Word: vogelzang
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Dates: during 2010-2019
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Other important developments in prostate cancer diagnosis and treatment also occurred in the 1980s, says Dr. Nicholas Vogelzang, chair and medical director of developmental therapeutics at US Oncology, a cancer-services company. Better biopsy techniques and drug treatments emerged, making castration and use of estrogens, the most common therapies for prostate tumors, almost obsolete. Such advances may have contributed to the drop off in suicides seen in the post-PSA era. "There may be an element here of the treatment for prostate cancer that was causing excess suicide," says Vogelzang...
Although earlier detection made possible by PSA screening may help reduce the psychological trauma of a diagnosis, it is impossible to avoid the blow completely. But there are ways for easing the shock of the news, says Vogelzang. Physicians should be aware of and alerted to any history of depression or mental illness in their cancer patients. And if their patients do need counseling or support, they should be provided these services as part of their overall cancer care. "We think the diagnosis of cancer is a teachable moment, when clinicians need to really be involved in thinking not only...
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