Prostate Cancer: Are We Screening and Treating Too Much
Authors: Richard G. Middleton
Journal: Annals of Internal Medicine (1997)

Editorials15 March 1997Prostate Cancer: Are We Screening and Treating Too MuchRichard G. Middleton, MDRichard G. Middleton, MDThe University of Utah School of Medicine, Salt Lake City, UT 84132Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-126-6-199703150-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The incidence of newly discovered prostate cancer has increased substantially during the past decade. The old and standard digital rectal examination has been supplemented by widespread measurement of prostate-specific antigen (PSA) in men who are about 50 years of age or older. Measurement of PSA has clearly been a major factor in the increase in cancer detection. Transrectal ultrasonography of the prostate is widely done in hospitals, clinics, and urologists' offices if cancer is suspected on the basis of induration or a nodule in the prostate, an elevated PSA level, or both. Although ultrasonography of the prostate has been disappointing ...References1. American College of Physicians. Screening for prostate cancer. Ann Intern Med. 1997; 126:480-4. Google Scholar2. Coley CM, Barry MJ, Fleming C, Fahs MC, Mulley AG. Early detection of prostate cancer. Part II: estimating the risks, benefits, and costs. Ann Intern Med. 1997; 126:468-79. Google Scholar3. American Urological Association, Prostate Cancer Clinical Guidelines Panel. Report on the Management of Clinically Localized Prostate Cancer. Baltimore, MD: American Urological Assoc; 1995. Google Scholar4. Middleton RG, Thompson IM, Austenfeld MS, Cooner WH, Correa RJ, Gibbons RP, et al. Prostate Cancer Clinical Guidelines Panel summary report on the management of clinically localized prostate cancer. The American Urological Association. J Urol. 1995; 154:2144-8. Google Scholar5. Stephenson RA, Middleton RG. Radical retropubic prostatectomy using wide excision (non-nerve sparing) or nerve-sparing techniques: improved cancer control. In: Middleton RG, ed. Medical and Surgical Management of Prostate Cancer. New York: Igaku-Shoin; 1996:69. Google Scholar6. Stephenson RA, Smart CR, Mineau GP, James BC, Janerich DT, Dibble RL. The fall in incidence of prostate carcinoma. On the down side of a prostate specific antigen induced peak in incidence-data from the Utah Cancer Registry. Cancer. 1996; 77:1342-8. Google Scholar Author, Article, and Disclosure InformationAffiliations: The University of Utah School of Medicine, Salt Lake City, UT 84132Corresponding Author: Richard G. Middleton, MD, Division of Urology, The University of Utah School of Medicine, 50 North Medical Drive, Salt Lake City, UT 84132. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCLINICAL GUIDELINES: PART II: Early Detection of Prostate Cancer: Part II Christopher M. Coley , Michael J. Barry , Craig Fleming , Marianne C. Fahs , and Albert G. Mulley CLINICAL GUIDELINE: PART III: Screening for Prostate Cancer Metrics Cited ByEl adenocarcinoma de próstata en los años 1999 y 2006. Diferencias en el estudio comparativo de biopsias transrectales y de prostatectomías radicalesQuality of life: An outcomes perspectivePromoting informed decision making about prostate cancer screeningMandated coverage for cancer-screening services Whose guidelines do states follow?Part II. Prostate cancer screeningProstate-specific antigen testing for early diagnosis of prostate cancer: formulation of guidelinesProstate Cancer Screening: Promise and Peril-A ReviewProstate cancer histologic trends in the metropolitan Detroit area, 1982 to 1996Towards a philosophy of public health 15 March 1997Volume 126, Issue 6Page: 465-467KeywordsBiopsyCancer screeningDigital rectal examinationErectile dysfunctionIncontinenceProstate cancerRadiation therapyRadical prostatectomySurgeryUltrasound imaging Issue Published: 15 March 1997 CopyrightCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...