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  • Did You Know Prostate Cancer Screening Has Changed? Find Out Why It’s Better Now.
Article Category: Highlights

Did You Know Prostate Cancer Screening Has Changed? Find Out Why It’s Better Now.

And why it’s time to have a conversation with your doctor.

Published on September 21, 2022

Last updated 01:15 PM August 31, 2023

Illustration of scoreboard in stadium. Text reads "Hey man, know your stats, PSA < 4.0"

Quick history lesson: In the 1990s, U.S. doctors adopted the prostate-specific antigen test—or PSA—to identify prostate cancer early, when it’s more treatable. While the PSA helped more men get diagnosed, concern was raised over the risks versus benefits of biopsies, procedures and treatment. In response, the U.S. Preventive Services Task Force gave a controversial recommendation against routine screening with PSA in 2012.

But with new evidence from a variety of credible studies, they changed their recommendation in 2017. The current Task Force recommendation focuses on men having a conversation with their doctors about their risk for prostate cancer and the risks and benefits of screening.

Why did the guidelines change?

Prostate cancer is the most common cancer diagnosed in males after skin cancer. According to projections by the American Cancer Society, there will be twice as many new prostate cancer cases diagnosed as lung cancer this year.

“The prevalence of the disease cannot be ignored,” said Wellstar Health System Chief of Primary Care and Medicine Service Line Dr. Jeffrey Tharp, a primary care physician. “Early-stage prostate cancer has higher survivability than prostate cancer diagnosed in later stages.”

Dr. Tharp pointed out that while guidelines have changed, so have the way doctors diagnose and treat prostate cancer. An elevated PSA does not automatically mean a cancer diagnosis. And when cancer is diagnosed, some care options have no side effects.

Read on to learn:

  • Who should have a conversation with their doctor about prostate cancer screening, and when
  • Who is at higher risk
  • How the reason that’s holding some men back has changed
  • What is a PSA and why having them at regular intervals is important
  • Care options for prostate cancer

Some men have anxiety about what the treatment would be and the long-term effects of treatment. We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages.

- Dr. Jeffrey Tharp

Chief of Primary Care and Medicine Service Line, Primary Care Physician

Who should discuss prostate cancer screening—and when

If you have a prostate, you should discuss whether screening is right for you with your primary care doctor, nurse practitioner or physician assistant:

  • Starting at 40 if…you have a strong family history of prostate, breast, ovarian, uterine, colon and pancreatic cancer as well as melanoma—particularly if they were early onset or you have a known family history of carrying the BRCA1 or BRCA2 gene
  • Starting at 45 if…you’re a Black man, meaning you carry twice the risk of dying from prostate cancer 
  • Starting at 50 if…you have a typical risk level 

Is fear stopping you? 

“Some men have anxiety about what the treatment would be and the long-term effects of treatment,” said Dr. Tharp. 

But, he noted, treatment has changed a lot since the early 2000s.

“We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages,” he said. 

What exactly is a PSA?

A PSA test is a simple blood test you get at your doctor’s office.

The test measures the prostate-specific antigen, a substance in the body that is related to the presence of prostate cancer. However, a rise in PSA can also be caused by other factors such as recent sexual activity, exercise, prostate enlargement, age and infection.

“When someone has an elevated PSA for the first time, we put it in context,” Dr. Tharp said, indicating that doctors don’t automatically diagnose prostate cancer because of an elevated PSA. “A one-time PSA is important, but a trending PSA helps us see the bigger picture."

Once a PSA test result flags the possibility of cancer, primary care doctors typically refer patients to a urologist who specializes in prostate cancer treatment. 

Patients have a team helping them achieve their best outcome

At Wellstar, the patient’s doctors are part of a multidisciplinary prostate cancer care team at Wellstar who hold regular conferences dedicated to diagnosing, staging and planning care together so patients have the best outcomes. The prostate cancer team includes urologists, radiation oncologists, medical oncologists, pathologists, radiologists, primary care physicians and nurse navigators.  

“Once a man has been diagnosed with prostate cancer, our experienced physicians, navigators and nurses help him navigate the decision-making process around prostate cancer treatment,” said Dr. Olusola Davies, Wellstar radiation oncologist.

Because of the variety of prostate cancer types, how quickly their prostate cancer grows and other individual factors, each person’s treatment is tailored to them. Care plans may include active surveillance, prostate cancer surgery or radiation therapy.

“It’s important to give men time to absorb the information coming from the treatment team, ask questions and review things they might not be sure about,” Dr. Davies said.

Good news: newer treatments eliminate or reduce side effects

Many men with low-grade, early-stage prostate cancer choose to follow a treatment plan of active surveillance using a guideline-based protocol with their Wellstar physician. This option reduces unnecessary side effects from therapy and improves their quality of life.

In fact, more than 70% of Wellstar patients diagnosed with low-risk prostate cancer opt for active surveillance.

Various types of prostate cancer surgery, including minimally invasive robotic procedures, have the potential to spare nerves and preserve sexual function. And newer radiation therapies reduce radiation exposure to healthy tissue.

“Patient outcomes have been very good at Wellstar, and we have a well-coordinated interdisciplinary team to care for our patients,” said Dr. Tharp.

Make an appointment with your doctor today to discuss if the time is right to start screening for prostate cancer.

 
 

Tags

Jeffrey Lanier Tharp Olusola Obayomi-Davies Cancer Care
Primary Care Mens Health
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Highlights

Walk Through a 7-Foot Colon Model and Learn About Screenings at Wellstar Events

Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a 91% survival rate.

For someone at average risk, screenings should begin at age 45. Those with a higher risk or a family history of colorectal cancer may need to start screening sooner. Talk to your care team to create a personalized screening plan.

To raise awareness of the importance of colon cancer screenings, Wellstar’s surgery, gastroenterology, cancer care and community health teams will host informational events throughout March. Visitors can walk through a large inflatable colon model, learn about the importance of screening and early detection, and at some events, nurses will be available to help patients schedule a colonoscopy.

  • March 6, 8 AM - 4 PM, Wellstar MCG Health Medical Center B Entrance 
  • March 6, 11 AM - 1 PM, Wellstar Kennestone Cancer Center
  • March 11, 10 AM - 2 PM, Wellstar Sylvan Grove Medical Center
  • March 12, 8 AM - 4 PM, Wellstar Spalding Medical Center
  • March 16, 8 AM - 4 PM, Wellstar Douglas Medical Center Main Lobby
  • March 17, 8 AM - 4 PM, Wellstar Paulding Medical Center Main Lobby (upstairs)
  • March 18, 10 AM - 2 PM, Wellstar Windy Hill Main Lobby
  • March 20, 8 AM - 4 PM, Wellstar West Georgia Medical Center Main Lobby
  • March 23, 8 AM - 4 PM, Wellstar East Cobb Health Park
  • March 24, 8 AM - 4 PM, Wellstar Avalon Health Park Lower Level Lobby
  • March 25, 8 AM - 4 PM, Wellstar Vinings Health Park
  • March 26, 8 AM - 4 PM, Wellstar Acworth Health Park
  • March 27, 8 AM - 4 PM, Wellstar Cherokee Health Park
  • March 31, 8 AM - 4 PM, Wellstar Cobb Medical Center

Call our colorectal cancer screening hotline at (470) 793-4032.

Photo of inflatable colon

Keep reading
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Highlights

Make Colon Health Your Habit

For many people, talking about colon health can be a little uncomfortable. However, medical issues don’t just go away if you ignore them.

Being proactive about your well-being with preventative care can help catch colorectal cancer or another serious condition early, often before it becomes a bigger problem.

Wellstar is committed to keeping your colon healthy with preventative screenings and expert care, so you can continue to live well.

Catch colon cancer early

Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a survival rate of 91%.

“Colon cancer is the second most common cause of cancer death in the United States, so it’s very important that everyone gets screened,” said Wellstar Gastroenterologist Dr. Cameron Body. “For an average risk person, screenings should begin at age 45.”

Those with a higher risk or a family history of colorectal cancer may need to start screening sooner. Partner with your provider to create a personalized screening plan—and stick with it to stay ahead of the disease.

“Recently, colon cancer has been a major trending topic in public discourse, and it has been impacting younger individuals each year. It is important to start colon cancer screening at the age of 45 or sooner if you have a family history of colon cancer,” said Wellstar Gastroenterologist Dr. Shani Clay. “This is a preventable disease, so please speak with your primary care clinician or gastroenterologist to help get you screened. Colonoscopies can help prevent colon cancer, diagnose and help direct early treatment if you are diagnosed.”

The death rate for colon cancer in older adults has been decreasing for the past several decades due to screenings, according to the American Cancer Society. Screenings can identify polyps before they become cancerous and can catch cancer earlier when it is more easily treatable. However, in people under 55, death rates from colon cancer have been increasing by about 1% per year since the mid-2000s.

Why colonoscopies work

During a colonoscopy, a Wellstar gastroenterologist will view the inside of your colon and look for polyps or any other abnormal tissue that could be cancerous. This preventative testing is key to catching colorectal issues at the start.

“A colonoscopy is the gold standard when screening for colon cancer. The procedure itself is not painful, and we make sure you’re comfortable throughout the process,” Dr. Body said. “The goal is to do a high-quality exam with a good prep to find polyps when they’re small and get them removed to minimize the risk of them subsequently developing into cancer.”

Polyps take about five to 15 years to evolve into an invasive cancer, according to Dr. Carmen Klass, oncologist and hematologist with Northwest Georgia Oncology Centers, a care partner of Wellstar.

“If you have a colonoscopy every five to 10 years, they can remove the polyp and it will never be declared an invasive cancer,” Dr. Klass said. “In fact, if all Americans did their screening colonoscopies every five to 10 years, the death rate for colorectal cancer would drop by 50%.”

See how colorectal cancer screening saves lives.

Signs of colorectal cancer

  • Colon cancer is typically discovered when a patient has a colonoscopy, but it’s important to watch for these warning signs:
  • A change in your bowel habits, such as persistent diarrhea or constipation
  • Bloody stools or rectal bleeding
  • Abdominal discomfort, such as cramps, gas and pain
  • Feeling like you are unable to empty your bowels completely
  • Weakness or fatigue
  • Unexplained weight loss

If you experience any of these symptoms, contact your care team right away.

Colorectal cancer care at Wellstar

If you have been diagnosed with colorectal cancer, count on Wellstar for comprehensive, personalized care. Our specialists will work together with you to form a tailored treatment plan and offer support every step of the way.

“When a patient is diagnosed with cancer, we walk with them and guide them on this difficult journey,” Dr. Klass said, sharing how Wellstar provides compassionate care.

Wellstar offers medical expertise close to home, clinical trials and state-of-the-art surgical procedures to treat colorectal cancer. We also have a multidisciplinary gastrointestinal (GI) tumor board that diagnoses and creates treatment plans collaboratively.

Along with cancer surgeons, medical oncologists and other experts, our care team also includes nurse navigators, dietitians, social workers, psychologists, psychiatrists and counselors to provide complete care and support.

Learn how Wellstar cares for colorectal cancer.

Get answers with genetic testing

Whether you have been diagnosed with colorectal cancer or are concerned about the chance of developing it, genetic testing can help you understand your risk of getting the disease.

If your parent, sibling or child has had colorectal cancer, you are two to three times more likely to develop the condition compared with someone with no family history. Our genetic counselors can help determine how genetic testing could benefit you and your family.

“Wellstar offers support from genetic counselors to help keep other family members safe in the future,” Dr. Klass said.

Find out if genetic testing is right for you.

Keep reading
Clinician speaking with patient

Highlights

Wellstar Expands Care in West Georgia

To serve our community’s growing healthcare needs, Wellstar has opened a new location in LaGrange with urgent care and primary care services.

“With urgent care and primary care together in one place, we’re making it easier for patients to access the appropriate level of care close to home while strengthening the overall health of LaGrange and the surrounding communities we serve,” said Coleman Foss, president of Wellstar West Georgia Medical Center.

Urgent Care 

Wellstar opened its first urgent care center in LaGrange to help meet the needs of West Georgia. Wellstar Urgent Care provides:

  • Care for minor illnesses and injuries, such as coughs, colds, sprains and broken bones
  • Treatment for medical issues like bites, burns and cuts
  • Flu care
  • Rapid COVID-19 testing for all ages
  • Labs and X-rays
  • Sports physicals
  • Worker’s compensation services

Walk-ins are always welcome, but you also have the option to book a visit online at the time that works best for you. Booking online can help reduce your wait time once you arrive.

Wellstar Urgent Care

2220 Vernon Street

LaGrange, GA 30240

(762) 888-1490

 

Check in at this location 

Primary Care

Primary care is ongoing, comprehensive care and preventative medicine that helps you live a full, healthy life. Visit Wellstar Primary Care for:

  • Non-emergent health concerns 
  • Chronic conditions 
  • Routine checkups and annual wellness exams
  • New or worsening symptoms 
  • Immunizations

Wellstar Primary Care

2220 Vernon Street

LaGrange, GA 30240

(762) 888-1510

Schedule at this location

 

 

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