Science Friday What Are The Best Practices For Prostate Cancer Screening?
Jun 17, 2025
Joining the discussion are Matthew Cooperberg, a urologic oncologist from UCSF, and Andrew Vickers, a statistician at Memorial Sloan Kettering. They delve into the complex role of PSA testing in prostate cancer screening, highlighting the balance needed for effective diagnosis and treatment. The conversation also sheds light on the stark racial disparities in prostate cancer incidence, particularly among Black men, urging equitable health access. Listeners will gain insights into the evolving recommendations for screenings and the importance of informed decision-making.
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PSA Test's Screening Strength
- PSA is the best screening test oncology has seen if used properly.
- The challenge lies in interpreting PSA results due to factors like aging and benign prostate conditions.
Rethinking Prostate Cancer Diagnosis
- Prostate cancer diagnosis has shifted from symptomatic to microscopic detection.
- Low-grade prostate tumors often do not need treatment despite being labeled cancer.
Optimal Ages for PSA Screening
- Avoid PSA screening after age 70 unless following up on elevated prior results.
- Screening in men 45 to 70 years is where benefits outweigh harms.