PA Boards 104: Prostate Cancer Screening (the good, the bad, the ugly)

Medgeeks Clinical Review Podcast

Medgeeks

Physician, Pance, Health & Fitness, Review, Family, Education, Medicine, Assistant, Board, Podcast

4.7 • 989 Ratings

🗓️ 2 December 2016

⏱️ 13 minutes

🔗️ Recording | iTunes | RSS

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Summary

Today, we are going to be reviewing everything you need to know about prostate cancer screening. We'll go over the PSA, DRE, TRUS, and biopsy. We'll answer the following questions:

1. Who should be screened?
2. How often should they be screened?
3. What are the problems with screening?
4. What do we do with an abnormal result?

Everything you need packed into 15 minutes ;)

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Transcript

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0:00.0	All right, so today we're going to be talking about prostate cancer screening.
0:06.1	And the reason why it's important to talk about this topic is that it's very controversial.
0:10.1	We're not sure if there's any benefit really towards doing prostate cancer screening or not.
0:15.0	And the problem is a lot of men expect to have prostate cancer screening done over the age of 50.
0:21.0	So really what we're going to talk about today is whether it should be done or
0:24.4	whether it should not be done. And it's important because
0:27.7	Prostate cancer is the fifth leading cause of cancer death in all men.
0:31.3	Men had a 16% lifetime risk of developing
0:35.0	prostate cancer, so it's fairly relevant. The problem we have with prostate
0:40.3	cancer is that only men is that men only have a 3% lifetime risk of dying.
0:45.0	This means the majority of men who develop prostate cancer who are diagnosed
0:49.0	will die of other causes.
0:51.0	And the problem we have with prostate cancer is we don't know which
0:54.8	disease is going to go on to become aggressive and fatal and which disease is going
1:01.4	to stay localized to the prostate,
1:03.3	never become clinically relevant,
1:04.9	never metastasize, never cause any harm to the patient.
1:09.3	And we know that the majority actually stay localized
1:11.7	and don't cause any harm. But we don't know. And once we find
1:15.8	it we have to treat aggressively. So that's the problem, that's the dilemma. And really
1:20.1	the way we screen for prostate cancer is going to be with either PSA or
1:23.7	digital rectal exam or a combination of both. And the PSA is very inaccurate and the
	...

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