Benign prostatic hyperplasia and PSA: the domino effect

After U.S. Preventive Services Task Force published a recommendation against prostate cancer screening, the medical community cannot extricate itself from all specific features associated with the prostate-specific antigen (PSA). The focus given to the guidelines of the Prostatic Hyperplasia happens...

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Detalles Bibliográficos
Autor: Santos, José Agostinho
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Brasil
Institución:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
Repositorio:Revista Brasileira de Medicina de Família e Comunidade (Online)
Idioma:portugués
OAI Identifier:oai:ojs.rbmfc.org.br:article/654
Acceso en línea:https://rbmfc.org.br/rbmfc/article/view/654
Access Level:acceso abierto
Palabra clave:Prostatic Hyperplasia
Prostate-Specific Antigen
Risk Assessment
Hiperplasia Prostática
Antígeno Prostático Específico
Medición De Riesgo
Medição de Risco
Descripción
Sumario:After U.S. Preventive Services Task Force published a recommendation against prostate cancer screening, the medical community cannot extricate itself from all specific features associated with the prostate-specific antigen (PSA). The focus given to the guidelines of the Prostatic Hyperplasia happens for the possible sharing of a certain point of its approach with the prostatic cancer case-finding, that is the PSA test. The results of two large clinical trials represent the largest body of evidence and they say the number of men who avoided prostate cancer death after subjected to screening was reduced. There is evidence that 100-200 in 1000 screened men will have a false-positive, most of which will have a biopsy with possible psychological damage and organic. The GP should remember that it is not recommended to provide this test, without first discussing together with the patient, the issues that are inherent to the PSA sample.