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Review Article
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Volume 333:1401-1405 November 23, 1995 Number 21
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Screening for Prostate Cancer with Prostate-Specific Antigen — An Examination of the Evidence
Steven H. Woolf, M.D., M.P.H.

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After lung cancer, prostate cancer is the leading cause of deaths from cancer among men in the United States. It will claim 40,000 lives in 1995.1 Studies in the early 1990s demonstrated that levels of prostate-specific antigen (PSA), a serine protease, are elevated in most men with clinically important prostate cancer and that measuring them is the best means for early detection of the disease.2,3,4,5 In 1993, the American Cancer Society recommended that clinicians measure PSA in all men 50 years of age and older as part of an annual prostate examination and that PSA screening should begin at the . . . [Full Text of this Article]

Analytic Issues

Is Prostate Cancer Serious?

Is PsA Screening Accurate?

Does Early Detection of Prostate Cancer Improve Outcomes?

Is Screening or Treatment Harmful?

Does Screening Do More Good Than Harm?

Is There Enough Evidence?

How to Advise the Patient


Source Information

From the Department of Family Practice, Fairfax Family Practice Center, Medical College of Virginia, Fairfax.

Address reprint requests to Dr. Woolf at the Fairfax Family Practice Center, 3712 Charles Stewart Dr., Fairfax, VA 22033.

References


Related Letters:

Screening for Prostate Cancer
Catalona W. J., Hensel W. A., Stevens R., Budenholzer B., Woolf S. H.
Extract | Full Text  
N Engl J Med 1996; 334:666-668, Mar 7, 1996. Correspondence

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