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  • Michael Misialek, MD

Prostate Cancer: The PSA Controversy


To test or not to test. That is the question that has sparked one of the most heated debates in medicine today. What is this? Prostate cancer and the PSA test. If you are a patient, it is like watching a heavyweight boxing match, and we are only half way through the bout. In one corner we have the US Preventive Services Task Force (USPSTF) who recommends against screening for prostate cancer with PSA, giving it a grade of D. The American College of Physicians recommends screening in men 50-69 years old only after discussing with their doctor. The American Urological Association recommends men 55-69 years old discuss with their doctor the value and risks of screening. The American Cancer Society recommends beginning at age 50 for those of average risk and only after shared decision making with their doctor. Confusing? Extremely! What is a patient to do?

To read the rest of my story, follow this link to the Men's Health Network.


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