Men should be warned of possible distress of prostate cancer testing

Apr 07, 2010

(PhysOrg.com) -- 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: Pain and itch may be signs of skin cancer

More information: www.nature.com/bjc/index.html

add to favorites email to friend print save as pdf

Related Stories

Men who take aspirin have significantly lower PSA levels

Nov 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.

Prostate cancer gene test provides new early detection

Oct 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 ...

Recommended for you

Pain and itch may be signs of skin cancer

1 hour ago

Asking patients if a suspicious skin lesion is painful or itchy may help doctors decide whether the spot is likely to be cancerous, according to a new study headed by Gil Yosipovitch, MD, Chairman of the Department of Dermatology ...

Genetics of cancer: Non-coding DNA can finally be decoded

5 hours ago

Cancer is a disease of the genome resulting from a combination of genetic modifications (or mutations). We inherit from our parents strong or weak predispositions to developing certain kinds of cancer; in addition, we also ...

User comments : 0