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Just as an aside, I have a good high school friend that is accusing his doctor of removing his prostate by biopsy. He does not remember how many times he has been biopsyed. All biopsy pathology reports have been clean.
For some reason, his PSA continues to be high enough to trigger a biopsy. The PSA is the only thing that appears to be out of whack.
gp apathy on pc .Adelaide advertiser 31 march following an article the day before . Quote from the urological society of aust recomends screening for men over 40 , The cancer council how ever does not support population screening as they say many prostate cancers will not progress sufficiently to cause harm in the mans life time. Some stats from the article about 16000 men are diagnosed each year and 3000 die .A review in western aust of 5146 men referred for pc biops after psa blood tests fond they were more likely to be diagnosed with cancer .69 % were high grade cancers
There is a difference bedtween population screening and using the PSA test as part of a medical examination which includes a DRE (Digital Rectal Examination)
There is scant evidence that screening the entire male population would signficantly reduce the number of men who die from PCa; there is a good deal of evidence to show that many of the men who would be diagnosed and treated would not benefit from their treatment but would lose a signficant part of their quality of life. Which is why the Australian Cancer association recommend that men be tested with their informed consent and that screening should not be implemented. The Urologist associations world wide have a different point of view, which may be influenced by their financial interests.
The large US study said there was no saving of life: the large Europen study said there was, but a large number of men (the precise estimate is arguable but is probably somewhere between 25 and 85 men) have to be treated over a ten year period to save one life.
There is no certainty to this issue, but men should be fully advised before they start the process of testing.