGE OF THE JUBILACIсN AND THE INDEPENCIA OF THE CHILDREN THEY CONTRIBUTE TO THE FEELING OF VACмO, SADNESS AND SOLITUDE. IT PROVES TO THE MAN MаS DIFмCIL TO RECOGNIZE, TO LOOK AND TO ACCEPT HELP PSICOLсGICA. </li> <li> THE CP TURNS INTO A PROBLEM OF COUPLE. IT IS NECESSARY TO ESTABLISH BONDS OF COMUNICACIсN OPEN SEAS AND TO CONFRONT IT LIKE A PROBLEM COMзN. THERE MUST BE LOOKED VмAS ALTERNATIVES THAT SATISFY BOTH, IF IT IS NECESSARY WITH THE HELP OF AN EXPERT PROFESSIONAL IN SEXOLOGмA. </li> <li> SINCE THERE IS DEC HO OF OTHER SITUATIONS, IT IS NECESSARY THAT THE MEN WITH CP GO OUT OF THE CLOSET. IN EFFECT, ASм SINCE FINDING IS RELATIVELY FаCIL WOMEN WITH CаNCER OF BREAST READY TO COLLABORATE WITH OTHER WOMEN IN HIS SITUACIсN AND TO GIVE TESTIMONY PзBLICO, THE AFFECTED ONES BY CP USUALLY HIS SITUACIсN AND DENY PRETEND HIS TESTIMONY. </li> <li> IT IS DUE TO A GREAT DEGREE TO THE FACT THAT THE TREATMENT OF THE CP AFFECTS DEEPLY TO THE MASCULINITY. BUT ASм AS BEFORE THE CM, THE WOMAN COLLABORATES, THE MAN, WITH CP, GOES AWAY, SOLITARILY, TO INTERNET. </li> <li> ║HA COME THE MOMENT OF WHICH THE MEN WITH CP GO OUT TO THE LIGHT PзBLICA, COLLABORATE FEFOC-MOVEMBER AND FIGHT FOR RADICAL CHANGES IN THE TREATMENT OF THE CP. </li> <li> IN THE XXTH CENTURY, IN THE DиCADA OF THE 70, SWEDISH WOMEN WITH CаNCER OF BREAST WENT OUT TO THE STREET, TO THE MAGAZINES, TO THE TELEVISION, TO PROCLAIM THAT IF THE SURGEONS HAD CаNCER OF BREAST ALREADY HABRмAN FOUND THE WAY OF WHICH THEY WERE NOT CUTTING THE BREAST. THEY DID OF THE TOPIC OF THE CM A FEMINIST REINVINDICACIсN. ASм INICIс THE REVOLUCIсN OF THE TREATMENT OF THE CM, THAT CULMINс WITH THE CALLED CONSERVATIVE TREATMENT. </li> <li> ║HA COME THE MOMENT OF WHICH WE DO OF THE CP A TOPIC OF MASCULINITY OF GOOD. MEN WITH CP, ║SALID OF THE CLOSET, ASSOCIATE YOU WITH THE GROUPS OF SUPPORT OF FEFOC AND HELP US TO REVOLUTIONIZE THE SITUACIсN OF THE PRESENT PATIENTS AND YOUR PROPER FUTUROSPARA I AM OF BENEFIT AND SO THAT OTHERS DO NOT SUFFER WHAT HE HAS HAD YOU TO SUFFER! </li> </ol> <p> FEFOC HAS ASSOCIATED WITH MOVEMBER (TO SEE THE INSERTED DVD IN THE WEB PаGINA OF FEFOC, <to href = "index.html"> www.recaf.net </to>, IN THAT ONE TELLS THAT AND WHO THERE IS THE INITIATORY INTERNATIONAL MOVEMBER AND THE ACTIONS FILANTRсPICAS THAT RIDE TO END TO HELP TO IMPROVE THE HEALTH OF THE MEN AND THE PROGRESS IN CP), TO COLLECT FUNDS AND INITIATIVES THAT ALLOW TO IMPROVE THE DELAY THAT ENDURES THE TREATMENT OF THE CP BY MEANS OF THE INVESTIGACIсN OF OTHER MEANS OF TREATMENT, EXTEND THE PRECOCIOUS DIAGNсSTICO AND GIVE SUPPORT OF ALL KINDS TO THE PATIENTS AND TO HIS RELATIVES. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> MаS POLиMICA ON THE PSA </span>

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<span class = "texto_noticia"> <p> The doctor Charles Scales and collaborators, of Duke University, Durham, North Carolina, USA, publish in the magazine August Cancer, a study realized in 58.511 men taking part in 2002 behavioral Risk Factor Surveillance System. </p> <p> Globally, 22,5 % of men in ages between 40 and 49 aЯos and 53,7 % of major than this Зltima age, communicated that in aЯo previous habМan practised a PSA in to aЯo previous to the study. Her significaciСn estadМstica between both groups it was p<0.001 in favor of the biggest of 50. As a whole, one of the five minor men of 49 aЯos habМa practised the test for mАs of one of every two of the biggest. </p> <p> East is afraid it is important in a moment in which many people mИdicos consider important to extend the PSA to this group of men jСvenes. </p> <p> There Is so much contradictory information on the moment to initiate the PSA that is difМcil to continue or to advise an agreed strategy. AsМ, American Cancer Society recommends to initiate to his 45 aЯos, and earlier if there have been familiar precedents of cАncer of prСstata. Others recommend, from 50 aЯos, every person to value the risks and advantages of the annual PSA with his mИdico. TambiИn it is recommended it the men not to do from 75 aЯos, but others think the contario. </p> <p> We Need mАs investigaciСn on this matter to be able to provide clear and objective norms. </p> <p> The authors conclude that it is necessary to intensify the study of strategies based on estratigficaciСn d elas persons segЗn risk factors. </p> <p> FEFOC keeps on being impressed by the cmbio d emodelo of presnetaciСn of cАncer of prСstata in persons that hacМan previously in a this regular way anАlisis. In effect, the located cases are her mayotrМa. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> �аS ALLа OF THE LICOPENO? (6-08-08) </span>

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<span class = "texto_noticia"> <p> Doctor Jessica Campbell and collaborators, of the Universityty of Illinois, Urbana-Champaing, publish in Nutrition Research an interesting experimental study on licopeno and other fitocompuestos and his possible benefit in prevenciСn of cАncer of prСstata. </p> <p> The investigators fed during 30 dМas male mice by means of a diet based on tomato. They sacrificed despuИs to the animals and analyzed where the compounds contained in the tomato were accumulating, with atenciСn specially to prСstata and hМgado. Then they observed that, ademАs of the licopeno, fitoene and fitofluene tambiИn they were accumulating in prСstata and hМgado. Fitoene mАs in hМgado that the second one and that the licopeno while licopeno it was concentrating mainly in prСstata, continued for fitofluene and fitoene. </p> <p> East work provides the better one comprensiСn relative to acumulaciСn of fitoene and fitofluene, compared with that of licopeno. </p> <p> The licopeno is well-known for the place that can have in prevenciСn of cАncer of prСstata, cАncer whose incidence etsА increasing in the Зltimos 15 aЯos. </p> <p> The FDA (Food and North American Drug Administration, says that the tomato reduces the risk of cАnceres of estСmago, ovary, pАncreas and prСstata. But at the same time, it is powerful and important instituciСn it has raised despuИs doubts about the efficacy of the alone licopeno in protecting against some cАnceres, saying that the evidence cientМfica does not support this one aseveraciСn. On the contrary, the FDA thinks that the tomatoes take his protective effect as a different compound, which podrМa to be fitoene or fitofluene or to a synergy between several compounds. </p> <p> The work of doctor Campbell apoyarМa again the priority importance of the licopeno in cАncer of prСstata. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> MаS ON THE SCREENING IN CаNCER OF PRсSTATA (5-08-08) </span>

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<span class = "texto_noticia"> <p> Task Force (panel of independent experts mАs important in prevenciСn and atenciСn would occupy first place) of USA, leads very rigorous studies and impartial evaluations on the evidence cientМfica of a wide problems bogey clМnicos prevenctivos, including advice on screening and preventive medications. His recommendations estАn considerdas as mАximo estАndar for the preventive topics. </p> <p> For this one ocasiСn they have valued the evidence or it does not demonstrate of the benefit of the screening in cАncer of prСstata (CP). The screening in CP is carried out usually by means of determinaciСn of the PSA and the rectal tact. It is mАs probably that cАncer it is detected by means of PSA than for rectal tact. But the CPs detected only by PSA take aЯos before affecting the health. Many CP are late mАs of 10 aЯos in causing the death. </p> <p> A man of 75 aЯos has a life expectancy of 10 aЯos and he is mАs probably that he dies of other causes than of CP, ═ therefore it is slightly probable, segЗn Task Force, which the screening for CP could help in that he lives mАs. </p> <p> At the same time, the screening causes sometimes mАs daЯo that I benefit, seЯalan (unnecessary biopsies, unnecessary treatments and false-positive results, which lead to anxiety). The treatment of the CP leads often to severe complications, like incontinence and powerlessness. These indolent CP (of slow growth) of course had never affected the health of the patient or his well-being but had been detected by the screening. </p> <p> current Information shows that in USA mАs of the third part of men of mАs of 75 aЯos the PSA is practised but many organizations mИdicas suggest that it is determinaciСn I discontinued in men of less than 10 aЯos of life expectancy. Precisely the presente═estudio carried out by North American Task Force is the first en═que se═explicita specifically an age, 75 aЯos, over which the screening or serА infectivo or harmful. </p> <p> As for men of less than 75 aЯos, the information continues without being concrete as for his benefit, Task Force always continuing. They think that every person must consult with his mИdico to value the risks and advantages of the screening for the age sector of less than 75 aЯos. </p> <p> From the point of view of this FEFOC it is an important work, but it leaves a doubts sea. Especially as for the minors of 75 aЯos or you present yourself hopefully of life of mАs of 10 aЯos. The true thing is that the bogey of the CP has changed radically in the age PSA: in effect, her mayorМa of patients they are diagnosed in early stages of the illness, without metАstasis, mАs fАcilmente controlables. At least in persons of less than 75 aЯos we recommend the screening and, inviertiendo them tИrminos, we believe that, from 75 aЯos every person must consult with his mИdico so that it values his individual case and his life expectancy and its own preferences. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> �INMUNOTERAPIA IN CаNCER OF PRсSTATA? (2-08-08) </span>

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<span class = "texto_noticia"> <p> In Urology Times I taken one to end gathers a study phase in the University of Iowa, Iowa City, USA, directed by the doctor Richard D. Williams and collaborators. 32 patients included with cАncer of prСstata placed in advanced stadiums D2 or D3. ═ The target of the study was of valuing the presence or absence of toxicity of a vaccine at the same time that to try to be necessary which serМa his dose Сptima. </p> <p> They Prepared a vaccine PSA/adenovirus, sure for the being human and capable of provoking an answer inmunolСgica of the proper organism, with producciСn of antibodies anti-PSA and cИlulas T. The patients in the essay were treated by only one inyecciСn subcutАnea of that disponМan three levels segЗn his aptitude to obtain answer. The patients, after inyecciСn were controlled fМsica, clМnica and analytically to 14 and 21 dМas and despuИs at the age of 2,4,8 and 12 months despuИs. </p> <p> The medium survival of the patients was 18 months with a patient living through almost 6 aЯos (Аmbito between 2,5 months and 71 months). The time of folding of the PSA aumentС═en 48 % of patients (positive fact because enlentecer the time of folding of the PSA is parallel to disminuciСn of activity of the tumor) ═y their 57 % lived mАs of the awaited thing (utiizaron a series of parАmetros of survival to give this fact). </p> <p> The vaccine works inducing the immune answer to the PSA in cИlulas of cАncer of prСstata. When the vaccine is injected, the virus enters in cИlulas the place of inyecciСn. In turn, these cИlulas produce and they secrete proteМna PSA. The protein, with the virus since acompaЯante is taken by it for cИlulas with reacciСn antigИnica. Them cИlulas they emigrate to the regional ganglions, where they induce it formaciСn of cИlulas T anti-PSA, which go out of the ganglions and tumor PSA secretoras attack them cИlulas. </p> <p> The investigators admit that his results come exclusively from an essay phase I, very initial stage of investigaciСn clМnica, that, like seЯalaba at first, it is a phase mАs faced to toxicity and dose that to value turned out. Nevertheless, it can help that understands mejor═la active immunotherapy to treat cАncer of prСstata recidivante and resistantly. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> ABIRATERONE, A NEW HOPE FOR PATIENTS WITH CаNCER OF PRсSTATA RESISTANT </span>

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<span class = "texto_noticia"> <p> The Bond doctor leads, from The Institute of Cancer Research and The Royal Marsden Hospital, both in UK, ═la investigaciСn of a new medicine, Abiraterone, which can mean a big hope for patients with cАncer of prСstata aggressively, resistant to the habitual hormonal treatments. The study is carried out in ten hospitals britАnicos. </p> <p> the Journal of Clinical Oncology they have published The first results in. The alone medicine has been applied to 21 patients, by what the results, very important, must be confirmed by essays clМnicos large-scale. Really already estА in march one that incluirА to 1200 patients, all of them with cАncer of prСstata advanced, aggressive, resistant to the current hormonal treatments and with one pronСstico fatal in not long term. </p> <p> In the preliminary study they emphasize the benefits clМnicos following: in 70-80 % of patients the PSA disminuyС his levels and the tumors his tamaЯo. The side effects were small. The patients were followed during two aЯos and I come up. Several patients could leave the morphine, which they were taking for enduring important pains Сseos. </p> <p> Abiraterone, of aplicaciСn vМa oral, ═bloquea producciСn of the sexual hormones in all the textiles, that is to say, not only in testМculos and in glАndulas adrenal but tambiИn it blocks his it generaciСn of hormones for the proper tumor. </p> <p> The investigators calculate that her disposiciСn general of the medicine serА in aЯo 2011. Till then, to use it it is necessary to begin to be part of some of the essays clМnicos controlled at present in march. These essays are slow, if it is compared with desesperaciСn of many patients, but essential to know thoroughly well the beneficial effects (not only on PSA and tumor but tambiИn on the survival of the patients) and tambiИn to observe other possible negative effects of the same one. </p> <p> Be as it is, a hope door is opened for the patients with cАncer of prСstata advanced, aggressively and resistantly. </p> <p/> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> THE HORMONAL TREATMENT IN CаNCER OF PRсSTATA PRODUCES DISMINUCIсN COGNITIVE </span>

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<span class = "texto_noticia"> <p> The doctor Christian Nelson and collaborators, of the Brief Sloan-Kettering Cancer Center, New York, USA, have published in nЗmero of July of the magazine CАncer an important study on hormonal treatment in case of cАncer of prСstata ═ like cause of disminuciСn cognitive. For it they have assembled the results of 19 studies on this matter. </p> <p> The analyzed patients were diagnosed of cАncer of prСstata and recibМan hormonal treatment (to see FEFOC, Types of cАncer). The hormonal treatment produces one deprivaciСn of producciСn of masculine hormone or testosterone. </p> <p> Between 47 % and 69 % of the men under hormonal treatment showed deterioration in one or mАs Аreas cognitive. Them mАs affected they were her funciСn executive (realizaciСn of concrete tasks) and the visio-spatial one. </p> <p> The authors based on studies on animals and on men of advanced age, deduce that the testosterone and his derivatives influence positivamente═sobre the cognitive Аrea to travИs of diverse cerebral mechanisms. For example, the testosterone can modulate the neurotrasmisores and can stimulate connections neuronales. </p> <p> They Suggest studies mАsa finished, in that they should be included tИcnicas of cerebral image, as it has been done in the studies that have demonstrated the adverse cognitive effects of the chemotherapy in the woman with cАncer of breast. </p> <p> TambiИn they are alert to clМnicos so that there are conscious of these interrelations, in cАncer of prСstata, between hormonal treatment deprivativo of testosterone and cognitive problems, since this type of treatment increases. MИdicos they must watch the ═respecto to the patients and monitor them to detect if so worrying adverse effects appear. </p> <p> FEFOC thinks that there is done a certain abuse of these hormonal treatments, which so many problems cause, apart from warned opportunely in the study that we comment. MАs important it is, of course, the sexual powerlessness. We say that there is a certain abuse because every time treatments are indicated mАs long, without it remaining completely clear that they benefit to the patient mАs that less long hormonal treatments. In patients with cАncer of prСstata forward position similar results are obtained by means of discontinuous hormonal treatment (to the demand segЗn PSA levels) than with the continued entire hormonal blockade, but that is a cause of much of the problems on that we comment. </p> <p> TambiИn it is true that her soluciСn it must be looked in treatments of cАncer of prСstata that they do not cause so many complications and that they alter so much the quality of life of the patients. </p> <p> The investigators and the industry farmacИuitca have aquМ a big challenge, if they can gather it. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> RESOLUCIсN HISTсRICA IN CаNCER OF PRсSTATA </span>

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<span class = "texto_noticia"> The Representatives' CАmara of the United States of AmИrica has passed, 26-6-08, one histСrica legislaciСn (National Prostate Cancer Coalition online) in which one asks for a support increase, on the part of the sectors pЗblico and deprived, for the development of tecnologМas of image advanced and innovative that should allow one diagnСstico mАs precocious of cАncer of prСstata (CP) and, as a result, better treatment. The CP is cАncer mАs frequent in USA and it is the second one-detrАs of of pulmСn - mАs lethal in the man.

ResoluciСn Elijah Cummings and the republican Dan Burton has been introduced for demСcrata, like expresiСn in the agreement regarding both parties. As reflex of the disproportionate one and elevadМsima CP incidence in poblaciСn African American, 30 members of this origin of the CАmara were co-esponsores of the initiative.

The CP is a threat for all the men. Thanks to this initiative the representatives' CАmara he has recognized the need to improve diagnСstico precocious like national priority, as important as diagnСstico for the image of cАncer of breast. AsМ since it happens with mamografМa in this one cАncer, it is of hoping that improving diagnСstico by means of image of the CP it must improve the quality of life of million patients and eliminate the CP as a terrible crisis in the life of the patient. AdemАs, serА possible, by means of better and guessed right diagnСstico, to save many resources.

The informers, together with his collaborators in the voluntariado, in the University, in the AdministraciСn and in the industry, hope that it is resoluciСn estimularА to the AdministraciСn and to lМderes in the national institutes of the health and in the departamiento of Defense, after it increase the funds for investigaciСn that make one possible diagnСstico mАs precocious and mАs hit, what it is crМtico to obtain interventions clМnicas and terapИuticas mАs effective and less aggressive than those who are used at present.

He does not get ready of means of image so effective as in cАncer of breast when we face the CP. The target is to obtain these means to happen to one situaciСn in that the procedure diagnСstico is mАs precocious, mАs I require and less aggressive, that it could be realized without depositing the patient, with mМnimo suffering, without complications and with less cost.

The current means, especially the PSA, have improved it detecciСn precocious of the CP, but often it results in false alarms, causing that, in USA, about one millСn of men have to be carried out unnecessary and traumАticas biopsies prostАticas annually. AdemАs, these biopsies lead to unnecessary treatments in 55 % of men with very initial illness.

Actor Barry Bostwick tells that they diagnosed him of CP in 1997. Without realizing it very well, eligiС her prostatectomМa radical. Although he thinks that her elecciСn that then it did it was that tenМa that to do, today in dМa he doubts if it was really necessary. With better instruments, it finishes, we will be capable of choosing without doubts.

On the other hand, the biopsy blindly of the actuality, it loses at least 20 % of cАnceres. Unnecessary or frustrated treatments lead to the sexual powerlessness, to the urinal incontinence or to both.

FEFOC greets hopefully this initiative. We are conscious of that diagnСstico and the treatment current of the CP estАn enormously slowed down, if it is compared by the proper ones of cАncer of breast. Sexual powerlessness - ║pero with conservaciСn of lМbido - incontinence and terrible consequences of the hormonal treatment. We congratulate the promoters of this initiative and we will keep on fighting so that it spreads to other countries. </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> THE TREATMENTS FOR CаNCER OF PRсSTATA CAUSE HIGH LEVELS OF ALTERATIONS PSICOLсGICAS </span>

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<span class = "texto_noticia"> <p> The nurses E. Ream, To. Quennell, L. Fincham and others, of six NHS Trusts (regions geogrАficas of the System of Health of UK), hna published recently, in British Journal of Cancer online (gathered news 17-VI-08) an important estudio═sobre the levels of distrИs psicolСgico, disfunciСn sexual and sМntomas in the low urinal tract, in 741 men with cАncer of prСstata, that answered to the sent survey. </p> <p> The treatment of cАncer of prСstata (CP) is complex and it endures important consequences (to see in <to href = "index.html"> www.recaf.net </to>). The CP is cАncer mАs frequent in the man. There is an increase of the valuations of survival. In effect, 71 % of patients lives to through 5 aЯos of diagnСstico. Her intenciСn of the treatments it is her curaciСn of the CP but every time it are mАs mИdicos that value previously the state urolСgico and sexually of the patient and then they take in consideraciСn the points of view of the patient, to do a suitable balance between efficacy of the treatment and negative side effects. </p> <p> there are known little the needs for support of the patients with CP ═ (that is to say, the requests of care that should arise during the illness and the treatment to handle the possible best thing the consequences). </p> <p> to try to know it better situaciСn, And. Ream and collaborators invited 1848 diagnosed CP men in 3 months before to 2 aЯos. There answered 820, to which they enviС a survey that, in the end 741 answered. 75 % of these tenМan mАs of 65 aЯos; the half (51 %) habМan been treated hormonalmente; 25 % with prostatectomМa radical and 28 %, with radiotherapy. 46 % said that his CP was in remisiСn. </p> <p> The study mostrС that the patients tenМan a significant percentage of not covered needs for support. The Аreas of major need was related with distrИs psicolСgico, problems related to the sexuality and to the handling of sМntomas of the low urinal tract. The patients that not tenМan skylight his state as for the illness, tenМan the biggest needs levels psicolСgicas while those that were not in remisiСn of the illness, tenМan major needs for informaciСn. 30 % of the whole padecМan moderate or extreme anxiety or depresiСn. A similar percentage tenМan difficulties to tackle usual activities. 26 % was experiencing extreme pain and 22 %, problems of mobility. </p> <p> During the month before the treatment, prАcticamente all (97 %) habМan had sМntomas urinal, including major frequency miccional y/o═necesidad of urinating at night (nicturia). These sМntomas were modified by the treatment, remisiСn and time passed from the Зltimo treatment. They were less severe in patients in remisiСn, in those agreements by means of prostatectomМa and/or in those that habМan completed his treatment between 19 and 24 months earlier d ela polls. </p> <p> Needs not satisfied with regard to the sexuality were mАs frequent in men jСvenes and in the agreements by means of prostatectomМa. </p> <p> The authoresses conclude in the need to value better the needs of the patients with CP and of that reciban═una major atenciСn psicolСgica. </p> </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> IN FAVOR OF THE DEFERRED TREATMENT OR "TO WAIT AND TO SEE" </span>

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<span class = "texto_noticia"> 11-VI-08 UROTODAY gathers the results of an important study presented by the doctors William V. Shappley and collaborators, of the Physicians`Health Study, to Annual Meeting of the American Urological Association, Orlando, Florida, USA.

In this study information of 2.587 patients has been gathered, from 1982 until 2004, with cАncer of prСstata. Between 2003-2005, they gathered informaciСn on the treatments got for 1.288 survivors. Between them, they valued the results of the called deferred treatment.

Deferred treatment (to wait and to see, vИase in www.recaf.net, of FEFOC), was defined as a delay in the definitive treatment of at least 1 aЯo from diagnСstico. It was not surprising that the patients submitted to this one tИcnica were major and with illness of minor risk. Neither more nor less than 38 % of patients, who initially were candidates for deferred treatment, continued without need for treatment with a median of pursuit of mАs of 7 aЯos.

When there compared the percentages of metАstasis between patients who chose treatment deferred with those agreements immediately, differences were not observed estadМsticas between both groups. True it is that comparaciСn can be discussed it, after there are differences as for the risk between both group. But they are very stimulant for the investigators of the study.

They consider important patients to be to keep on controlling with treatment deferred in protocols of alertness since happiness opciСn is every time mАs accepted and begins incorporating patients mАs jСvenes.

Considering the negative consequences (the principal one is the powerlessness and the changes of image, so much for cirugМa as for hormonal treatment) of the treatments of cАncer of prСstata and the cost of the treatments, the excessive treatment of many patients is a problem that worries. It is for it that the watched deferred treatment can help to diminish these problems. </span> <br/> </div>

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<div style = "text-align:justify"> <span class = "titulo_noticia"> HIGH LEVELS OF VITAMIN D AND CаNCER OF PRсSTATA AGGRESSIVE </span>

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<span class = "texto_noticia"> <p> Some experimental studies (of laboratory) it are seЯalado that her administraciСn with high vitamin doses D can provide the risk of cАncer of prСstata. So much it is asМ, that in the general recommendations to prepare this one cАncer, and even for patients that it is already developing, one comes incluyendo═dicha═vitamina as beneficial. </p> <p> But the laboratory works not always coincide with the studies that are done by patients or con═personas without the above mentioned illness but at the risk of developing it. </p> <p> On this matter, FEFOC wants to emphasize the results of one investigaciСn directed by the doctor Jiyoung and collaborators (of the Prostate, Lung, Colorectal═and Ovarian Cancer Screening Trial Project Team) and published in the Journal of the National Cancer Institute (2008, 100, 796-804). In his study 749 men have compared with cАncer of prСstata and 781 sin═cАncer. They observed two important facts: </p> <p> 1. That the patients with cАncer of prСstata and high vitamin levels D in his whey sanguМneo, tenМan cАnceres mАs aggressive. In effect, one mayorМa of patients tenМan Gleason grades (to see in this one pАgina online) aggressive, between seven and 10. AdemАs═eran mАs the patients with advanced stadiums III and IV. </p> <p> 2. Nevertheless, the global risk of developing cАncer of prСstata was not influencing for the nivel═de vitamin D. </p> <p> Nevertheless, her significaciСn estadМstica not alcanzС, what these results it is necessary to take them with precauciСn and to hope that they should be confirmed by means of studies mАs wide. </p> <p> On the other hand, to emphasize that, once mАs, the studies epidemiolСgicos and the essays clМnicos═con═humanos not always coincide with those of laboratory. ══ </p> </span> <br/> </div>

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