PSA and Prostate Cancer

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					Q. What's the latest recommendation for prostate screening?

A. Prostate cancer is the second leading cause of cancer death in men.
Although you may not want to take the time to see your doctor if you're
feeling fine, regular checkups and screenings can help detect any
potential health problems you may have.
Not all scientific or medical groups advise routine screening for
prostate cancer. There's been much discussion and research regarding the
value of screening for prostate cancer. More than 28,000 scientific
articles have been published in peer-reviewed medical journals between
October 1995 and October 2005. Thanks to this research and increased
screening in the United States, prostate cancer specific deaths have
The American Urological Association advocates for men in the general
population, prostate cancer screening -- using both PSA testing and a DRE
(digital rectal exam) -- should begin at age 50. In high-risk groups such
as African-American men and those with a family history of prostate
cancer, screening should begin at age 40.

Although the PSA blood test is prostate specific but not cancer specific,
it sometimes can help predict prostate cancer when performed with a
rectal exam.   On the list below, if your PSA value is over the limit for
your age, it is advisable to seek counseling by your primary care doctor
and/or Urologist.
·     PSA less than 2.5 ng/mL for men up to age 49     (>2.5 is abnormal)
·     PSA less than 3.5 ng/mL for men aged 50 to 59      (>3.5 is
·     PSA less than 4.0 ng/mL for men aged 60 and older.      (>4.0 is
Remember that early detection may increase the chance for survival!

Dr. Jeffrey Schock is a Board Certified Urologist in metropolitan
Detroit area.

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