The Curbsiders Internal Medicine Podcast

#371 Prostate Cancer: Screening, Advanced Testing, and Survivorship

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Dec 12, 2022
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INSIGHT

Prostate Cancer Prevalence Insight

  • Prostate cancer is very common but mostly non-life threatening.
  • Only a small subset of prostate cancers are aggressive and require intervention.
ADVICE

Prostate Cancer Screening Recommendations

  • Screen men aged 55 to 70 at average risk yearly or every two years.
  • Start screening at 40 for higher-risk men or those with family history.
ADVICE

PSA and Biopsy Management

  • Repeat PSA after one month if initially elevated to rule out transient causes.
  • Consider safer transperineal biopsy over traditional transrectal to reduce infection risk.
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