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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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