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Lewes, Delaware
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September 26, 1997     Cape Gazette
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September 26, 1997
 

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38 - CAPE GAZETTE, Friday, September 26 - October 2, 1997 Cancer Watch Men: take steps for early prostate cancer detection An estimated 334,500 Ameri- can men will get prostate cancer this year and more than 41,800 men will die from the disease. The American Cancer Society es- timates 890 Delawareans will be diagnosed with the disease in 1997, and an estimated 110 Delawareans will die this year. Men age 50 and over are at risk for developing prostate cancer, and the risk increases with age. African-Americans, for unknown reasons, and men with a family history of prostate cancer are at highest risk for the disease. The prostate is a gland of the male reproductive system. The prostate is quite small - it weighs only about an ounce - and is near- ly the same shape and size of a walnut. It is located in front of the rectum, just below the bladder, and wraps around a tube called the urethra, which carries urine from the bladder. The prostate is made up largely of muscular and glandular tissues. Its main function is to produce the fluid that carries and nourishes sperm cells. Prostate cancer may be confined to the prostate gland, may spread locally to other organs or may spread through the blood to distant organs. Early prostate cancer usually causes no symptoms. However, possible symptoms include weak or interrupted flow of the urine; inability to urinate or difficulty in beginning to urinate; need to uri- nate frequently, especially at night; blood in the urine or semen, and continuing pain in the lower back, pelvis or upper thighs. A digital rectal exam (DRE) performed together with the prostate specific antigen (PSA) blood test is the most effective way to detect prostate cancer at an early and potentially curable stage. PSA is produced by prostate cells - normal and cancer- ous - and can be measured in a blood sample. The higher the PSA, the greater the chance a man has prostate cancer. Men age 50 and older should be tested annually for prostate can- cer. Men who are African-Ameri- can or have a family history of the disease are advised to begin annu- al testing at age 40. A positive re- sult from the DRE and PSA usual- ly is followed by an ultrasound test and a needle biopsy, which determines if the prostate cancer exists. If prostate cancer is detected in the early stages, treatment options are much broader and the chances for a cure are much greater. De- termining which course of treat- ment to follow is a choice that must be left to the patient and his physician, after weighing such considerations as the patient's age, health, stage of the disease and the "Gleason grade," or rate of growth. In some cases, particularly in older men where the cancer can be slow growing, the best option may be "watchful waiting," or moni- toring the cancer without under- taking treatment. Other options include the following: Radical prostateetomy - surgery to remove the tumor is generally preferred treatment when the cancer is localized in the prostate or immediate surround- ings. New, nerve-sparing tech- niques reduce the risk of impo- tence from this procedure. Radiotherapy - radiation is used when cancer is in the prostate or has spread locally. Ex- ternal beam radiation or radioac- tive seed therapy is used. Hormonal therapy or chemotherapy - used to treat can- cer that has spread beyond the prostate or localized area. Cryosurgery - this technique freezes prostate cancer cells to death. It has been performed on patients who have localized can- cer and on those in whom the can- cer has spread. The good news is that increased awareness and early detection are having a positive impact. Today, almost 60 percent of diagnosed cases were localized and poten- tially curable. This shows that men are gaining a lead-time ad- vantage through early detection. Editor's Note: This information provided by Milford Memorial Hospital and the American Can- cer Society. Beebe mourns loss of Robert Klingel, M.D. Beebe Medical Center is mourning the loss of Robert Klin- gel, M.D., who died Sunday, Sept. 14. Klingel, 82, practiced medi- cine in the Cape Region for more than 50 years and continued to see patients until his death. Doctors David Birch, 644- 07144; Alisa Bell, 227-8115; and Habib Bolourchi, 645-7672, are accepting Klingel's patients. Pa- tients needing their medical records may call Klingel's office at 227-2168 during regular busi- ness hours. Beebe to host AARP "55 Alive' Beebe Medical Center will sponsor a series of two AARP "55 Alive" Safe Driving classes to be held Tuesday and Wednesday, Sept. 30 and Oct. 1, from 6 to 10 p.m. at Beebe's School of Nurs- ing. The program, aimed at people age 50 and over, will be taught by a trained AARP volunteer. The cost of the program is $8, and par- ticipants are instructed to bring a check for that amount, payable to AARP, on the first night of class. The course covers age-related physical changes, declining per- ceptual skills, rules of the road, lo- cal driving problems and license renewal requirements. Completion of the two-day course may allow participants to receive a 10 percent discount on the liability and no-fault portion of their automobile insurance pre- mium. The class is open to both AARP members and non mem- bers. There is a limit of 30 partici- pants, and pre-registration is re- quired. To register call 645-3332. Chelation therapy seminar Oct. 9 There will be a free seminar on chelation therapy, a practice which has helped thousands of men and women improve angina, arthritis, diabetes, high choles- terol, hypertension and fatigue, on Thursday, Oct. 9 from 7 to 8:30 p.m. The seminar will be held at 3200 Eagles Landing in Rehoboth Beach. Fitness Tip of the Week Endurance training and cholesterol Endurance training can help improve cholesterol level. Some research indicates that people who work on en- durance training have higher rates of "good cholesterol" than those who do not. Submitted by Robert Cairo, licensed physical therapist, Tidewater Physical Therapy, 945-5111. FREE Health Seminar from Beebe Medical Center "Heartburn and Sour Stomach" A Video and Slide Presentation MONDAY, SEPTEMBER 29, 1997 SPEAKER: Dr.Vinod Parasher Gastroenterologist LOCATION: Lewes Public Library Lewes TIME: 7:00 - 8:00 p.m. Beebe Medical Center This is a free seminar. Please call 645-3332 to register. 424 Savannah Rd., Lewes, DE