Cancerbackup: Pros & cons of the PSA test

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Advantages and disadvantages of having the PSA test


First, ask yourself if you are at particular risk of prostate cancer.

Your risk increases:

  • the older you are (but in older men, prostate cancer is less likely to cause problems)
  • if you have close relatives who have had prostate cancer (such as a father, uncle or brother)
  • if you are of African-Caribbean or African-American descent.

Possible advantages

  • It could reassure you if the test is normal
  • it can help to find cancers before any symptoms develop
  • treatment in the early stages could help you live longer and avoid the complications of cancer (although there is no good research evidence that this is so).

Possible disadvantages

  • It could read normal when there is cancer in the prostate, and falsely reassure you that all is well
  • it could lead to anxiety, even though you have no cancer
  • it could lead to a biopsy, even though you have no cancer
  • if you have cancer it can’t tell you if it is likely to cause problems in the future
  • treatment of early prostate cancers might not help you live longer
  • treatments for early prostate cancer have risks and may cause side effects that can affect your quality of life.

Content last reviewed: 01 December 2007
Page last modified: 14 January 2009

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