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Shades Overview


What's Your Stage? 

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Shades Overview


What's Your Stage? 

WHAT ARE THE FIVE SHADES OF BLUE?

 

Prostate cancer grows at a snail’s pace compared to other cancers. It’s such a common condition, it would be illogical to assume every case is deadly. PSA, Gleason score, imaging studies, and new genetic tests enable us to accurately identify a low-risk type of prostate cancer which is harmless. Active surveillance, close monitoring over time, is how we double check to confirm that the tumor is not misbehaving.

Ten years ago, surgery was called the “Gold Standard.” What changed? In 2012 The New England Journal of Medicine published a study by Dr. Timothy Wilt comparing the long-term outcome of surgery with observation. Survival between both groups was identical!

Most men who undergo surgery have long-lasting negative consequences. These men downplay their struggles, too embarrassed to talk about wearing a diaper or being impotent. Instead, they emphasize their gratefulness. They are “free from cancer.” But perhaps they are unaware that their life was never threatened. Dr. Wilt’s study confirmed that men undergoing surgery experience dramatically more side effects. Seventeen percent of men who had surgery compared to six percent of the men on observation had urinary dribbling, some losing larger amounts of urine, others having no control, and the remainder having an indwelling catheter. 81% who had surgery compared to 44% on observation had erectile dysfunction.

With active surveillance, appropriately-selected men can forgo immediate intervention, and in most cases, postpone destructive treatment indefinitely. The rationale for choosing active surveillance stands on the scientific validation of its safety, and the realization that sexual and urinary dysfunction from surgery or radiation is unacceptable. 

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Sky


Sky


Sky Overview

 

Prostate cancer grows at a snail’s pace compared to other cancers. It’s such a common condition, it would be illogical to assume every case is deadly. PSA, Gleason score, imaging studies, and new genetic tests enable us to accurately identify a low-risk type of prostate cancer which is harmless. Active surveillance, close monitoring over time, is how we double check to confirm that the tumor is not misbehaving.

Ten years ago, surgery was called the “Gold Standard.” What changed? In 2012 The New England Journal of Medicine published a study by Dr. Timothy Wilt comparing the long-term outcome of surgery with observation. Survival between both groups was identical!

Most men who undergo surgery have long-lasting negative consequences. These men downplay their struggles, too embarrassed to talk about wearing a diaper or being impotent. Instead, they emphasize their gratefulness. They are “free from cancer.” But perhaps they are unaware that their life was never threatened. Dr. Wilt’s study confirmed that men undergoing surgery experience dramatically more side effects. Seventeen percent of men who had surgery compared to six percent of the men on observation had urinary dribbling, some losing larger amounts of urine, others having no control, and the remainder having an indwelling catheter. 81% who had surgery compared to 44% on observation had erectile dysfunction.

With active surveillance, appropriately-selected men can forgo immediate intervention, and in most cases, postpone destructive treatment indefinitely. The rationale for choosing active surveillance stands on the scientific validation of its safety, and the realization that sexual and urinary dysfunction from surgery or radiation is unacceptable. 

Teal


Teal


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Azure


Azure


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In sit amet felis malesuada, feugiat purus eget, varius mi. Mauris egestas at nibh nec finibus. Donec eu est non lacus lacinia semper. Quisque congue porttitor ullamcorper. Mauris id fermentum nulla. Phasellus sodales massa malesuada tellus fringilla, nec bibendum tellus blandit. Vivamus a ante congue, porta nunc nec, hendrerit turpis.


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Indigo


Indigo


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Integer tempus, elit in laoreet posuere, lectus neque blandit dui, et placerat urna diam mattis orci. Sed a ligula quis sapien lacinia egestas. Fusce at massa nec sapien auctor gravida in in tellus. Phasellus sodales massa malesuada tellus fringilla, nec bibendum tellus blandit. Donec eu est non lacus lacinia semper.


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Vivamus a ante congue, porta nunc nec, hendrerit turpis. Nullam sit amet nisi condimentum erat iaculis auctor. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae. Integer tempus, elit in laoreet posuere, lectus neque blandit dui, et placerat urna diam mattis orci. Lorem ipsum dolor sit amet, consectetur adipiscing elit.


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Aliquam bibendum, turpis eu mattis iaculis, ex lorem mollis sem, ut sollicitudin risus orci quis tellus. Vivamus sit amet semper lacus, in mollis libero. Integer tempus, elit in laoreet posuere, lectus neque blandit dui, et placerat urna diam mattis orci. Nulla eu pretium massa. Mauris egestas at nibh nec finibus. Vivamus sit amet semper lacus, in mollis libero. Donec eget risus diam.

Royal


Royal


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Detail 2

The following is placeholder text known as “lorem ipsum,” which is scrambled Latin used by designers to mimic real copy. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Aenean eu justo sed elit dignissim aliquam. Donec ac fringilla turpis. Nulla lectus ante, consequat et ex eget, feugiat tincidunt metus.

Suspendisse nec congue purus. Suspendisse nec congue purus. Donec eget risus diam. Quisque congue porttitor ullamcorper. Nulla eu pretium massa. Nulla lectus ante, consequat et ex eget, feugiat tincidunt metus. Nulla eu pretium massa.


Detail 3

The following is placeholder text known as “lorem ipsum,” which is scrambled Latin used by designers to mimic real copy. Donec eu est non lacus lacinia semper. Vivamus a ante congue, porta nunc nec, hendrerit turpis.

Phasellus sodales massa malesuada tellus fringilla, nec bibendum tellus blandit. Nullam sit amet nisi condimentum erat iaculis auctor. Integer tempus, elit in laoreet posuere, lectus neque blandit dui, et placerat urna diam mattis orci. Donec eget risus diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae. Mauris id fermentum nulla.