| TITLE: | PROSTATE CANCER |
| AUTHOR: | ROBERT DREICER, MD -- Department of Hematology and Medical Oncology |
| REVISED: | JANUARY 7, 2006 |
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| Table 1: | |
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Summary
of Current Prostate Cancer Guidelines From Selected Organizations
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| ACP-ASIM | Physicians
should describe potential benefits and known harms of screening, diagnosis and treatment; listen to the patient's concerns, then individualize the decision to screen. |
| ACS, AUA | Offer
annual DRE and PSA screening, beginning at age 50, to men who have at least a 10-year life expectancy and to younger men at high risk. |
| CTFPHC and USPSTF | DRE and PSA tests are not recommended for the general population. |
| AAFP | No published standards or guidelines for low-risk patients. |
| AMA | Provide information regarding the risks and potential benefits of prostate screening. |
| ACP-ASIM:
American College of Physicians-American Society of Internal Medicine ACS: American Cancer Society AUA: American Urological Association CTFPHC: Canadian Task Force on Preventive Health Care USPSTF: U.S. Preventive Services Task Force AAFP: American Academy of Family Physicians AMA: American Medical Association DRE: Digital Rectal Exam |
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| Table 2: | |
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TNM
Clinical Stages
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| T1a | Nonpalpable,
with < 5% of tissue with cancer, low grade (diagnosed by transurethral resection of the prostate) |
| T1b | Nonpalpable, with > 5% of tissue with cancer and/or high grade (diagnosed by transurethral resection of the prostate) |
| T1c | Nonpalpable, but prostate-specific antigen elevated |
| T2a | Palpable, half of one lobe or less |
| T2b | Palpable, more than half of one lobe, not both lobes |
| T2c | Palpable, involves both lobes |
| T3a | Palpable, unilateral capsular penetration |
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This information is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this web site. |
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Copyright
2005 The Cleveland Clinic Foundation
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