Tag Archives: MD

What Men Need to Know About Prostate Cancer

by Terence Chapman, MD, Director of Urologic Oncology, Lexington Medical Center
Urologist, Lexington Urology

Prostate cancer is one of the most common types of cancer in men. While it is a diagnosis that men dread receiving, the survival rate for men with prostate cancer has increased over the years thanks to better screening and treatment options. While 1 in 6 men will be diagnosed with prostate cancer, only around 1 in 33 die of the disease.

Risk Factors
There are multiple risk factors for prostate cancer; some are genetic, but some can be reduced by diet and lifestyle choices.

Age – While 1 in 6 will be diagnosed with prostate cancer, the risk of getting prostate cancer increases as men age.

Ethnicity – African-American men have a higher incidence of the disease, and they are more likely to get it at an earlier age, have more aggressive cancers and a higher risk of death than other men.

Dr. Terence Chapman

Family History – Men who have an immediate family member (father, brother) diagnosed with prostate cancer are more likely to develop the disease.

Smoking – There is evidence that prostate cancer risk may be double for heavy smokers. Smoking is also linked to a higher risk of dying from prostate cancer.

Diet/Lifestyle – The risk may be higher if you eat more calories, animal fats, refined sugar and not enough fruits and vegetables. Lack of exercise is also linked to poor outcomes.

Obesity – Being obese increases the risk of dying from prostate cancer. A man can decrease risk by maintaining a healthy weight

Screening
It is recommended for all men to have a baseline PSA at age 40 which can help determine future relative risk and to individualize screening frequency based on a number of factors including their overall health, initial PSA level, prostate size, race and family cancer history.

It’s also important to know that an elevated PSA doesn’t always indicate cancer. Many men may have slightly elevated PSA levels because of other causes

After age 70, the value of PSA screening likely declines, depending on a man’s overall health.

Diagnosis
If there is a significantly high or increased PSA level or a significant change in prostate size, a prostate biopsy may be indicated. Through biopsy and additional testing, the physician diagnose prostate cancer and more accurately determine the severity (grade and stage) of the cancer.

Treatment
Though there are multiple treatment options, many cancers will not require treatment. In fact, more men than ever are eligible for initial surveillance. Faster growing tumors that are potentially life-threatening are more likely to require treatment.

Patients and physicians collaborate to determine the right course of treatment, depending on the tumor’s grade and stage, age and overall health of the patient as well as the patient’s willingness to accept potential side effects of treatment.

Treatment choices for prostate cancer include:
*Surveillance, including active surveillance and watchful waiting to monitor the tumor’s growth

*Localized therapies, including surgery, radiation therapy, cryotherapy and focal therapy

*Systemic therapies, including hormonal therapy, chemotherapy and immunotherapy

*At Lexington Medical Center Cancer Center, an affiliate of Duke Health, we follow the National Comprehensive Cancer Network guidelines for treating prostate cancer. Our multi-disciplinary team of surgeons, medical oncologists, radiation oncologists, pathologists, nurse navigators and social workers meets bi-weekly to collaborate and determine the best course of treatment for each patient diagnosed with prostate cancer. We also participate in clinical trials to offer new treatment options to our patients.

Addressing Multisystem Inflammatory Syndrome in Children

You may be hearing a lot in the news about Multisystem Inflammatory Syndrome in Children, or MIS-C, and parents have many concerns.

It’s a condition where parts of the body can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes and gastrointestinal organs. While clinicians do not yet know what causes it, they do now that many children with it had COVID-19, or had been around someone with COVID-19. Some cases have been fatal.

In this WLTX news segment, Lillie Bates, MD, FAAP, pediatrician with Lexington Pediatric Practice, a Lexington Medical Center physician practice, talks about MIS-C and what parents should know.

Symptoms
Typically, MIS-C symptoms are fever, severe abdominal pain, unusual rashes, swollen lips and red eyes. It can also include diarrhea, vomiting, neck pain and extreme exhaustion. Dr. Bates points out that many things that cause rashes and fevers in children; but, in these cases, the children usually look very ill, and parents should recognize these differences in their child.

What Should Parents Do?
If your child is showing these symptoms within a few weeks of a COVID-19 diagnosis or even with possible exposure, contact your child’s physician. If your primary care physician is not available, seek an Urgent Care or Emergency Room for evaluation.

Should Parents Be Worried?
Dr. Bates says it’s a very rare syndrome, even in areas that have reported multiple cases. And, the good news is that most children recover completely with appropriate care.

How Can We Protect Children?
Parents should talk to their children about the importance of wearing masks, washing hands and using hand sanitizer.

For more information about this condition, as well as how to best talk to your children about COVID-19, visit HealthyChildren.org.

Lexington Medical Center Welcomes Joseph R. Narvaez, MD

Lexington Medical Center is pleased to welcome Joseph R. Narvaez, MD, to Internal Medicine Associates, a Lexington Medical Center physician practice located on the hospital campus in West Columbia.

Dr. Joseph Narvaez

Dr. Narvaez was an Army Medical Officer for more than 20 years, working with patients who have chronic and acute conditions. Board certified by the American Board of Internal Medicine, he most recently served as the chief of the Department of Primary Care at Moncrief Army Health Clinic at Fort Jackson in Columbia, South Carolina, where he successfully led more than 200 staff members and 20 primary care providers.

Dr. Narvaez earned a Bachelor of Science at the University of Tampa in Florida and a Master of Science from the Florida Institute of Technology in Melbourne, Florida. He then graduated with his medical degree from Uniformed Services University of Health Sciences in Bethesda, Maryland, and completed his internal medicine residency at Madigan Army Medical Center in Tacoma, Washington.

Dr. Narvaez joins the board-certified physicians, nurse practitioner and highly skilled staff at Internal Medicine Associates to provide comprehensive care to prevent, diagnose and treat adult illnesses and diseases. The practice has met the health care needs of its community for more than 40 years.

He is accepting new patients.

Internal Medicine Associates
Lexington Medical Park 2
146 East Hospital Drive
Suite 530
West Columbia, SC 29169
(803) 796 – 7270
www.LMCIMA.com