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In reply to the discussion: I am just learning that it's uncommon for men 70+ to get PSA tests... why?? [View all]JohnSJ
(98,883 posts)is elevated, and cannot be explained by an enlarged prostate, infection, etc., it simply indicates further diagnostics should be explored. Those further diagnostics would entail a prostate MRI, etc., and if suspicious areas are observed which are PIRAD 4 or 5, a directed biopsy(s) should seriously be considered, and if the biopsy is positive, one of the genetic tests should be done of the positive biopsied sample to determine the risk from an aggressive prostate cancer, or if active surveillance is a viable option.
It is absolutely unethical and immoral to effectively write-off someone because they are 70, by assuming they won't live more than 10 years, so they shouldn't waste time on an inexpensive test, that would indicate if further tests are warranted, a potentially prevent a lot of suffering for those who have an aggressive prostate cancer at an early stage, can be prevented.
The technology has advanced to such a degree in the last 20 years, that there is enough tools to safely diagnosis if someone has a prostate cancer that needs to be treated, ideally at an early stage.
Faulty assumptions are made, where a lot of people can go through a lot of unnecessary suffering that could have been prevented.
In addition, if treatment is necessary, the treatment advances are numerous, superior and more effective than just 10 years ago.
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