Prostate Ca
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Prostate cancer is usually slow growing and will become an issue for most men if they live long enough. Men over 50 years old or men with a strong family history of prostate cancer should insure appropriate investigation and treatment. The most effective diagnostic method is a digital rectal exam by a qualified physician. A general screening test remains controversial and not perfectly developed. At present men over 50 should have the serum prostate specific antigen test (PSA) performed by a simple blood test even if they have to pay for this themselves. It costs about the same as an oil and lubrication maintenance for an automobile. If the rectal exam is abnormal and / or the PSA is elevated the next steps in the diagnostic and management should immediately proceed to prostate ultrasound and directed biopsy. If the biopsy is positive for cancer appropriate referral is indicated for continued management and investigation. If it is negative there should be an increased alertness with regard to regular examination and laboratory and ultrasound follow up studies with a minimum frequency of annual investigation.

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