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When should men begin being screened for prostate cancer? How does the doctor know?
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StacyLoebMD (Physician - Urology (Verified) ) - 04 / 11 / 2012
Traditionally, groups such as the American Cancer Society have recommended health care providers begin offering screening starting at age 50 for average-risk men, and in the 40’s for men with risk factors (e.g., positive family history, African American).
However, cutting-edge research has recently shown that measurements of prostate-specific antigen (PSA) in the 40’s provide useful information about the risk of ever developing or dying from prostate cancer. Accordingly, the National Comprehensive Cancer Network now recommends performing a baseline PSA test at age 40 which is used to guide the frequency of screening from that point on. For example, the median PSA level is approximately 0.7 to 1 ng/ml in the 40’s, so men with a PSA level above that may benefit from more frequent testing than those with a lower PSA.
However, cutting-edge research has recently shown that measurements of prostate-specific antigen (PSA) in the 40’s provide useful information about the risk of ever developing or dying from prostate cancer. Accordingly, the National Comprehensive Cancer Network now recommends performing a baseline PSA test at age 40 which is used to guide the frequency of screening from that point on. For example, the median PSA level is approximately 0.7 to 1 ng/ml in the 40’s, so men with a PSA level above that may benefit from more frequent testing than those with a lower PSA.
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