PSA Screening Flowchart
For decades the random 12-core biopsy has been the standard of care for diagnosing prostate cancer. What most men don’t know is that random biopsy can be dangerous and its …
Multiparametric MRI and Color Doppler Ultrasound
For decades the random 12-core biopsy has been the mainstay for diagnosing prostate cancer. Unfortunately, there is a slew of problems that comes with random biopsy, including misdiagnosis, infection, and …
Active Surveillance
BY MARK SCHOLZ,MD A Cancer that Can be Watched If someone tells you your cancer can be watched instead of treated, your initial reaction might be that they have no …
Avoid Random Biopsy: PSA Screening Flowchart
Elevated PSA does not point specifically to prostate cancer; it is only an indication that further investigation is necessary. Each year one million men are biopsied when they do not …
Prostate Vanguard E006: Active Surveillance Scanning and Testing
The process of Active Surveillance, the way we practice in Marina del Rey, is to perform a PSA blood test every three months and plot these results on a graph, …
Prostate Vanguard E003: Useful Imaging
IS IT POSSIBLE TO SKIP A BIOPSY? We’ve been talking a lot about the different types of biopsies – targeted vs random and all these new developments. But what’s really …
Why Early Prostate Cancer Is Symptom-Free
BY MARK SCHOLZ, MD Google keeps track of what is searched most frequently. Since prostate cancer is common, it’s hardly surprising that people who research aches or pains “down there” …
PSA Screening for Prostate Cancer, Not for the Ill-Informed
BY MARK SCHOLZ, MD There is a real danger that PSA screening will lead to overtreatment. The government, having studied this situation, has therefore recommended dropping PSA screening altogether. This proposal doesn’t …
Evaluate PSA with Imaging, Not Random Biopsy: Avoiding Unnecessary Radical Treatment
BY MARK SCHOLZ, MD Prostate cancer is the most common form of cancer in men. While some types of prostate cancer are life-threatening, some types are not. Recent media reports …
The Meaning of PSA
BY MARK SCHOLZ, MD As men get older, they almost all develop enlargement of the prostate. Invariably, PSA rises as a result. PSA comes both from the prostate gland and …