Mason Jw
Targeted screening for prostate cancer in African-American men
Uniformed Services University of the Health Sciences
africanamerican men black men throughout world higher rate prostate cancer ethnic groups also likely present younger age advanced disease historically poorer prognosis whether observed difference due behavior lack access environmental factors genetics hotly debated whatever cause causes growing concensus targeting screening highrisk group justified focused education risk screening black men effective demonstration screening programs africanamerican community settings successful much debate proper normal values psa used screening high risk black men argued low normal range 20 ngml improve sensitivity detection curable disease others recognizing balance sensitivity cancer detection specificity avoiding unnecessary prostate biopsies proposed ageadjusted psa ranges randomized prospective screening trials completed seems reasonable encourage black men start screening age 40 using psa threshold 20 25 ngml prompt evaluation