Active approach to prostate cancer detection – what is reasonable and what may cause harm

Authors: R. Wasserbauer
Published in: Urol List 2014; 12(2): 19-28


Active approach to prostate cancer detection – what is reasonable and what may cause harm

Despite the continuously improving diagnostics, prostate cancer represents the second most common cause of death from malignancy in men in the Czech Republic. Beginning in the 1980´s the first attempts of systematic screening were made by introducing regular check-ups using digital rectal examination and ultrasound screening, then in the 1990´s prostate specific antigen (PSA) appeared on stage, which meant a real breakthrough in the early detection of prostate cancer. Currently screening is routinely performed using rectal examination, PSA test supplemented by determination of free PSA and prostate biopsy, when indicated. The aim of this work is to present a basic overview of current pos­sibilities of screening and early detection of prostate cancer.

Key words:
prostate cancer, prostate specific antigen, prostate biopsy, screening


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Paediatric urologist Urology
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