Published March 25, 2011
The wrong way to find prostate cancer
As you may know, I’m really down on the PSA test. I debunked the PSA as a marker for prostate cancer years before medical science did. Yes, it’s great for detecting inflammation. But not for cancer. Some doctors still consider the PSA’s “rate of rise” a better detector of cancer than just one score. But is it?
The “rate of rise” works like this: Say your PSA is 1.0 this year and 1.1 the next year. Your doctor won’t think much about it. But if it goes to 2.0 the next year? That when your urologist wants you in his office quickly for a dangerous and largely useless biopsy.
Researchers recently studied the rate of rise as a predictor. And what they found is not too good!
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