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ProstateCa discussion
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> PSA test is non-specific (acute retention/catheterisation, BPH/TURP, old age, prostatitis, ca) 1 in 5 with normal PSA will have ca, 2 in 3 with raised PSA will not have ca All significantly raised PSA needs Bx No evidence that early detection prolongs life no distinction between aggressive tumours and slow growing ones that wouldn't otherwise be found Best for high risk men (>70, black, FH) Before test - no UTI no ejaculation within 48 hrs no PR in 1/52 no Bx in 6/52 age related range 50+ >3 60+ >4 70+ >5
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