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Detecting Prostate Cancer - New PSA Test Goes Pro!

Urologists Diagnose Prostate Cancer with New Test; Better Detection, Fewer False Positives

October 1, 2011

Urologists are using a new kind of prostate cancer diagnostic test that improves detection and reduces false positives. The traditional and most common method of screening for prostate cancer generates a high number of false positives and negatives, causing unnecessary treatments and missed diagnoses. Both screening methods use a blood test to detect a substance that indicates the presence of cancer, but the new test measures a more specific form of the substance. Using a more valuable predictor for prostate cancer makes the new test more accurate, leading to less unnecessary and painful biopsies and more appropriate treatment.

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WHAT IS THE PROSTATE: The prostate is a walnut-sized gland, located between the bladder and the penis and in front of the rectum. Its primary function is the production of seminal fluid, the milky substance that nourishes sperm.

WHAT IS PSA TESTING: PSA testing is one step in early identification of prostate tumors, combined with digital rectal examination. But PSA testing can miss some cancers, or produce a false positive (indicate a cancer that doesn't exist). Furthermore, a prostate biopsy is a very painful and unpleasant procedure, with 12 separate tissue extractions followed by a month of pain. The biopsy usually needs to be repeated each year after the first positive PSA result, even if the initial biopsy comes out negative. Of the 1.8 million biopsies performed annually, only 15 percent come out negative. Reducing the number of biopsies requires for an accurate diagnosis would bring welcome relief to many patients.

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Marla Paul
Senior Health Sciences Editor
University Relations
Northwestern University

Ellen Weiss
Biophysical Society
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