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Prostate Cancer Screening: What are a Physician and Patient to Do?

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Texas Health Presbyterian Hospital Dallas

Fogelson Auditorium

8200 Walnut Hill Lane

Dallas, TX 75231

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Dr. Pat Fulgham, urologist, will discuss the latest tools available for diagnosing prostate cancer, including PSA testing, 4K test, Prostate Health Index (PHI), PCA-3, and MRI of the prostate including MRI/ultrasound fusion prostate biopsy.

There is confusion amongr physicians and patients on whether to screen men for prostate cancer. This began in 2012 when the United States Preventive Services Task Force (USPSTF) gave a grade “D” for prostate cancer screening. As a result physicians stopped ordering PSA tests routinely. They have been met with the challenge of counselling their patients regarding the risks and benefits of PSA testing which is time consuming for the physician and confusing to the patient. As PSA testing has declined, so has the number of men diagnosed with prostate cancer. The mortality from prostate cancer (which had declined 52% between 1993 and 2015) has now stabilized with the rates of metastatic disease increasing since 2011. Deciding which men should be screened for prostate cancer has become even more complex with the addition of new assessment tools for detecting prostate cancer including biomarkers and multi-parametric imaging.

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Texas Health Presbyterian Hospital Dallas

Fogelson Auditorium

8200 Walnut Hill Lane

Dallas, TX 75231

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