American Cancer Society updates prostate cancer screening guidelines

American Cancer Society updates prostate cancer screening guidelines

NPR • • health

Key Points:

  • The American Cancer Society now recommends routine prostate cancer screenings, particularly blood tests, to save lives, especially for high-risk groups like Black men and those with a family history of the disease.
  • Previously, the benefits of PSA blood tests were uncertain due to the slow-growing nature of most prostate cancers and risks of overtreatment, including sexual dysfunction and urinary incontinence.
  • The new guideline advises men aged 50 to 69 at average risk to screen every two years, while high-risk men, including Black men and those with family history, should screen annually starting at age 45.
  • To reduce overtreatment, the guidelines suggest using MRI imaging or additional blood tests before proceeding to biopsy and recommend against screening men 75 and older unless prior PSA tests were elevated.
  • These updated recommendations contrast with those of the U.S. Preventive Services Task Force, which still advises individualized decision-making with doctors regarding prostate cancer screening.

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