Regular prostate cancer screening recommended in new guidelines
Also reported by Ars Technica, The Hill
Summary
The American Cancer Society recommends regular PSA blood tests for men ages 50 to 69 at average risk and earlier, more frequent testing for some men at higher risk. It also advises discussing screening with a doctor because PSA results can lead to unnecessary tests or treatment, and screening may not benefit men with limited life expectancy.Key Facts
- Men at average risk should get a PSA test every two years from ages 50 to 69.
- Black men and men with a strong family history should start yearly PSA testing at age 45.
- A strong family history includes a father, brother, or son diagnosed before age 65, or multiple close relatives diagnosed at any age.
- Men with one close relative diagnosed after age 65 should start screening at 45 and can be tested every two years.
- The guidelines advise men to discuss screening with a doctor at age 70 because the benefits become less clear.
- The society no longer recommends screening at age 75, though some healthy men ages 75 to 79 may choose to continue, and it discourages screening from age 80.
- Doctors can repeat an elevated PSA test or use an MRI to help decide whether a biopsy is needed.
- The society says screening is not appropriate for men whose health makes it unlikely they will live another 10 years.
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