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This interactive feature allows readers to decide on the diagnosis or management of a clinical case. A case vignette is followed by specific clinical options, none of which can be considered either correct or incorrect. Readers can participate in forming community opinion by choosing one of the options and, if they like, providing their reasons.

Read the Case Vignette and consider the Treatment Options, then Vote and share your Comments.

Previous Volume 359:2605-2609 December 11, 2008 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Case Vignette

A 63-year-old man who has been under your care for the past 3 years undergoes an annual check-up. He believes he is in excellent health, and he has no medical problems to report. In 2006, his physical examination and routine laboratory tests were normal, and the prostate-specific antigen (PSA) level was 1.5 ng per milliliter. There had been no new findings in 2007, except that the PSA level had risen to 3.1 ng per milliliter. This year's annual check-up reveals a PSA level of 3.8 ng per milliliter, and a digital rectal examination is normal.

Concerned about the rising PSA . . . [Full Text of this Article]

Treatment Options

Cast Your Vote

This article has been cited by other articles:

• Schwartz, R. S. (2009). Management of Prostate Cancer -- Polling Results. NEJM 360: e4-e4 [Full Text]