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After this discussion, men who want to be screened should get the prostate-specific antigen (PSA) blood test. The digital rectal exam (DRE) may also be done as a part of screening. (See Screening Tests for Prostate Cancer.)
While the general guidelines recommend starting at age 55, you may need PSA screening between the ages of 40 and 54 if you: Have at least one first-degree relative (such as your father or brother) who has had prostate cancer. Have at least two extended family members who have had prostate cancer.
Screening for prostate cancer is done with a simple blood test called a prostate-specific antigen (PSA) test. This test measures the level of a protein made by cells in the prostate gland in your blood. PSA levels rise if there’s a problem with your prostate. It’s normal to have a low level of PSA.
Risk Assessment. Older age, African American race, and family history of prostate cancer are the most important risk factors for prostate cancer. Screening Tests. Screening for prostate cancer begins with a test that measures the amount of prostate-specific antigen (PSA) protein in the blood.
This topic reviews the efficacy of screening and recommendations regarding screening for prostate cancer. Risk factors, clinical manifestations, and diagnosis of prostate cancer are discussed separately.
PSA screening for prostate cancer should involve consideration of benefits and risks. Screening is associated with a small reduction in prostate cancer deaths; risks include overdiagnosis and...
Early PSA testing (baseline PSA followed by risk-adapted follow-up) can be offered to men >50 years, men >45 years with a family history of prostate cancer, African-Americans >45 years and BRCA1/2 carriers >40 years [III, B].