Prostate cancer detection after 70: the expert questions guide after the diagnosis of Biden
The aggressive diagnosis of prostate cancer of former President Joe Biden has asked questions about prevention and detection.
The US Preventive Services Task Group (USPSTF) recommends that men from 55 to 69 years discuss the potential benefits and risks of PSA detection (specific prostate antigen) with their medical care provider and make an individual decision on detection.
They recommend that men over 70 are completely skipped.
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The USPSTF is a “commonly used” resource, although other agencies and associations offer variable guidelines, according to Dr. Shawn Dason, an urological oncologist in the center of integral cancer of the State University of Ohio.
Dason emphasized that it is important that 50 and 60 -year -old men consult with their medical care providers to make shared decisions about detection.

An expert emphasized how important it is for 50 and 60 -year -old men talk to their medical care providers to make shared decisions about detection. (Istock)
“They must participate in a discussion on the issue of prostate cancer and the role of PSA in detection, and possible benefits and damage,” he said.
Potential detection and treatment risks
There is a “small variability” in whether men under 50 and over 70 years of age should be examined due to potential risks, which may include excessive treatment or unnecessary treatment, Dason said.
In recent decades, “we really didn’t have an understanding of nuances … about when prostate cancer should be treated and when [it] It must be observed in a protocol called ‘Active Surveillance’, “he said.
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It is possible that some men are too treated after a diagnosis, he also said.
In certain cases, cancer may not have caused death or other clinical problems, but treatment could cause urinary, sexual or intestinal side effects “annoying,” said Dason.

“Studies have shown that the use of PSA has probably fallen into men over 40 years as a result of USPSTF recommendation,” said a doctor. (Istock)
“It is possible that they diagnose a prostate cancer that is not likely to really cause your death or believe any other problem for you,” he said.
“Then you can receive treatment for that prostate cancer, and the treatment could be worse than the real impact of cancer itself.”
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There are “much more limited data” to support than the detection of more than 70 years could save the life of a prostate cancer man, Dason said, while it is “quite clear” that the damage of prostate cancer treatment increases with age. “
However, detection could reduce the possibility of death in some cases, so it is important to have a discussion with a doctor, according to Dason.

“It is possible that they diagnose a prostate cancer that is not likely to really cause your death or believe any other problem for you,” said an expert. (Istock)
Men who have no symptoms but who are considered the “average risk of the population” must be examined, he advised.
“Having symptoms is a totally different conversation,” he said.
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“In general, when we use the term detection, we are talking about someone who has no symptoms … He is having an annual health check.”
Projections for men over 70 years
News senior medical analyst, Dr. Marc Siegel, revealed that the guidelines have not been “bothered” by the guidelines that do not recommend the detection of routine prostate cancer, particularly for those over 70 years.
“Studies have shown that the use of PSA has fallen into men over 40 as a result of USPSTF recommendation,” he wrote in a recent opinion article for News Digital.
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“This is particularly disturbing considering that there are more than 300,000 new cases of prostate cancer in the United States diagnosed every year, with more than 35,000 deaths, many of which can be prevented with an earlier diagnosis.”
“I am saying that all men over 45 should have this projection. Period. Regardless of age.”
Siegel pointed out that the treatment options have advanced over the years, and now they are better tolerated with less side effects for patients in several stages and ages.
“Many critics say that a president of the United States should have the most aggressive prostate cancer exam regarding simply because he is president,” he said.
“But I am saying that all men over 45 should have this projection. Period. Regardless of age.”

Men who have no symptoms but who are considered the “average risk of the population” should have examination exams, an expert reported. (Istock)
Dason agreed that some men over 70 are appropriate candidates for detection.
“If you have good health and will have reasonable life expectancy, the diagnosis of [a serious] Prostate cancer could have a great impact on extending that life or improving your quality of life. “
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On the contrary, men who are not great candidates due to health problems and a limited life expectancy face greater damage to an evaluation than the benefit, he clarified.
“I encourage men to think about their situation and talk with their medical provider.”
Angelica Stabile is a lifestyle reporter for News Digital.


