Charity calls for prostate-cancer testing of high-risk men

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Charity calls for prostate-cancer testing of high-risk men
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Prostate Cancer Research acknowledges more accurate tests would be needed to justify screening all men.

Screening men born with a high risk of developing prostate cancer, once they reach the age of 45, makes financial sense, a cancer charity says.

The debate around prostate screening revolves around an imperfect test and the trade-off between finding some men’s aggressive cancers earlier and the harms of diagnosing and treating slow-growing tumours that would never have affected a man’s health or lifespan. But PSA levels can be high for a variety of reasons - including an enlarged prostate, inflammation or infection, recent vigorous exercise or sex - or remain normal despite cancer."There are prostate cancers that are so slow-growing that they will not affect a man's lifespan," GP Dr Margaret McCartney says."And then you have a small number of very aggressive prostate cancers which do move quickly and cause harm," Dr McCartney says.

One in 10 of these men opts for radical surgery rather than live with the anxiety of wondering whether their cancer will grow, Prof Ahmed says.

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