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Black men should be screened for prostate cancer at younger age.
2004 JAN 7 - (NewsRx.com & NewsRx.net) -- The American Cancer Society (ACS) guideline to begin screening African American men at an earlier age than other races is appropriate, according to a new study in the December 2003 issue of the International Journal of Radiation Oncology Biology Physics, the official journal of ASTRO, the American Society for Therapeutic Radiology and Oncology.
In 2002, adenocarcinoma of the prostate was the most common cancer diagnosed in men. As the incidence of prostate cancer has increased, so has the difference in diagnosis rates between Caucasians and African Americans. Additionally, the mortality rate of African Americans is double that of Caucasians.
In 1997, ACS updated screening guidelines for the early detection of prostate cancer to include the following: "Men in high-risk groups, such as those with strong familial predisposition, or African Americans, may begin screening at a younger age (i.e., 45)."
The new study aimed to determine whether black men diagnosed with prostate cancer in the prostate-specific antigen (PSA) era differed in initial presenting serum PSA levels (iPSA) compared to Caucasian men and to determine any trends in iPSA in black men and white men between the time periods before the guideline change (1990-1996) and after (1997 to 2001).
Of the 4,519 patients with prostate cancer initially seen, 2,332 patients qualified for this analysis. Among these patients, there were 1,968 white and only 364 black participants.
Between 1990 and 2001, mean iPSA has slowly ...
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Source: HighBeam Research, Black men should be screened for prostate cancer at younger age.