The Risks of Prostate Cancer Screening

Health
3 min readJun 13, 2024

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1. False positives

False positives: Prostate cancer screening tests can sometimes produce false positive results. This means that the test suggests that cancer is present when it is not.

Prostate cancer screening tests, such as the prostate-specific antigen (PSA) test, can sometimes produce false positive results. This means that the test suggests that cancer is present when it is not. False positives can occur for a variety of reasons, including:

Inflammation or infection of the prostate gland. This can cause the PSA level to rise, even if there is no cancer present.

Certain medications. Some medications, such as finasteride and dutasteride, can lower the PSA level. If you are taking any medications, be sure to tell your doctor so that they can take this into account when interpreting your PSA test results.

Age. The PSA level tends to rise with age, even in men who do not have prostate cancer. This is because the prostate gland naturally grows larger as men get older.

False positives can be a concern because they can lead to unnecessary biopsies and other tests. If you have a false positive PSA test, your doctor will likely recommend that you have a follow-up biopsy to confirm the diagnosis. However, it is important to remember that a false positive PSA test does not necessarily mean that you have prostate cancer. In fact, most men who have a false positive PSA test do not have prostate cancer.

If you are concerned about the risk of false positives, you should talk to your doctor about the pros and cons of prostate cancer screening. Your doctor can help you decide whether or not screening is right for you.

2. Overdiagnosis

Overdiagnosis: Prostate cancer screening can also lead to overdiagnosis. This means that cancer is detected that would not have caused any symptoms or problems if it had not been detected.

Prostate cancer screening can also lead to overdiagnosis. This means that cancer is detected that would not have caused any symptoms or problems if it had not been detected. Overdiagnosis can occur when a screening test finds a cancer that is so small and slow-growing that it would never have caused any problems if it had not been detected.

Overdiagnosis is a concern because it can lead to unnecessary treatment. Treatment for prostate cancer can have side effects, such as impotence and incontinence. If you are diagnosed with prostate cancer, it is important to talk to your doctor about the risks and benefits of treatment. You may want to consider active surveillance, which involves monitoring the cancer without treating it.

If you are concerned about the risk of overdiagnosis, you should talk to your doctor about the pros and cons of prostate cancer screening. Your doctor can help you decide whether or not screening is right for you.

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