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112 Detroit Jewish News
(248) 559-8620 • (800) 875-8687
DMC Sinai Hospital's Section
Chief of Urology Michael D.
Lutz views this lack of una-
nimity in treatment strategies
as unfortunate because of the
confusion and uncertainty it
creates, but he is convinced
that his colleagues act in the
best interests of patients. "We
simply do not have enough
survival curve data," he says.
He is encouraged by the 7
percent decline in the death
rate and the survival rate
improvement from 50 percent
to 76 percent.
But no one ascribes this to
a single treatment strategy.
For example, speakers at a
recent prostate cancer sympo-
Dr. Michael Lutz in one of his examining rooms.
sium at the University of
Michigan reported on seed -.=(
argue that men must actively take
implants (brachytherapy), cryothera-
charge of their health. Grove coun-
py, surgical options, external beam
sels, "If you look after your invest-
radiation, acupuncture, gene therapy,
ments, you should look after your life
diet, meditation and nutrition.
as well."
Dr. Robert Bloom, section chief
Prostate cancer statistics are unset-
for medical oncology at DMC Sinai,
tling: 80,00 cases diagnosed in 1989;
feels that divergent recommendations
300,000 in 1996. More sobering:
in the treatment of early prostate can-
41,400 deaths. Informed women
cer arise because "there are so many
know that 1 out of 8 are at risk of
very effective treatment options." 11t=(
breast cancer; few men know that 1
notes that success rates appear to be
out of 5 will develop prostate cancer.
fairly equivalent. "Therefore," he
Women pin pink ribbons and
says, "decisions should be based on a
emblems to their clothing and orga-
patient's general health and personal
nize marches to proclaim their deter-
priorities."
mination to combat breast cancer. No
DMC Sinai radiation oncologist
one has promoted lapel pins for men
Dr. Nathan Kaufman also argues the
to promote prostate cancer awareness,
need for an individualized approach
nor do they march for the cause;
to treatment, based on factors such --‘,‹
Early diagnosis of prostate cancer,
age, quality of life and the stage of
simplified by the PSA (prostate spe-
the disease. Often, he says, he spends
cific antigen) test, is a mixed blessing.
two or more hours explaining to
An elevated PSA count poses treat-
patients the pros and cons of surgery,
ment dilemmas, in part because some
hormonal therapy and radiation. He
positive readings are false and pro-
reviews several radiation regimens.
voke needless fear.
Because public figures such as
For a number of older patients,
General H. Norman Schwartkopf
practitioners often suggest "watchful
and former Senator Bob Dole have
waiting." In these cases, the condition
-
also discussed prostate cancer experi
is preferable to treatments, all of
ences, public awareness has grown,
which offer encouraging cure rates
even if most men still remain silent
but also potential side effects and no
about their personal concerns. Lutz
t uarantees.
wryly notes that men view their sexu-
adiation oncologists and urolo-
ality as "the last bastion of maleness."
gists are far from unanimous about
He points to a quote on his office
the most effective approach. After
bulletin board: "Some men would
surfing the Internet, a patient might
rather be bitten by a cobra than have
opt for prostatectomy in Baltimore,
a digital rectal exam."
Cifyotherapy in Pittsburgh, radioactive
Lutz, as chairman of the Great
iodine seed implants in Seattle. This
Lakes
Division of the American
same battery of treatments exists
Cancer Society's Prostate Cancer Task
locally. :It would be a rare patient who
Force, has agreed to address guests at
would not seek consultations with at
the Heritage Ball, much to
least one other practitioner before
Kleinfeldt's relief. He will thank them
embarking on a course of treatment.