prostate cancer screening - jpcspal

[ArchivalUser]

MTB says no proven screening method for prostate cancer .....not routinely offered ,but if requested then should perform it

UW says routine screening starts at 50 yrs of age ,PSA and digital rectal exam done annually....for high risk pt screening can start at 45 yrs of age ....

can anybody help......

thanks

[ArchivalUser]

mtb would have actually meant
No effective screeening method coz screening methods most efficient when done on particular pop'n i.e is bph or afr-amer
but still we do screening starting at 50, high risk at 45 i.e afr- amer or family hx of prostate cancer

[ArchivalUser]

thanks for asking.
that's why i have looked to know exact fact.
here is this:

http://www.cancer.org/docroot/ped/conten...nes_36.asp


Prostate cancer

The American Cancer Society (ACS) does not support routine testing for prostate cancer at this time. ACS does believe that health care professionals should discuss the potential benefits and limitations of prostate cancer early detection testing with men before any testing begins. This discussion should include an offer for testing with the prostate-specific antigen (PSA) blood test and digital rectal exam (DRE) yearly, beginning at age 50, to men who are at average risk of prostate cancer and have at least a 10-year life expectancy. Following this discussion, those men who favor testing should be tested. Men should actively take part in this decision by learning about prostate cancer and the pros and cons of early detection and treatment of prostate cancer.

This discussion should take place starting at age 45 for men at high risk of developing prostate cancer. This includes African American men and men who have a first-degree relative (father, brother, or son) diagnosed with prostate cancer at an early age (younger than age 65).

This discussion should take place at age 40 for men at even higher risk (those with several first-degree relatives who had prostate cancer at an early age).

If, after this discussion, a man asks his health care professional to make the decision for him, he should be tested (unless there is a specific reason not to test).

[ArchivalUser]

no routine scrrening like mammogram but start discusising with pt at age 50 and those with family history at 45......and give choice to the patient....

[ArchivalUser]

thanks for the response !!

fs3 : mtb says no proven screening method ;what that means is PSA and digital rectal exam do not lower mortality.......

meti : thanks for looking it up ......

nimishkum: i agree ,my interpretation is same as yours...

[ArchivalUser]

Yes, no support for routine screening for prostate CA. Men should be notified about the PSA screening and that there is no absolute benefit

Screen only if there are risk factors starting at the age of 45 years. The risk factors where screening recommended are:
A) African americans
B) FAMILY HISTORY OF PROSTATE CANCER.