Health
Prostate cancer myths and common misconceptions from an oncologist amid high-profile cases
Amid a flurry of high-profile prostate cancer announcements, doctors are weighing in to debunk common myths about the disease and emphasize the importance of early screenings.
On Monday, the King Center announced that Dexter Scott King, the youngest son of Martin Luther King Jr. and Coretta Scott King, died at age 62 after a battle with prostate cancer.
Also on Monday, baseball Hall of Famer Ryne Sandberg, 64, revealed that he’s been diagnosed with metastatic prostate cancer and will begin treatment.
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Just last week, Buckingham Palace announced that King Charles III would receive hospital treatment for an enlarged prostate, a common condition in men.
In other prostate cancer news, Defense Secretary Lloyd Austin was diagnosed with the disease earlier this month and underwent a minimally invasive surgical procedure called a prostatectomy.
From left to right: King Charles III, Dexter King, Ryne Sandberg and Lloyd Austin. Amid a flurry of high-profile prostate cancer announcements, doctors are debunking common myths and emphasizing the importance of early screenings. (Getty Images)
What to know about prostate cancer
An estimated 299,010 new cases of prostate cancer are expected in the United States in 2024, with the disease expected to claim 35,250 lives this year, according to data from The American Cancer Society (ACS).
About one in eight men will be diagnosed during their lifetime, according to the ACS.
Risks vary based on a multitude of factors, including age, race/ethnicity and family history.
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Although cases of prostate cancer dipped significantly between 2007 and 2014, they began to rise again starting in 2014, increasing by 3% per year overall, the ACS noted.
The disease is more prevalent in older men, with the average age of diagnosis at about 67.
4 myths and misconceptions
Four common myths can delay prostate screenings and treatments, said Dr. Timothy Showalter, radiation oncologist and chief medical officer at ArteraAI in California.
He detailed them in comments to Fox News Digital.
In January, Buckingham Palace announced that King Charles III would receive hospital treatment for an enlarged prostate, a common condition in men. (Chris Jackson/Getty Images)
Myth No. 1: Prostate cancer screening is not effective
Prostate cancer screening guidelines have changed over the past couple of decades.
Some physicians and organizations have discouraged screening with the prostate-specific antigen (PSA) blood test, citing the lack of a survival benefit from screening and the risk of overtreatment, Showalter noted.
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“However, PSA screening is an effective option to identify cancers at an earlier stage, when a cure is more likely and less intensive treatments can be used,” he told Fox News Digital.
The ACS recommends prostate cancer screening using the PSA blood test beginning at age 50, or earlier for men with risk factors.
Pentagon officials confirmed just recently that Secretary of Defense Lloyd Austin remains hospitalized, nearly two weeks after he was admitted due to complications from surgery for prostate cancer. (Anna Moneymaker/Getty Images)
About one in eight men will be diagnosed with prostate cancer during their lifetime.
“I encourage men to talk to their primary doctor about prostate cancer screening at their annual physical,” said Showalter.
Myth No. 2: Prostate cancer always causes urinary symptoms
“Most prostate cancers never cause urinary difficulty such as frequency or urgency, and are diagnosed based upon a rising PSA level detected through regular testing,” said Showalter.
On Jan. 22, baseball Hall of Famer Ryne Sandberg, 64, revealed that he has been diagnosed with metastatic prostate cancer and will begin treatment. (Jim McIsaac/Getty Images)
Urinary symptoms are more commonly associated with noncancerous conditions, such as prostatitis or benign prostate hypertrophy, the doctor noted.
“It’s therefore important to consider PSA screening, even in the absence of urinary symptoms,” he added.
Myth No. 3: All prostate cancers have to be treated right away
There is a wide range of levels of prostate cancer, from benign cancers that can be safely observed without treatment to aggressive cancers that require a combination of treatment approaches, including surgery, radiation therapy, hormone therapy and/or chemotherapy, according to Showalter.
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“For men with low-grade cancers, active surveillance may be preferred over surgery or radiation therapy to avoid the risks of treatment in cases at low risk of progression,” he told Fox News Digital.
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“New tests like the ArteraAI Prostate Test provide physicians with a tool to help patients choose the optimal treatment option for their cancer,” the doctor added.
On Jan. 22, 2024, the King Center announced that Dexter Scott King, the youngest son of Martin Luther King Jr. and Coretta Scott King, died at 62 after a battle with prostate cancer. (Moses Robinson/WireImage)
As each case of prostate cancer is different, Showalter stressed the importance of seeking the advice of specialists from each discipline, including urology, radiation oncology and medical oncology.
Myth No. 4: After prostate cancer treatment, a man’s sex life is over
“Sexuality is understandably a top priority for many men facing prostate cancer and their partners,” said Showalter.
“It’s important to know that sexual function continues after treatment for most men, and there are many effective medical and surgical interventions available to help if needed.”
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Health
New blood test detects 90% of aggressive prostate cancer cases, beating current screenings
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A new test could make it easier to detect high-risk prostate cancer cases earlier.
The blood test, called Stockholm3, is showing promise in clinical trials, beating out the traditional, standard prostate-specific antigen (PSA) test.
In a new study published in the Annals of Internal Medicine, researchers from the Karolinska Institutet in Sweden studied the test’s efficacy in more than 12,000 men — mostly Swedish or European — aged 50 to 74.
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All participants were tested with PSA and Stockholm3 and were followed for two years. During the follow-up period, 443 men were diagnosed with aggressive prostate cancer.
Stockholm3 detected 90% of aggressive prostate cancer cases compared to 74% for PSA tests.
Stockholm3 detected 90% of aggressive prostate cancer cases compared to 74% for PSA tests. (iStock)
Stockholm3 missed “significantly fewer” serious cancer cases than PSA. The number of men incorrectly classified as high-risk was similar across both tests, according to a press release.
Thorgerdur Palsdottir, a researcher at the Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, wrote in a statement that one of the major challenges in prostate cancer is being able to identify the cases that are “truly dangerous.”
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“Our results show that Stockholm3 identifies significantly more aggressive cancer cases than PSA without increasing the number of unnecessary follow-ups,” she said.
“These results point toward a potential change in how prostate cancer screening can be conducted,” the researcher added. “A more precise blood test could enable earlier detection of aggressive disease while reducing the number of unnecessary follow-up examinations and procedures.”
“A more precise blood test could enable earlier detection of aggressive disease while reducing the number of unnecessary follow-up examinations and procedures,” a researcher commented. (iStock)
Study co-author Hari Vigneswaran, chief medical officer of Stockholm3-maker A3P Biomedical, commented on these “promising” findings in an interview with Fox News Digital.
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He confirmed that the PSA has been the standard for prostate cancer screening since the 1990s despite its “well-documented limitations.”
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“It leads to invasive and costly follow-up testing, contributes to over-diagnosis of non-aggressive cancers and, most importantly, it misses a substantial share of aggressive disease,” Vigneswaran said.
When aggressive prostate cancer is found while still confined in the prostate, the five-year survival is close to 100%. (iStock)
When aggressive prostate cancer is found while still confined in the prostate, the five-year survival rate is close to 100%, which highlights the importance of early detection, according to the doctor.
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Data from the National Cancer Institute’s SEER database show that metastatic prostate cancer has risen over the past decade, suggesting that “we have not improved early detection of the aggressive, curable disease that screening is meant to catch,” Vigneswaran said.
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“The goal of screening is to find the cancers that need treatment while they are still curable, without raising the number of men who screen positive but don’t have aggressive disease,” he said.
Stockholm3 could reduce the need for unnecessary MRIs and biopsies, according to the researcher. (Getty Images)
Stockholm3 could reduce the need for unnecessary MRIs and biopsies, according to the researcher.
The findings did have some limitations. Stockholm3 is an investigational device and is not available for sale in the U.S., Vigneswaran noted.
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The test estimates a man’s risk of aggressive prostate cancer, but a biopsy remains the gold standard for confirming the disease.
The company plans to seek FDA approval to use the test for routine screening and will “generate the evidence needed to support that pathway, including U.S. data,” Vigneswaran said.
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Health
These leafy greens could help protect your lungs, study suggests
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Scientists have linked eating leafy green vegetables such as spinach, kale and broccoli to better lung health.
There are two primary forms of vitamin K found in foods. The primary kind is vitamin K1, found mainly in vegetables, which plays a major role in the body’s blood-clotting process.
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Vitamin K2 is found in fermented foods, certain dairy products, eggs and meats and helps regulate calcium in the body and supports bone health.
Researchers at Australia’s Edith Cowan University examined whether dietary intake of vitamins K1 and K2 was associated with chronic obstructive pulmonary disease (COPD), asthma and lung function.
Leafy green vegetables are high in vitamin K1, a nutrient that researchers have observed conributes to improved lung health. (iStock)
“Chronic respiratory diseases, including chronic obstructive pulmonary disease (COPD) and asthma, are among the most prevalent noncommunicable diseases worldwide and were the third leading cause of death in 2019, accounting for 4 million deaths and affecting 454.6 million individuals globally,” the scientists reported in the introduction to their study, published in The American Journal of Clinical Nutrition.
“Although asthma and COPD can be managed with available treatments, neither condition is curable, underscoring the need for effective prevention strategies,” they added.
The leading cause of COPD is smoking, the Mayo Clinic reported. Exposure to other irritants, such as dust, chemicals and pollution, can also cause it.
The researchers analyzed data from 179,062 participants over a 10-and-a-half-year period and concluded that, “Higher dietary vitamin K1 intake was associated with better lung function and a lower rate of COPD.”
Researchers found that people who increased their vitamin K1 intake were less likely to develop COPD. (iStock)
Participants who consumed the most vitamin K1 had a 16% lower likelihood of COPD, the researchers observed. The effects were more pronounced in smokers and participants with high-risk occupations.
Consumption of vitamin K2 did not result in lower COPD rates.
“No association was observed for vitamin K1 or vitamin K2 intakes and asthma,” the researchers also wrote.
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Associate Professor Marc Sim, who was involved in the study, said that it’s likely Vitamin K activates a protein that may help keep lung tissue flexible and prevent damage.
Because the study was observational, it cannot prove that vitamin K1 directly reduces COPD risk, only that higher intake was associated with better lung health.
Researchers have associated higher consumption of leafy green vegetables with better lung function. (iStock)
Just one extra serving of leafy greens “is an achievable way to boost your vitamin K1 intake,” said Chengfeng Li, one of the study’s researchers.
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Other foods rich in vitamin K1 include collard greens, Swiss chard, Brussels sprouts and turnip greens.
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