黑人应该了解晚期前列腺癌

由于洛杉矶，加利福尼亚州洛杉矶泌尿科癌症专家的医学主任，M.D.S.Adam Ramin说，自黑人男子常常在较年轻的前列腺癌最终。杰克纳穆布，M.D.，MachionCare癌症学院医学家和医疗主任，筛选，筛选应该从40岁时开始（而不是45岁，这是美国癌症协会建议的推荐）。虽然大多数男人死于前列腺癌（而不是来自它）的黑人男子应该知道他们的癌症可能更具侵略性，但他们应该追求筛查，贾诺布博士说。

不幸的是，筛选的不是一个巧妙的场景，博士说。“如果你有一个父亲或兄弟患有前列腺癌或母亲或姐妹的乳腺癌，那么你应该每年在40岁开始筛选筛选，”拉林博士说。即使没有家族历史，也是最好的。检查你的血液，以获得多少前列腺特异性抗原 - PSA测试 - 涉及从你的手臂上抽取简单的血液。几天后你会得到结果。并且根据结果，可能会建议使用更多的测试，例如MRI。

“医学界的一般倾向于不一定筛选前列腺癌，”拉林博士说，在美国预防性服务工作队建议2009年之前（改变了其姿势）。所以，他说，你可能需要咄咄逼人。达克里克·熊，一本关于他和他爸爸的癌症旅程的一本书，一本关于他和他爸爸的癌症旅程的阶段。如果您获得先进的前列腺癌诊断，那么拥有能够在稍后提出治疗细节或潜在问题的伴侣的伴侣是有帮助的。

There is a tendency to associate advanced prostate cancer with a risk to manhood and a “macho man type of ideal,” Dr. Ramin says. “But it’s also important to balance that against your life. While no man necessarily enjoys getting a rectal exam or their blood drawn, it is important to get tested and know that you do not need to be afraid of the results.” With the advent of modern technology in prostate cancer treatments, “many men can maintain their sense of manhood, including their sexuality and bladder control, and still have effective prostate cancer treatments.”

Keep in mind that a high level of PSA does not necessarily mean you have cancer. A key thing to know here: Black men average higher PSAs than white men, and it can be helpful to have a baseline number for yourself. Sometimes a manual rectal exam is performed at the same time or after you get your results, and while it does involve the doctor inserting a gloved finger into the rectum, it should only take one to two minutes and should not be painful.

当Butts被诊断出患有前列腺癌时，他做得很好，因为他的父亲也是幸存者。但他很快意识到它并不容易找到有关最佳治疗中心的信息，在哪里进行第二种意见，或如何进入临床试验。这是必不可少的信息，因为新的研究表明，在PSA测试之后，黑人男性不太可能接受MRI。MRI帮助医生采取更具针对性的活检，以更仔细地看待目标的异常区域。你需要医生，谁会为你去蝙蝠，并从找到你信任的医生开始。拉姆林博士同意：“最重要的事情是信任之一，”他说。

Prostate cancer is the most common type of cancer in men besides skin cancer, and it’s especially prevalent among Black men. Yet that may seem surprising because many men don’t talk about their disease. Most men find comfort in connecting with others in their community. You can find groups designed for Black men to discuss all things prostate cancer online, including anonprofit founded by Butts（专注于编制当地前列腺癌资源）和一个forum由前列腺癌基础组织。

如果您有先进的前列腺癌，请考虑加入临床试验。有hundreds of trialslooking for men with prostate cancer to test new therapies—especially Black men, who have been underrepresented in research—and it can give you early access to the newest drugs and technologies. For some, clinical trials end up being lifesaving. Ask your doctors about trials they know of in your area or search for one yourself atClinicalTrials.gov.。

“One of the great powers of social media is affecting cultural change,” Dr. Ramin says. Butts decided to join his father in writing a book about their experiences because there was so little written by men who weren’t doctors. Know that sharing your story about life with advanced prostate cancer, through blogging, writing, or posting on social media, can help break down barriers and stigma: “When the mindset of a whole community changes, you get to where you want to be in terms of health policy,” Dr. Ramin says.