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The most common
tests used to screen men for signs of prostate cancer are the
prostate specific antigen (PSA) blood test and the digital rectal
examination (DRE).
The PSA test
involves analyzing a small amount of blood drawn from your arm
for PSA. The substance, produced naturally in your prostate gland
to help liquefy semen, circulates is small amounts through your
bloodstream. If higher-than-normal levels of PSA are detected,
this could indicate prostate inflammation, prostate enlargement
or prostate cancer.
Because your
prostate gland lies in front of your rectum, the doctor uses the
DRE to feel for nodules or areas of abnormal hardness in your
prostate. These can indicate cancer.
The American
Cancer Society advocates that men have both the PSA and DRE tests
yearly after age 50. If you are African-American or have a family
history of prostate cancer, you should begin testing at age 45.
Neither of
these screening tests for prostate cancer is perfect. Many men
with a mildly elevated PSA do not have prostate cancer, and men
with prostate cancer may have normal PSA levels.
The DRE, on
the other hand, is less effective than the PSA blood test in detecting
prostate cancer, but it sometimes helps find cancers in men with
normal PSA levels.
If you have
had routine yearly examinations and either one of these test results
becomes abnormal, your prostate cancer -- if confirmed -- is probably
at an early stage.
If either
your PSA or DRE test results suggest the possibility of prostate
cancer, your doctor will likely suggest a biopsy.
Medicare and
many insurance plans cover prostate cancer screening tests.
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