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The continuing role of PSA in the detection and management of prostate cancer

Kurt Miller, Per-Anders Abrahamsson, Koichiro Akakura, Frans M. J. Debruyne, Christopher P. Evans, Laurence Klotz

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Despite being used extensively for the diagnosis and management of prostate cancer, prostate-specific antigen (PSA) testing remains controversial. Doubts have been raised over the continued use of PSA in the detection of clinically significant prostate cancer because many men now present with early-stage, small-volume tumours. This article examines the limitations of using a single PSA value in diagnosis and discusses alternative approaches to PSA testing, in particular PSA velocity and PSA doubling time, which are now emerging as valuable pretreatment disease predictors. A clinical scenario is also presented to illustrate the use of PSA kinetics in identifying candidates for biopsy. (c) 2006 European Association of Urology. Published by Elsevier B.V. All rights reserved.
    Original languageEnglish
    Pages (from-to)327-333
    JournalEuropean Urology. Supplement
    Volume6
    Issue number3
    DOIs
    Publication statusPublished - 2007

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Subject classification (UKÄ)

    • Clinical Medicine

    Free keywords

    • PSA doubling time
    • prostate cancer
    • PSA
    • PSA velocity

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