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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

He had lost weight and had erectile problems. In 2004, at his annual check up, he asked for a PSA test, which was slightly raised. After a biopsy he was diagnosed with prostate cancer, and treated with hormones and brachytherapy.

Cancer >> The PSA test for prostate cancer >> Age 51-60 >> Interview 27 >> He wanted to discuss how treatment might affect quality of life before agreeing to have a biopsy.

He had mild urinary symptoms. GP suggested a PSA test [4.8ng/mL]. A consultant performed a biopsy, and found some "suspicious cells", so performed another biopsy, which led to side effects. No cancer diagnosed. Symptoms improved with saw palmetto.

Cancer >> The PSA test for prostate cancer >> Age 61-70 >> Interview 01 >> Argues that we don't know that earlier diagnosis and treatment of prostate cancer lengthens life but we do know that treatments have side effects.

Sir Iain Chalmers practised as a medical doctor until 1973. Until recently he was a director of the UK Cochrane Centre. He is now editor of the James Lind Library www.jameslindlibrary.org.

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