PMID: 9425324Jan 13, 1998Paper

Prostate cancer facts and fiction

Journal of Surgical Oncology
C R Smart

Abstract

1. The observed increase in prostate cancer incidence followed by a decrease, was not an epidemic, but the result of generalized prostate cancer screening in the United States. 2. The increase showed a shift in stage, to mainly early disease in grade 2 (Gleason's 4-6) clinically significant cancers with a decrease in advanced disease. 3. There was an increase in the use of radical prostatectomy, mainly in men 40 to 75 years of age with a 10-year relative survival rate of 100%. It appears that 15% were grade 1 cancers and in the absence of more information may have been clinically unimportant. 4. There was a 20% increase in the overall relative survival rate for prostate cancer. 5. There was a decrease in the incidence of advanced disease followed by a 6.3% decrease in the United States mortality rate for prostate cancer. 6. It appears that an annual PSA blood test and a DRE on all men over 50 years of age followed by appropriate treatment has decreased deaths from prostate cancer.

References

Apr 22, 1992·JAMA : the Journal of the American Medical Association·J E JohanssonU B Krusemo
Jan 1, 1980·Scandinavian Journal of Urology and Nephrology·B Hølund
Nov 1, 1993·Annals of Internal Medicine·B S KramerJ K Gohagan
Jan 27, 1994·The New England Journal of Medicine·G W ChodakJ Warner
Oct 23, 1996·JAMA : the Journal of the American Medical Association·D S SmithJ D Herschman

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Citations

Jan 5, 2002·International Journal of Cancer. Journal International Du Cancer·Harry J de KoningUNKNOWN International Prostate Cancer Screening Trials Evaluation Group
Apr 25, 2003·Journal of Gerontological Nursing·Susan D Bassett, Tish Smyer
Jun 18, 2011·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasuhide KitagawaMikio Namiki
Apr 18, 2003·Seminars in Roentgenology·Thomas E Hartman, Stephen J Swensen
Jul 25, 2000·The Prostate·F H SchröderD S Smith
Dec 9, 2003·Archives of Andrology·K-H TsuiP-L Chang

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