The American Cancer Society now recommends prostate-specific antigen (PSA) screening starting at age 50, ending 16 years of leaving the choice to men and their doctors
Black men and men with a strong family history should begin annual PSA screening at age 45, with testing every two years for average-risk men ages 50 to 69
New PSA threshold of 3.0 ng/mL for men under 70 triggers a repeat test and possible MRI rather than immediate biopsy
Low-risk prostate cancer diagnoses should first be managed with active surveillance instead of automatic surgery or radiation
PSA screening is no longer recommended from age 75 or for men with a life expectancy under 10 years
For sixteen years, the American Cancer Society told men to figure out prostate cancer screening on their own after a chat with their doctor, but that advice has now changed. In a major policy reversal published Thursday in CA: A Cancer Journal for Clinicians, the organization now actively recommends men get their prostate-specific antigen, or PSA, numbers checked at regular intervals starting at age 50. The change comes as fresh long-term European trial data shows screening actually cuts deaths, and as diagnoses of advanced prostate cancer keep piling up.
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