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treating the patient rather than choosing observation, he said. D'Amico advises that any man diagnosed with prostate cancer get a second opinion. "With prostate cancer, there are options for treatment and sometimes surveillance is the right thing to do. So, men really need to get a second Nike Air Max Thea Green Olive opinion in conjunction with their primary care physician, who knows their overall health and their wishes," he said. He noted that side effects of surgery or radiation include impotence, incontinence and rectal bleeding. "So, you should not Air Max Thea Green

´╗┐ver, men were more likely to have surgery or radiation therapy if their urologist did that procedure, she added. The rate of observation as opposed to other treatments across urologists ranged from almost 5 percent to 64 percent of patients. For men diagnosed by radiation oncologists, the rate of observation also varied from 2 percent to 47 percent, Hoffman said. There may be a financial incentive at work here, said Dr. Anthony D'Amico, chief of radiation oncology at Brigham and Women's Hospital in Boston. He was not involved in the study. "You make a diagnosis and there is a financial incentive in keeping the patient," he said.

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However, the urologist may also believe in Air Max Thea Rose

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For the study, Hoffman's team collected data on a little more than 2,000 men, aged 66 and older, diagnosed with low risk prostate cancer from 2006 through 2009. The diagnosis was made by urologists, the researchers noted. Among these men, 80 percent received treatment and 20 percent were observed. "The data do not support the practice of using hormone therapy as the sole therapy for elderly patients with localized prostate cancer," Lu Yao said. Because hormone therapy is associated with side effects such as osteoporosis, diabetes and decreased muscle tone, doctors must carefully consider the reasons for using this treatment as Nike Air Max Thea Metallic

the primary treatment for older men with low risk localized prostate cancer, she said. Using federal government data, Lu Yao's te.

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just go with the first person who diagnoses you," D'Amico said.

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