[New recommendations for prostate cancer screening with PSA]

Semergen. 2021 Jul-Aug;47(5):342-347. doi: 10.1016/j.semerg.2020.12.009. Epub 2021 Apr 7.
[Article in Spanish]

Abstract

Prostate cancer is the most frequently diagnosed cancer in men and the second cause of death in those worldwide. The fact that is a tumor with a long latency period has led to a confusion in the convenience of its diagnosis and treatment in patients at an early stage. Classically, European and American societies have not recommended prostate cancer screening with PSA, allowing physicians take this decision. In 2012, after many years full of controversy, the American organization United States Preventive Task Force recommended to abandon its use. The results of these statements carried an increase in the incidence of the metastatic prostate cancer and, therefore, a rise in its mortality. In 2018, after these consequences, the European Association of Urology released new recommendations in favor of screening based on PSA for the first time. In 2019, guidelines were updated with no changes in its recommendations.

Keywords: Adenocarcinoma de próstata; PSA; Prostate cancer; Screening.

MeSH terms

  • Early Detection of Cancer
  • Humans
  • Male
  • Mass Screening
  • Prostate-Specific Antigen
  • Prostatic Neoplasms* / diagnosis
  • United States
  • Urology

Substances

  • Prostate-Specific Antigen