Men should be warned of possible distress of prostate cancer testing

April 7, 2010

( -- Doctors should warn men that prostate cancer testing may lead to anxiety and distress, say Cancer Research UK experts, following a study conducted from the University of Bristol into how men cope with the prospect of having a biopsy after discovering they have a high Prostate Specific Antigen level.

While most men cope well, one in five can feel distressed at the prospect of having a after discovering they have a high PSA () level.
And nine per cent continue to feel this way even after being told they don’t have cancer, according to the study published in the today.

The researchers are calling for the psychological effects of testing to be clearly explained to men who ask for a .

Professor Kavita Vedhara, lead author on the study which was conducted from the University of Bristol, said: “At the moment, doctors are asked to warn men about the difficulties of interpreting the results of a PSA test. The test misses some cases and produces false alarms.

“While it’s crucial that men are aware of the difficulties they may face when deciding what to do with their results, it’s also important they’re aware that they may find the whole process stressful.

“We also found that in some men, the psychological effects lasted even after the men were told their biopsy was benign.

“Even 12 weeks after receiving a negative biopsy result, five per cent of men said they still felt distressed.

“It’s essential that doctors know about this, and that men are fully informed of the psychological challenges they may face during and after a PSA test.”

High PSA levels may signal prostate cancer, but the may also be raised by infection, a non-cancerous enlarged prostate or even recent exercise.

PSA testing is not routinely offered in the UK, but men can discuss the risks and benefits with their doctor if they are concerned that they may have prostate cancer.

Up to 70 per cent of men receive a negative biopsy result following a raised PSA level.

In this study, 330 men aged 50 to 69 were surveyed throughout the test for prostate cancer as a part of a Cancer Research UK-funded study. This study is linked to the ProecT trial, which is investigating the best ways to detect and treat prostate cancer.

Martin Ledwick, head cancer information nurse at Cancer Research UK, said: “For some men detecting early may be life saving. However, the test will be abnormal for around one man in eight without cancer being detectable at that time.

“Further tests and biopsies are usually needed to rule out cancer for these men. This study shows just how important it is that men in their 50s and 60s can talk to their doctor about the pros and cons of having a PSA test and only have the test if they feel it is right for them.”

Explore further: Should the UK lower the age for prostate cancer detection?

More information:

Related Stories

Prostate cancer gene test provides new early detection

October 16, 2008

Prostate cancer (PCa) is one of the most common male cancers in the Western world. Currently, early detection of PCa depends on an abnormal digital rectal examination and an elevated prostate-specific-antigen (PSA) level ...

Men who take aspirin have significantly lower PSA levels

November 16, 2008

The use of aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) is significantly associated with lower PSA levels, especially among men with prostate cancer, say researchers at Vanderbilt University.

Recommended for you

How the finch changes its tune

August 3, 2015

Like top musicians, songbirds train from a young age to weed out errors and trim variability from their songs, ultimately becoming consistent and reliable performers. But as with human musicians, even the best are not machines. ...

Machine Translates Thoughts into Speech in Real Time

December 21, 2009

( -- By implanting an electrode into the brain of a person with locked-in syndrome, scientists have demonstrated how to wirelessly transmit neural signals to a speech synthesizer. The "thought-to-speech" process ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.