THE EDITOR, Sir:
I write to commend you on your editorial: "Cancer Alert". In particular, I want to salute you for recommending that men over 40 should get an annual examination for prostate cancer. The dilemma faced by some men include the "invasive" nature of one of the tests namely, the digital examination.
The other test which has been widely used in addition to the Digital Rectal Exam (DRE), is the PSA test. It has been pointed out that PSA test scores of 4 and over for any black male is cause for further investigation. This will involve a biopsy of the prostate to conclusively establish the existence and to grade the tumour if present.
The problem with prostate cancer is that it shows no symptoms in the early stages. Chances of survival are greatest with early detection and treatment. By the time symptoms begin to appear the cancer may have progressed. One big issue is that currently available treatment options may lead to impotence. This risk should be weighed in the light of the potential benefits of a prostate cancer-free future. Moreover, it is perhaps far better to be impotent than to face the future pain from prostate cancer.
I strongly echo the suggestion that black males aged 40 and over should ask their MDs to include a DRE and a PSA blood test in their annual medical exam. Most importantly, it has been suggested that they should cut down on their intake of fats and ensure that they get Vitamin E and selenium regularly.
I am etc,
HENRY EGESI
E-mail:henryegesi@
hotmail.com
Via Go-Jamaica
