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Do you ever wonder how medical students practice prostate exams?--Prostate cancer doesn’t get nearly as much attention as, say breast cancer, for reasons sociological, not medical. It is the second greatest killer of men after lung cancer. The American Cancer Society estimates that 232,000 men will be diagnosed with the disease this year and 27,000 will die of it. Thanks in some part to PSA testing, the death rate is declining rapidly, a drop of 32.5 percent in 10 years. If it is caught early, 100 percent of men are alive five years later; if it has metastasized, only 34 percent are still alive.
In a really important study, scientists have found a genetic basis for the disease that has all kinds of ramifications. They also found more evidence that the politically correct attack on the notion of race as a biological attribute is hogwash.
The researchers found seven genetic risk factors, all bunched close together on chromosome 8 that predict a man’s probability of developing prostate cancer. Five are newly discovered; two were known before and the experiment, done at USC, the National Cancer Institute and a company in Iceland, confirmed them. That of course does not mean it’s all genetic; other risk factors like environment also play a role, but if you have the genes you know to be extra cautious and get tested regularly. The role the genes play in this still is unknown. The study is reported in Nature Genetics.
An interesting aspect, however, is it may explain the disparity between blacks and whites in prostate statistics. A black man is twice as likely to die of prostate cancer than a white man and the reason now appears to be genetic. For several decades some scientists have been attacking the whole biological definition of race, claiming it has no scientific meaning. This, of course, is politics, not science, and is nonsense. The list of ailments that have a racial component is long and impossible to ignore and with prostate cancer, there is now a demonstrable genetic explanation: blacks tend to have more of those genes.
And the answer to the question above is: on themselves. And good practice it is. Haven’t you always wanted to stick something up a classmate’s ass?
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