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S4 E9: "Do The Maths" song; JOMT interview - Dr Sam Merriel talks about prostate cancer; also antibiotic resistance, nitrofurantoin failure, kidney stones
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What's Happening in Secondary Care in Prostate Cancer?
The diagnostic pathway for prostate cancer has completely changed in the last five years. Prostate biopsy is essentially a flip of the coin The sensitivity that's 50% It can also pick up A low-grade cancer on one side of the prostate And miss the high-grade cancer On the other side Of the prostate So it's not been a brilliant test and partly why screening trials didn't clearly show That PSA-based screening programs Outwayed the harms One of the big tests that's changed that Is prostate MRI Nice guidance changed in 2019 Now all men who are referred To us With suspected prostate cancer I recommend it to get what's called multi-parametric MRI, which uses an MRI scanner
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