Podcast
Questions and Answers
Which of the following is true about serum prostate-specific antigen (PSA) testing?
Which of the following is true about serum prostate-specific antigen (PSA) testing?
When should men be offered a prostate-specific antigen (PSA) measurement?
When should men be offered a prostate-specific antigen (PSA) measurement?
What should be considered if a man's serum PSA level is in excess of 2.5–4ng/mL?
What should be considered if a man's serum PSA level is in excess of 2.5–4ng/mL?
When should transrectal ultrasound scanning (TRUS) plus transrectal biopsies be considered?
When should transrectal ultrasound scanning (TRUS) plus transrectal biopsies be considered?
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What should men be informed about before undergoing a prostate-specific antigen (PSA) test?
What should men be informed about before undergoing a prostate-specific antigen (PSA) test?
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Study Notes
Prostate-Specific Antigen (PSA) Testing
- Serum PSA testing is not recommended as a screening test for prostate cancer due to its limitations.
Indications for PSA Measurement
- Men should be offered a PSA measurement if they are 50 years or older, or 45 years or older with a family history of prostate cancer.
Elevated PSA Levels
- If a man's serum PSA level is in excess of 2.5–4ng/mL, clinicians should consider the possibility of prostate cancer and further evaluation may be necessary.
Transrectal Ultrasound Scanning (TRUS) and Biopsies
- Transrectal ultrasound scanning (TRUS) plus transrectal biopsies should be considered if the PSA level is elevated or if a digital rectal examination is abnormal.
Pre-PSA Test Counseling
- Men should be informed about the potential risks and benefits of PSA testing, including the risk of false-positive results and the possibility of over-diagnosis and over-treatment, before undergoing a PSA test.
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Description
Test your knowledge about serum prostate-specific antigen (PSA) and its role in the early detection of prostate cancer. Understand the benefits, risks, and uncertainties associated with the PSA test and learn about the importance of informed decision-making.