Internal Medicine News articles from July 2008

Internal Medicine News archives from July 2008

Clinic focuses on immigrant groups.(Report)
July 1, 2008... WASHINGTON -- When Dr. David Gregory worked to open a health clinic for the uninsured in Nashville in 1991, he thought that he would be treating residents of the nearby housing projects. Most of the residents were African Americans. But...

Psoriasis may be independent risk factor for stroke: severe psoriasis increases risk by 43%.(Report)
July 1, 2008... KYOTO, JAPAN -- Severe psoriasis appears to be a potent risk factor for stroke independent of the traditional stroke risk factors, Dr. Rahat S. Azfar said at an international investigative dermatology meeting. She presented a case-control...

Pioglitazone cuts risk of progression to diabetes.(Clinical report)
July 1, 2008... SAN FRANCISCO -- People with impaired glucose tolerance were 81% less likely to develop type 2 diabetes over a 3-year period if treated with pioglitazone, according to a prospective, randomized, double-blind, placebocontrolled study of 602...

'Estimated average glucose' accurate for Hb[A.sub.1c].(Report)
July 1, 2008... SAN FRANCISCO -- Hemoglobin [A.sub.1c] levels can now be accurately expressed as estimated average glucose for most patients with type 1 and type 2 diabetes. In a multinational study presented at the annual scientific sessions of the...

New agent approved for moderate to severe Crohn's.(NEWS FROM THE FDA)
July 1, 2008... The Food and Drug Administration recently approved certolizumab pegol for the treatment of adults with moderate to severe Crohn's disease who have not responded to conventional treatments, with requirements for several postmarketing studies...

Gloves with new latex may be less allergenic.(NEWS FROM THE FDA)
July 1, 2008... Rubber gloves made from guayule latex, which contain low levels of protein and may prove to be less allergenic than traditional latex rubber gloves, were recently approved by the Food and Drug Administration. Guayule latex is a new form of...

Time is short to switch to HFA-propelled albuterol inhalers.(hydrofluoroalkane)(NEWS FROM THE FDA)
July 1, 2008... In a public health advisory, the Food and Drug Administration urged health care professionals and their patients and caregivers to switch to hydrofluoroalkane-propelled albuterol inhalers before chlorofluorocarbon-propelled inhalers are taken...

New treatment options can help smokers quit.
July 1, 2008... Many new and effective treatment strategies are available that clinicians can employ to help patients quit tobacco use, according to an updated Clinical Practice Guideline released by the U.S. Public Health Service. Use of multiple...

Lead levels linked with peripheral neuropathy.(Report)
July 1, 2008... PITTSBURGH -- Blood lead levels were significantly associated with peripheral neuropathy in a cross-sectional survey of 7,156 adults aged 40 and older. The finding, from the 1999-2004 National Health and Nutrition Examination Survey, is of...

AK carcinoma potential higher than thought.(actinic keratoses)(Report)
July 1, 2008... KYOTO, JAPAN -- Clinically diagnosed actinic keratoses progress to squamous cell carcinoma at a far greater rate than previously estimated, according to the first large study to examine the issue in 2 decades. The study demonstrated that...

Ready or not, NPI-only policy is implemented.(National Provider Identifier)
July 1, 2008... WASHINGTON -- Medicare has stopped accepting claims that contain outdated provider identifying numbers, even if the claims also include a National Provider Identifier, despite concerns voiced by physician groups that many are still not ready....

Simple formula for waist excess.(LETTERS)(Letter to the editor)
July 1, 2008... New data reported by Dr. Deborah A. Levine indicate that waist circumference measurement can be a valuable indicator of cardiovascular risk in normal-weight patients ("Waist Size Tied to Hypertension Risk," May 1, 2008, p. 1). However, we...

Correction.(Correction notice)
July 1, 2008... Our story "Studies Challenge Benefit of Intensive Glycemic Control" (June 15, 2008, p. 1) cited an incorrect [HbA.sub.1c] goal. For most patients with diabetes, the American Diabetes Association recommends a goal of less than 7%.

Practicing where cancer and heart disease converge.(GUEST EDITORIAL)(Disease/Disorder overview)
July 1, 2008... Cardiovascular disease and cancer are by far the two most common diseases in the developed world, so the extent to which they interrelate should come as no surprise. There is a remarkable overlap between cancer and cardiovascular disease...

Do high-deductible plans coupled with HSAs promote underinsurance? The sick and poor are left underinsured.(health savings accounts)(POINT/COUNTERPOINT)
July 1, 2008... Consumer-directed health care (CDH) is premised on the odd idea that Americans are too well insured. In policy wonks' dreams CDH couples high-deductible insurance policies with health savings accounts (HSAs) that patients can use to pay the...

Do high-deductible plans coupled with HSAs promote underinsurance? Consumer-directed care cuts bureaucracy.(POINT/COUNTERPOINT)
July 1, 2008... In fact, high-deductible plans solve the problems of "underinsurance" and "overinsurance" and lead to "just-right insurance." Most economists recognize that excessive reliance on third-party payment is the source of many of our problems in...

Drug combo increases HER2+ breast ca survival.(Women's Health)
July 1, 2008... The first phase III study combining treatment with GlaxoSmithKline's Tykerb (lapatinib) and Genentech's Herceptin (trastuzumab) in HER2-positive metastatic breast cancer patients demonstrated a statistically significant increase in...

Vitamin D may decrease risk of breast cancer.(Women's Health)
July 1, 2008... SAN DIEGO -- A serum 25-hy-droxyvitamin D level of 30 ng/mL or higher was associated with at least a 50% lower risk of breast cancer, according to the findings of a meta-analysis of three observational studies. Together, the findings lend...

MRI may increase mastectomy for early-stage breast cancer.(Women's Health)
July 1, 2008... Preoperative magnetic resonance imaging may be a factor in the rising rate of mastectomy among women with early-stage breast cancer, a retrospective study suggests. Investigators reviewed 5,596 stage 0-II breast cancers in 5,463 women who...

Baseline PSA powerful predictor of cancer risk.(Urology)
July 1, 2008... ORLANDO -- Among men who have a baseline prostate-specific antigen level above the median for their age, being African American and having a positive family history are predictive of future cancer. But a high baseline reading was a more...

Guidelines likely to advise PSA test at age 40.(Urology)(American Urological Association guidelines; prostate-specific antigen)
July 1, 2008... ORLANDO -- Baseline prostate-specific antigen screening for men at age 40, replacement of a specific PSA cutoff value with "a continuum of risk assessment," and a new emphasis on tracking changes in PSA over time among possible updates to...

Active surveillance found safe for most low-risk prostate cancer patients.(Urology)
July 1, 2008... ORLANDO -- Active surveillance is a safe option for select men at low risk for prostate cancer progression, according to one study. But the methods commonly used to monitor patients on active surveillance are not ideal, according to a second...

Prostate cancer can recur years after surgery.(Urology)
July 1, 2008... ORLANDO -- Metastasis occurs after surgical removal of low-grade prostate cancer in some men, suggesting that close follow-up is warranted even in this group of lower-risk patients. Although there is an overall 30% recurrence rate a decade...

Second drug approved for treating fibromyalgia.(Rheumatology)
July 1, 2008... The antidepressant duloxetine has been approved by the Food and Drug Administration for the treatment of fibromyalgia. The approval, which was announced on June 16, makes duloxetine the second drug okayed by the agency for this syndrome. A...

Consumption of fructose implicated in gout.(Rheumatology)
July 1, 2008... LIVEPROOL, ENGLAND -- Consumption of soft drinks containing fructose may underlie the sharp increase in gout among American adults that has occurred in recent decades, Dr. Hyon K. Choi said at the annual meeting of the British Society for...

Prevention is key for osteonecrosis of the jaw.(Endocrinology)
July 1, 2008... WASHINGTON -- It's better to prevent bisphosphonate-associated osteonecrosis of the jaw than to have to treat this rare disorder. "Prevention is the most important thing. You really don't want to give someone ONJ," said Dr. Clifford J....

Femoral BMD best predicts risk of vertebral fractures.(Endocrinology)(bone mineral density)(Clinical report)
July 1, 2008... Postmenopausal women with decreased bone mineral density at the femoral neck or within the total proximal femur are at a significantly increased risk of experiencing vertebral fracture, according to a 3-year prospective study presented at the...

Small diabetic foot burns can cause big problems.(Endocrinology)
July 1, 2008... CHICAGO -- Patients with diabetes have an increased risk for foot burns, and once a burn occurs, the morbidity and mortality is quite high, Dr. David Greenhalgh said at the annual meeting of the American Burn Association. A patient might...

Primary care teams urged to watch for diabetic foot ulcers.(Endocrinology)
July 1, 2008... GLASGOW, SCOTLAND -- Diabetic foot ulcers requiring urgent specialist care can be covered up by calloused skin or not recognized soon enough as being Charcot's foot, and a consultant podiatrist has urged all those working in primary care to be...

Minorities with diabetes less likely to test glucose.(Endocrinology)
July 1, 2008... COLORADO SPRINGS -- HIS-Panic and black adults with insulin-treated diabetes were less likely than were whites to self-monitor blood glucose in a study of more than 16,000 people with the disease. Poverty appears to accentuate the racial...

Youth risk behaviors down over past 16 years.(Adolescent Health)(Report)
July 1, 2008... Fewer high school students are engaging in certain high-risk health behaviors today, compared with their counterparts in the early 1990s, according to data from the 2007 national Youth Risk Behavior Survey. While large numbers of...

Disordered eating linked to suicidal thoughts.(Adolescent Health)
July 1, 2008... BOSTON -- Disordered eating is an important risk factor for suicidal ideation in adolescents and appears to contribute an additional amount of variance above and beyond traditional risk factors, a study has shown. The findings suggest that...

Cardiac screening for ADHD patients clarified.(Adolescent Health)(Report)
July 1, 2008... The American Heart Association and the American Academy of Pediatrics have issued a joint statement clarifying recent recommendations made by the AHA on evaluating and treating children and adolescents with attention-deficit/hyperactivity...

Moderate fitness levels protect against stroke.(Cardiovascular Medicine)(Clinical report)
July 1, 2008... NEW ORLEANS -- Men and women with moderate levels of cardiorespiratory fitness may be at significantly reduced risk for stroke, according to the findings of a large, prospective study with long-term follow-up. More than 46,400 men and...

Excessive daytime sleepiness linked with higher stroke risk.(Cardiovascular Medicine)(Clinical report)
July 1, 2008... NEW ORLEANS -- People who experience routine episodes of dozing during the daytime may have a higher risk of stroke and other vascular events, according to a prospective, community-based cohort study of more than 2,000 people. The risk of...

Impaired fasting glucose boosts stroke risk in asymptomatic men.(Cardiovascular Medicine)(Brief article)(Clinical report)
July 1, 2008... COLORADO SPRINGS -- Hyperglycemia was associated with a significantly increased stroke risk in a prospective study of 43,393 asymptomatic middle-aged men free of known cardiovascular disease and diabetes at baseline. This finding raises...

OSA related to hypertension and heart failure: the more severe the sleep apnea, the higher a patient's nocturnal and daytime blood pressure.(Cardiovascular Medicine)
July 1, 2008... NEW ORLEANS -- Obstructive sleep apnea appears to contribute importantly to both the development and severity of hypertension and may play a role in heart failure as well. The good news is that regular use of continuous positive airway pressure...

Sleep apnea disrupts classic circadian pattern of sudden cardiac death.(Cardiovascular Medicine)
July 1, 2008... SNOWMASS, COLO. -- individuals with obstructive sleep a exhibit a striking alteration in the typical day-night pattern of sudden cardiac death, underscoring the sleep disorder's potency as a risk factor for nocturnal cardiovascular events, Dr....

Too much, too little sleep doubles mortality.(Cardiovascular Medicine)(Report)(Brief article)
July 1, 2008... COLORADO SPRINGS -- Change in sleep duration during midlife is associated in a U-shaped fashion with risk for death more than a decade later, Dr. Francesco Cappuccio reported at a conference of the American Heart Association. The major...

Device uses infrared light to assess plaques.(Cardiovascular Medicine)
July 1, 2008... A new imaging system recently cleared for marketing by the Food and Drug Administration offers cardiologists help in assessing coronary artery plaque content to determine if the deposit is vulnerable to rupture. Plaques containing large...

New anticancer drugs can trigger hypertension.(Cardiovascular Medicine)(Report)
July 1, 2008... NEW YORK -- Several new and effective anticancer drugs have produced the unexpected and potentially serious side effect of hypertension in many patients. Drugs that work by inhibiting the vascular endothelial growth factor signaling...

Cancer survivors need heart disease screening.(Cardiovascular Medicine)(Clinical report)
July 1, 2008... NEW YORK -- Heart disease is the leading cause of noncancer mortality in patients who survive an initial bout with Hodgkin's disease, an example of the importance of monitoring for heart disease in cancer survivors. The relative risk for...

Face the facts when dealing with Genital herpes: patient education is critical, especially since many of those who test positive are asymptomatic.(Infectious Diseases)(Clinical report)
July 1, 2008... BOSTON-- "Genital herpes is a recurrent, hfelong viral disease. This is the one thing that patients and clinicians don't like to say, but there's no way around" it, Laura J. Mulcahy said at a conference on contraceptive technology sponsored by...

Syphilis skyrockets; diagnosis delayed in HIV-positive men.(Infectious Diseases)(Clinical report)
July 1, 2008... BOSTON -- The diagnosis of syphilis is often delayed in HIV-positive patients, as it is characterized by a wide range of symptoms that may not be recognized as infection with Treponema pallidum, according to Dr. Lawrence A. Siegel of the...

One NSAID dose prevents post-ERCP pancreatitis.(endoscopic retrograde cholangiopancreatography)(Gastroenterology)(Clinical report)
July 1, 2008... SAN DIEGO -- A single dose of a nonsteroidal anti-inflammatory drug administered rectally decreases the risk of a common and dreaded complication of endoscopic retrograde cholangiopancreatography by 64%, according to a meta-analysis presented...

Vitamin D may help prevent colorectal cancer.(Gastroenterology)(Clinical report)
July 1, 2008... SAN DIEGO -- Calcium and vitamin D supplementation may protect against colorectal cancer by creating an environment in the colon that is less conducive to the formation of polyps and adenomas. In a pilot study presented in a poster at the...

Six-gene cluster stratifies need for colonoscopy.(Gastroenterology)(Clinical report)
July 1, 2008... SAN DIEGO -- The probability of colorectal cancer in asymptomatic patients can be fairly accurately stratified by RNA expression profiling of six genes detectable in whole blood, researchers reported at the annual meeting of the American...

First a.m. colonoscopy yielded more polyps.(Gastroenterology)(Clinical report)
July 1, 2008... SAN DIEGO -- Colonoscopies performed first thing in the morning yielded significantly more polyps and more histologically confirmed polyps than did those performed later in the day, according to a study presented at the annual Digestive Disease...

Barrett's esophagus.(THE EFFECTIVE PHYSICIAN)(Clinical report)
July 1, 2008... Background The diagnosis, surveillance, and treatment of Barrett's esophagus remain a vexing clinical concern. The American College of Gastroenterology recently released an update of its clinical practice guideline. Conclusions ...

CMS proposes rules to curb marketing abuses.(Practice Trends)
July 1, 2008... The Centers for Medicare and Medicaid Services, seeking to curtail marketing abuses within Medicare Advantage and Medicare Part D prescription drug plans, has proposed new regulations that would prohibit such tactics as door-to-door marketing...

AHIP proposes reform plan.(America's Health Insurance Plans)(POLICY & PRACTICE)(Brief article)
July 1, 2008... The United States could reduce total health care spending by $145 billion in the next 7 years while improving the quality of patient care by implementing five proposals, according to a plan from industry group America's Health Insurance Plans....

ACP provides framework.(American College of Physicians)(POLICY & PRACTICE)(Brief article)
July 1, 2008... The American College of Physicians has reiterated its 2002 message that all Americans should have access to affordable health insurance coverage. In an update to its 6-year-old position paper, ACP reviewed the key reforms recommended and said...

Consumer reports to grade hospitals.(POLICY & PRACTICE)(Brief article)
July 1, 2008... Consumer Reports has begun grading hospitals, and plans to eventually add ratings for other health care providers. The ratings, which include nearly 3,000 hospitals, are available at www.consumerreportshealth.org. The online tool allows...

Florida expands coverage options.(POLICY & PRACTICE)(Brief article)
July 1, 2008... Florida Gov. Charlie Crist, a Republican, has signed legislation that will allow the state to negotiate with health insurers to develop affordable health coverage for the 3.8 million uninsured Floridians aged 19-64 years. The legislation...

CMS outlines hospice rights.(POLICY & PRACTICE)(Brief article)
July 1, 2008... The Centers for Medicare and Medicaid Services has finalized regulations that give Medicare beneficiaries with terminal illnesses the right to determine how they receive end-of-life care. The provisions, contained in an overhaul of regulations...

Mass. uninsured rate cut.(POLICY & PRACTICE)(Brief article)
July 1, 2008... In the first year after Massachusetts implemented its health insurance coverage expansion and reforms, the uninsured rate among adults in the state dropped by almost half, from 13% to just over 7%, according to an Urban Institute study...

Communication skills enhance patient encounters.(Practice Trends)
July 1, 2008... More than a third of physicians find at least 25% of their patient interactions to be quite frustrating, and about 8% of physicians say they find at least half of their consultations frustrating. Good communication skills can help equip...

Clinical practice prompts research in Kenya.(GLOBAL PERSPECTIVES ON MEDICAL PRACTICE)(Interview)
July 1, 2008... Dr. Nell Eisenberg signed on with Doctors Without Borders/ Medecins Sans Frontieres (MSF) because, she said, "I wanted to see how medicine was practiced in a completely different setting." Dr. Eisenberg trained in internal medicine at...

Beauty wants as beauty is.(INDICATIONS)(Brief article)
July 1, 2008... Research from deep in the heart of Texas is looking deep into the hearts of women in order to answer Sigmund Freud's iconic question, "What does a woman want?" And it seems the answer is, "Depends on how good-looking the woman is." Yes, two...

Sex in the Savannah.(INDICATIONS)(Brief article)
July 1, 2008... Further proof of the proclivities of "hot" females comes to us from true field research: A London zoologist finds humans' stereotypical sex roles reversed among certain antelopes in the African savannah. Writing in the journal Current Biology,...

The Telltale toenail.(INDICATIONS)(Brief article)
July 1, 2008... New gleanings from the Nurses' Health Study show that samples as mundane as toenail clippings can be a marker for cigarette indulgence "when smoking history is not available." Analyzing the nicotine content of the clippings helped determine...

Well, that's just so mature.(alcohol poisoning)(INDICATIONS)(Brief article)
July 1, 2008... The sociological benchmark of adulthood, Birthday No. 21, seems to have morphed into a survival test in collegiate circles. University of Missouri researchers say the "21 for 21" ritual, where the birthday celebrant attempts to down 21...

Finally, something healthy: apples!(INDICATIONS)(Brief article)
July 1, 2008... At the recent Experimental Biology 2008 meeting, the apple-eating news was all good. Based on 5 years of government data, Dr. Victor Fulgoni reported, "We found that adults who eat apples and apple products have smaller waistlines that indicate...

Pain relievers.(Cartoon)
July 1, 2008... "I come from Zoltran to help earth with our advanced technology. Avoid Zoltran if you have liver problems or plan to become pregnant. Other side effects include..."

Asthmatic adults merit vaccination.
July 15, 2008... ATLANTA--All adults with asthma should now receive pneumococcal immunization, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention voted at its summer meeting. The vote adds adults aged 18-64...

Physician costs are largest portion of annual medical costs for a family of four.(VITAL SIGNS)(Statistical table)(Brief article)
July 15, 2008... Physician Costs Are Largest Portion of Annual Medical Costs for a Family of Four. Physician 35% Inpatient 30% Outpatient 16% Pharmacy 15% Other 4% Total: $15,609 Note:.Total costs based on the Millman...

FDA panel urges review of CV risks of diabetes drugs; Long-term safety studies recommended.(cardiovascular)(United States. Food and Drug Administration)
July 15, 2008... SILVER SPRING, MD. --A Food and Drug Administration advisory panel agreed in a 14-2 vote that developers of new drugs or biologics for type 2 diabetes should be required to conduct a long-term study of cardiovascular safety or to provide...

Magnetic stimulation may quell migraine with aura.(Clinical report)
July 15, 2008... BOSTON -- Transcranial magnetic stimulation may be a promising new weapon in the pain relief arsenal of patients with chronic migraine with aura, according to the findings of a clinical trial. Brain stimulation with magnetic pulses,...

CDC responds to rabies vaccine supply concerns.(News)(Centers for Disease Control and Prevention)
July 15, 2008... ATLANTA--Interim guidelines for use of rabies vaccine have been drafted by an ad hoc working group of the Centers for Disease Control and Prevention to address contingency plans in the event that the current "less than ideal" vaccine supply...

Congress passes pay increase, Medicare reform.(News)
July 15, 2008... Nine days after a 10.6% cut to Medicare physician payments went into effect, the Senate acted in dramatic fashion to replace the cut with a modest pay increase for the next 18 months. The legislation (H.R. 6331), which passed both the House...

Panels reject suicidality boxed warning for AEDs.(News)(antiepileptic drugs)(Brief article)
July 15, 2008... BELTSVILLE, MD.-- A boxed warning about an increased suicidality risk with the use of antiepileptic drugs should not be added to the labels of drugs in this class, but information about this risk should be included with every prescription, two...

Lead in artificial turf leads to CDC advisory.(News)(United States. Centers for Disease Control and Prevention)
July 15, 2008... The discovery of high levels of lead in dust and fibers from artificial turf sports fields in New Jersey has prompted the Centers for Disease Control and Prevention to issue a health advisory about the potential for lead exposure associated...

Device helps patients breathe without ventilator.(News)(Brief article)
July 15, 2008... An electronic device that is implanted in the muscles of the diaphragm, enabling some spinal cord injury patients to breathe on their own for several hours at a time, has been approved by the Food and Drug Administration. The manufacturer,...

Newer biologics hold promise.(GUEST EDITORIAL)(Editorial)
July 15, 2008... It has been only 15 years since the first anti-tumor necrosis factor drugs were used experimentally in small, open studies, yet in that short time these drugs have become the standard of care for rheumatoid arthritis that does not respond to...

Premature recommendations.(LETTERS)(Letter to the editor)
July 15, 2008... It must be possible to be excited and uncomfortable at the same time, because I cringed when I read a recent article based on a presentation by Dr. Dana E. King of the Medical University of South Carolina, Charleston ("Taking Up Moderate...

Bill Is Too Little, Too Late'.(Letter to the editor)
July 15, 2008... I read with amazement about "legislation aimed at addressing the potential crisis in providing care for elderly Americans" ("Senate Bill Would Encourage Practitioners to Care for the Elderly," May 1, 2008, p. 59). What kind of journalism...

Should heart failure specialists be trained to implant cardiac devices? We care for the patients, so we should implant.(POINT/COUNTERPOINT)
July 15, 2008... Heart failure physicians should be implanting devices in their own patients. What's the difference between a traditional electrophysiologist and a conventional heart failure physician? Heart failure physicians love working in the clinic....

Should heart failure specialists be trained to implant cardiac devices? Diluted training will leave them unprepared.(POINT/COUNTERPOINT)
July 15, 2008... I cannot endorse this ridiculous proposition. Can a diminished experience during fellowship provide training for device implantation that's equivalent to training for electrophysiologists? The onus rests on those who advocate any diluted...

An x-ray image.(Corrections)(Correction notice)
July 15, 2008... An x-ray image of an implanted pacemaker was accidentally inverted on p. 1 of the June 15 issue. The image appeared correctly with the story on p. 22 ("New Guidelines Cover Heart Rhythm Devices").

"Fracture Risk Assessment Must Be Multifaceted".(Corrections)(Correction notice)
July 15, 2008... In a story titled "Fracture Risk Assessment Must Be Multifaceted" (May 15, 2008, p. 24) an x-ray image that accompanied the article was incorrectly attributed to Dr. Stephen Honig. The image is actually one belonging to SEO KIAT GOH MA (CANTAB)...

Pain relievers.(Cartoon)
July 15, 2008... PAIN RELIEVERS "Palliative Care... palliative care... palliative..."

3-D prostate biopsy improves cancer detection.(Urology)
July 15, 2008... ORLANDO--A systematic three-dimensional mapping biopsy of the prostate more precisely shows tumor volume and location, as well as true cancer stage, compared with a traditional transrectal ultrasound biopsy, according to a prospective study....

Prostate cancer survival longest after surgery in race comparison study.(Urology)
July 15, 2008... ORLANDO--Men who have surgery to remove prostate cancer experience better long-term survival, compared with patients who have radiation therapy or watchful waiting, according to a retrospective study of African American and white men. ...

Cancer found in one in five young men with elevated PSA.(Urology)(prostate-specific antigen)(Brief article)
July 15, 2008... ORLANDO--Prostate cancer was detected in almost 20% of men 45 years or younger with elevated levels of prostate-specific antigen in an Austrian study, and a substantial number of the prostate cancers in this group were significant. As part...