SMRs and AMRs

Tuesday, September 28, 2010

Simplifying the Decision for a Prostate Screening

By TARA PARKER-POPE
NYT

One of the most difficult decisions a man makes about prostate cancer happens long before the diagnosis. Should he get a regular blood test to screen for the disease?

Screening for early detection of cancer sounds like a no-brainer, but it’s not an easy choice for men considering regular P.S.A. tests, which measure blood levels of prostate-specific antigen and are used to detect prostate cancer. Though use of the test is widespread, studies show that the screening saves few, if any, lives.

While the test helps find cellular changes in the prostate that meet the technical definition of cancer, they often are so slow-growing that if left alone they will never cause harm. But once cancer is detected, many men, frightened by the diagnosis, opt for aggressive surgical and radiation treatments that do far more damage than their cancers would have, leaving many impotent and incontinent.

As a result, major health groups don’t advise men one way or the other on regular P.S.A. screenings, saying it should be a choice discussed between a man and his doctor.

(Original with hot links here.)

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