Dr. Michael Leapman discusses the risks and treatment of prostate cancer.
Prostate Cancer Screening
Who should be screened?
Men at Average Risk:
Men in their 40’s Doctors at Smilow feel that all men regardless of their known risk factors should have an opportunity to have a baseline PSA as this may help inform the discussion and decision about future screening.
At age 55 Men who are at average risk of prostate cancer should talk to their doctors about routine screening for prostate cancer. Doctors at Smilow agree with some professional organizations that biennial (every 2 years) screening may be adequate in this age group, as long as an initial age-adjusted PSA test was normal.
Over the age of 69 Doctors at Smilow recommend an individualized approach to screening that takes into consideration the man’s general health and life expectancy. It should be noted that some professional organizations do not support screening men in this age group.
- African American / Black men (Men of African Ancestry)
- Men with a family history of prostate cancer in a first degree relative (father, brother, or son) diagnosed before age 65.
- PSA
- DRE