Prostate Screening Choices
- Both benign and cancerous conditions can cause elevated PSA levels.
- The blood test can only measure the levels, not the cause. Further testing would need to be done to find the cause.
- Prostate cancer does not always increase PSA levels. A test that shows normal levels does not mean you are cancer-free. Do not ignore symptoms common to prostate cancer because you had a normal PSA test. This could lead to a delay in treatment.
Digital Rectal Exam
- The DRE cannot show if the lump is cancer or not. A positive test will lead to further testing.
- Some lumps may not be found through this exam. Very early stage cancer is difficult to detect with DRE. A clear test (where the doctor does not detect any lumps) may again encourage men to ignore symptoms common to prostate cancer. This could lead to delays in treatment.
American Cancer Society http://www.cancer.org
National Cancer Institute http://www.cancer.gov
The Canadian Prostate Cancer Network http://www.cpcn.org
Prostate Cancer Research Foundation http://www.prostatecancer.ca
Can prostate cancer be found early? American Cancer website. Available at: http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-detection. Updated August 26, 2013. Accessed January 13, 2014.
Prostate cancer. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 5, 2014. Accessed January 13, 2014.
Prostate cancer screening. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 19, 2013. Accessed January 13, 2014.
Prostate cancer screening. National Cancer Institute website. http://www.cancer.gov/cancertopics/pdq/screening/prostate/Patient. Updated August 22, 2013. Accessed January 13, 2014.
10/26/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Hugosson J, Carlsson S, Aus G, et al. Mortality results from the Göteborg randomised population-based prostate-cancer screening trial. Lancet Oncol. 2010;11(8):725-732.
- Reviewer: Michael Woods, MD
- Review Date: 01/2014 -
- Update Date: 01/13/2014 -
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