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Correspondence
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Volume 330:220-221 January 20, 1994 Number 3
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Screening for Prostate Cancer

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To the Editor: Guidelines recently published by the American Cancer Society1 recommend that men over the age of 50 have an annual digital rectal examination and a prostate-specific-antigen assay. These recommendations are problematic. Other expert panels have not issued such guidelines2. Investigators from the American Cancer Society have stated, with regard to prostate cancer, "no randomized, controlled study has ever demonstrated disease-specific mortality reduction from any test or procedure"3.

The American Cancer Society has issued screening guidelines that were subsequently retracted. These guidelines included the use of chest films to screen smokers for lung cancer,4 annual sigmoidoscopy for . . . [Full Text of this Article]

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