[Hopespringpcsg] FW: How Often Should You Get Tested?

Glen Tolhurst glen.tolhurst at sympatico.ca
Thu Aug 6 07:40:10 EDT 2015


Hi all:

Interesting info.

Note it is from a US source.

You have to be your own healthcare advocate.

Take care,

Glen

 

From: Health After 50 Alerts [mailto:HealthAfter50Alerts at sp.healthafter50.com] 
Subject: PSA: How Often Should You Get Tested?

 

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Prostate-specific antigen(PSA) levels in mid-life are powerfully predictive of a man's chance of developing metastatic prostate cancer and dying from the disease. PSA levels at 40 and 50 years of age are a much better predictor of prostate cancer risk than assessments of diet, family history, body mass index, or anything else that we have that predicts risk, writes Peter T. Scardino, MD, chairman of the Department of Surgery at Memorial Sloan-Kettering Cancer Center, in  <http://links.remedyhealthmedia.mkt5226.com/ctt?kn=17&ms=Nzk2MzA1MwS2&r=NDk5ODAzNTY0OTcS1&b=0&j=NzQwNzE2NzkwS0&mt=1&rt=0> Prostate Cancer Outlook 2015 with Scientific American.

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The best scientific evidence suggests that you should have your first PSA test in your mid 40s. After that, the frequency of testing depends on your level. The following is what doctors at Memorial Sloan Kettering Cancer Center recommend to patients with a 10-year life expectancy:

Baseline PSA test at age 45-49 

· PSA ≥ 3 ng / mL: consider prostate biopsy?

· PSA ≥ 1 but < 3 ng / mL: return for PSA testing every 2 - 4 years

· PSA < 1 ng / mL: return for PSA testing at age 51 - 55

Men age 50 – 59 should have their PSA checked 

· PSA ≥ 3 ng / mL: consider prostate biopsy?

· PSA ≥ 1 but < 3 ng / mL: return for PSA testing every 2 - 4 years

· PSA < 1 ng / mL: return for PSA testing at age 60

  


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Men age 60 – 70 should have their PSA checked 

· PSA ≥ 3 ng / mL: consider prostate biopsy?

· PSA ≥ 1 but < 3 ng / mL: return for PSA testing every 2 – 4 years

· PSA < 1 ng / mL: no further screening

Men age 71 – 75 should talk to their doctor about having a PSA 

· PSA ≥ 3 ng / mL: consider prostate biopsy

· PSA < 3 ng / mL: continued PSA screening a clinical judgment based on PSA level and health of the patient

For men age 76+ 

· No further screening

>From Vickers AJ, Eastham JA, Lilja H, Scardino PT, in press 2015. 

  

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