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Med. Clin. North Am. · Jul 2017
ReviewPrevention of Prostate Cancer Morbidity and Mortality: Primary Prevention and Early Detection.
- Michael J Barry and Leigh H Simmons.
- General Medicine Division, Massachusetts General Hospital, 50 Staniford Street, Suite 957, Boston, MA 02114, USA. Electronic address: mbarry@partners.org.
- Med. Clin. North Am. 2017 Jul 1; 101 (4): 787-806.
AbstractMore than any other cancer, prostate cancer screening with the prostate-specific antigen (PSA) tests increases the risk a man will have to face a diagnosis of prostate cancer. The best evidence from screening trials suggests a small but finite benefit from prostate cancer screening in terms of prostate cancer-specific mortality, about 1 fewer prostate cancer death per 1000 men screened over 10 years. The more serious harms of prostate cancer screening, such as erectile dysfunction and incontinence, result from cancer treatment with surgery or radiation, particularly for men whose PSA-detected cancers were never destined to cause morbidity or mortality.Copyright © 2017 Elsevier Inc. All rights reserved.
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