Tuesday, January 24, 2012

The Checkups Every Guy Should Get


What you don’t know can hurt you. A new study finds that men are more likely to die from cancer but less likely to be tested for it


New England Patriots Quarterback Tom Brady took the field in pink cleats last October as one of many NFL players wearing the penultimate girly color to raise awareness for breast cancer. But brand-new research from the H. Lee Moffitt Cancer Center in Tampa, Fla., suggests that NFL players might want to consider switching to a more manly blue all year long.

Light blue is the official color of prostate cancer awareness month. But any blue will do if it reminds men that they need to get screened for not only prostate cancer, but other cancers as well. That’s because Moffitt researchers, in a study published in November 2011 in the American Journal of Men’s Health, found that even though men are more likely than women to die of cancer, they’re less likely to get checked for it.

One reason: There are far more public-awareness campaigns aimed at women -- particularly for breast cancer -- than at men. Another reason: Men don’t see their primary care doctors as often as women do. So they can miss an opportunity for both education and a little nudge in the right direction.

Knowledge = Power
Knowledge and prodding can help, says Moffitt research coordinator Jenna L. Davis, who has a master’s degree in public health. In her study, she and her colleagues found that men who learn details about cancer screening are actually more willing than women to take a test. Those who’ve already been screened for one kind of cancer are also more willing to get screened for another. For example, she says, “men who have already undergone a screening for prostate cancer are more likely to participate in a colorectal cancer screening.”

Confusion over whether to get that prostate screening could be an obstacle, admits Davis. Experts are divided over the value of the PSA blood test, which measures levels of a specific chemical (prostate-specific antigen) that’s higher in men with cancer. Like mammograms for women, the PSA test isn’t foolproof and can lead to unnecessary and more invasive testing. This year, a government panel recommended against routine PSA screenings.

“This is really an area where physicians and health educators need to actively educate men about prostate cancer screenings,” says Davis. “Men need to be aware of the risks and benefits of the screening and they need to know their family history so, in agreement with their physician, they can make an informed decision about participating.”

What Men Need and When They Need It
To help, here’s a little education about when men need cancer screenings:

·      For colon cancer: Beginning at age 50, you should have a flexible sigmoidoscopy every five years or a colonoscopy every 10 years, with a yearly fecal occult blood test.
·      For prostate cancer: Starting at age 50, talk to your doctor about the pros and cons of testing. If you have a close relative who’s had the disease, start the chat at 45.
·      For skin cancer: Do self-exams once a month and look for any new or unusual moles, freckles, blemishes or marks on your skin. Use a handheld mirror for hard-to-see areas or ask a spouse or close friend to help. See your doctor once a year for a skin exam.
·      For testicular cancer: Some doctors recommend that all men do monthly testicular self-exams after puberty, looking for any unusual lumps or bumps. See your doctor once a year for a testicular exam during your regular checkup.

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