Medical group to say men don't need prostate cancer screenings, source says

Medical group to say men don't need prostate cancer screenings, source says
CNN, October 7, 2011
Posted: 2011-11-15 14:07:52
http://www.cnn.com/2011/10/06/health/prostate-screening/index.html

The U.S. Preventive Services Task Force, the group that told women in their 40s that they don't need mammograms, will recommend that men not get screened for prostate cancer, according to a source privy to the task force deliberations. A review of studies shows screening with the PSA blood test results in "small or no reduction" in prostate cancer deaths. The report adds that PSA testing is "associated with harms related to subsequent evaluation and treatments." The problem is that many of the cancers that get detected are so small and slow-growing, they'll never be harmful, and doctors have a difficult time discerning the quick, harmful cancers from the slow, harmless ones. If you test 100 men over age 50, 17 of them will have prostate cancer, and only three of those will have a fast-growing cancer and die of the disease, according to Dr. Kenneth Lin, senior author of the paper. If the 14 men with the slow-growing cancers are treated, they could be rendered impotent or incontinent from the treatment; or worse, the treatment could kill them. Some prostate cancer patients were disappointed with the task force's decision. A spokesman for the Prostate Cancer Foundation called the proposed recommendation "a tremendous mistake." "You're talking to someone whose life was saved by [the PSA test]," Dan Zenka said. But Lin says he believes testing does more harm than good. "Maybe you should get tested if you have this horrible family history where everyone gets prostate cancer before the age of 50. But for most men, testing is harmful," he said.

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