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Cancer
The PSA test for prostate cancer
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What is the PSA test? :
What is the PSA test?
Finding information about the PSA test
Deciding whether or not to have the PSA test :
Deciding whether or not to have the PSA test
Why some men have not had a PSA test
Symptoms
Family history and other concerns about cancer
Encouraged by family, friends and the media
Routine health checks
Follow-up after treatment
Results and treatment choices :
Waiting for the results of a PSA test
Getting the results and understanding them
What may happen when a PSA test result is abnormal
Biopsy of the prostate
Choosing a treatment if cancer is diagnosed
Views about a national screening programme :
The pros & cons of a national screening programme
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The PSA test for prostate cancer
Subject index
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Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 10
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Thinks that screening for prostate cancer might cause unnecessary anxiety.
He has not had any urinary symptoms. Has looked at information about the PSA test and has decided that he would only have a test if he developed symptoms.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 35
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He found the biopsy very painful and needed 'gas and air' (Entonox).
He decided to have a PSA test because of a family history of prostate cancer. The PSA result was slightly raised, so he had a biopsy. Cancer was diagnosed. In May 2005 he had a radical prostatectomy.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 03
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He had the PSA test primarily to humour his urologist. The result left him feeling extremely anxious.
Worried about raised PSA. Had a biopsy but no diagnosis of cancer.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 35
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The decision to have a PSA test was made with the help of his wife and GP. He knew the test might lead to further investigations.
He decided to have a PSA test because of a family history of prostate cancer. The PSA result was slightly raised, so he had a biopsy. Cancer was diagnosed. In May 2005 he had a radical prostatectomy.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 10
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Says that a raised PSA result may lead to an unnecessary biopsy. Prefers to live life in an 'optimistic way', having a test only if really necessary.
He has not had any urinary symptoms. Has looked at information about the PSA test and has decided that he would only have a test if he developed symptoms.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 24
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Testicular problems in the past made him worry that he might develop testicular cancer or prostate cancer.
Having had testicular problems in the past, and having experienced mild urinary symptoms recently, he was worried that he might be at risk of prostate cancer. In 2004 his GP suggested a PSA test. The result was "normal".
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 06
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He worked hard and tried to forget about the PSA test while waiting for the results
In 2004, developed frequency, so had a PSA test which was "on the limit". In March 2005, had difficulty passing urine. Had another PSA test, and has not yet had the results.
Cancer
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The PSA test for prostate cancer
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Age 71-80
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Interview 34
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He was worried that the biopsy might allow cancerous cells to spread throughout his body.
He had urinary symptoms for about 5 years, and in February 2005 had a PSA test which was slightly raised. After a biopsy, prostate cancer was diagnosed and treated with High Intensity Focused Ultrasound (HIFU). He recovered quickly from the operation with few side effects and little discomfort.
Cancer
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The PSA test for prostate cancer
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Age 71-80
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Interview 34
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He was concerned that the biopsy might have allowed cancerous cells to get into his sperm and pass into his wife during sex.
He had urinary symptoms for about 5 years, and in February 2005 had a PSA test which was slightly raised. After a biopsy, prostate cancer was diagnosed and treated with High Intensity Focused Ultrasound (HIFU). He recovered quickly from the operation with few side effects and little discomfort.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 02
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Argues that it is irresponsible to advocate PSA screening for prostate cancer until there is better evidence that screening reduces mortality.
As a clinical academic who has been involved with screening for cancer in other sites, he felt he was in a good position to judge (when considering screening for prostate cancer) that the potential for harm outweighed the potential for benefit.
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