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I MARRIED A DICK DOCTOR WHO FIXES WOMEN TOO


              2.  “Moderately Differentiated” which has features of the
                  well differentiated or the poorly differentiated types. It
                  will behave depending on which of those two features is
                  predominant in the tumor. So, you can have a moderately
                  differentiated tumor that is either slow or fast growing.
              3.  “Poorly Differentiated” is just plain nasty. This is the
                  one that every man fears and with good reason. Thank
                  goodness it is also the least common type of prostate
                  cancer.
               With poorly differentiated cancer, you can have no symptoms
            and a normal PSA and end up with one of the worst prostate
            cancers. The reason prostate cancer makes PSA is because the
            tissue looks like prostate cancer, but just more of it because it
            multiplies faster and makes more PSA, so it is abnormal. This
            type of cancer is so bad that it no longer looks like a prostate and
            the cell is so undifferentiated that it grows like wildfire. It does
            not make PSA and does not have any features of the prostate, so
            people think that because their PSA is normal, they don’t have
            prostate cancer. The trickster strikes again. It’s for this reason
            that a digital rectal exam is essential to be done in addition to
            the PSA.
               I have a very good friend, who we shall call Mike for the
            sake of privacy, who is a smart guy and is hugely involved in his
            community making the world a better place every day. Mike is a
            modest guy and is the quiet macho type who would never bother
            to go to his urologist, let alone submit to a digital rectal exam.
            The years progressed, and as Mike got older, the more stubborn
            he became about what he would and would not do. He felt that

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