Prostate Âé¶¹ÊÓÆµapp Screening

Prostate cancer screenings look for signs of cancer before symptoms start. Early detection may aid in more successful treatment, as well as improve the odds of staying cancer-free. Compared to other cancers, prostate cancer generally has the best prognosis.

Prostate cancer progresses differently in each person. In some cases, it may spread early and require rapid intervention. In others, it grows slowly and may not pose immediate harm. As a result, early detection does not necessarily mean treatment is required. Active surveillance may be recommended instead.

Urologic oncologist Dr. Hebert Lepor discusses the importance of prostate cancer screening and knowing the risk factors of prostate cancer.

Your urologist can help you decide whether screening is right for you. This shared decision-making takes into consideration your own values, your doctor’s experience, and the latest medical evidence.

Prostate Âé¶¹ÊÓÆµapp Risk Factors

Other than skin cancer, prostate cancer is the most common cancer in men in the United States. Roughly 13 out of every 100 American men will be diagnosed with prostate cancer. The risk of developing prostate cancer depends on a variety of factors, including age, race or ethnicity, family history, genetic factors, and diet.

Types of Prostate Âé¶¹ÊÓÆµapp Screening Tests

Prostate cancer screenings can help find cancers before they spread. Our doctors use two common screening methods.

PSA Test

Protein-specific antigen (PSA) is a protein made by the prostate gland, which can be measured in the blood using a PSA test. During a PSA test, a small amount of blood is drawn from the arm to determine the PSA level. Men with prostate cancer typically have an elevated PSA.

Whether a PSA test result is considered abnormal is based on a man’s age and the size of the prostate. If a single PSA test result shows an elevated level or a progressively increasing level, our doctors repeat the test before recommending further diagnostic tests.

The PSA test is not a perfect screening test for prostate cancer. That’s because elevated PSA levels can also occur as a result of a urinary tract infection, prostatitis (inflammation of the prostate), or an enlarged prostate. The test may also detect slow-growing cancers that would pose no harm if left untreated.

Our researchers are developing and evaluating highly sensitive tests to detect aggressive cancers more accurately, while reducing the incidence of false-positive and false-negative results. For instance, a 4Kscore is a blood test that identifies those at risk of aggressive prostate cancer. Other tests, such as an ExoDX Prostate Test, detect molecular markers in urine associated with aggressive prostate cancer.

Investigators at NYU Langone Health have played a pivotal role in investigating molecular markers that help doctors determine whether a prostate biopsy is needed to test for cancer.

Widespread PSA screening has been largely responsible for reducing overall prostate cancer mortality rates by almost 50 percent.

Digital Rectal Exam

In addition to a PSA test, our doctors may recommend a digital rectal exam to screen for prostate cancer.

During a digital rectal exam, a urologist uses a gloved finger to check the prostate by feeling it through the rectum. The doctor assesses the size of the prostate and checks for abnormalities.

A normal prostate has a rubbery, soft feel and is symmetric, with a smooth groove down the middle.

A firm or hard region in the prostate, called a nodule, may indicate that prostate cancer is present. If the urologist feels a prostate nodule, they may recommend other diagnostic tests. The doctor may also recommend these tests if the prostate feels asymmetric, with one side larger than the other.

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