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Sunday, March 21, 2010   35º F

Updated 03/20/2010 05:35 PM

New screening guidelines have some confused

By: Casey J. Bortnick

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The American Cancer Society has changed its prostate cancer screening recommendations. The change follows two studies highlighting the limits of the prostate-specific antigen, or PSA blood test and digital rectal exam. The ACS said doctors now should emphasize the limits and risks as well as benefits of prostate screening to patients before doing the tests. These new guidelines have some confused.

"You need to get screened," said Brad Stanton of Canandaigua.

Stanton is the head of a prostate cancer support group. He said that, when it comes to fighting cancer, regular screenings save lives.

"There are three guys in our group who found out they had the cancer through free screening," Stanton said.

The new recommendations have him and his group confused.

"The guidelines seem to indicate that we don't need to be screened as much. And I just don't buy that," said Stanton.

Stanton isn't the only one scratching his head. For years, doctors have encouraged men 50 and older to get yearly prostate cancer screenings. Not only is this advice not included in the new guidelines, urologists say other risk factors like a patient's family history, race, and previous medical history were also left out.

"None of this is accounted for, and that's just the wrong way to go about screening for prostate cancer," said Dr. Greg Oleyourryk of Rochester General Hospital.

Screenings are expensive, and there's debate over whether patients are treated unnecessarily for cancer they could otherwise live the rest of their lives with.

"In general, anyone with a 10-year lifespan ahead of them, those are the kinds of patients you want to consider screening for," Oleyourryk said.

Stanton has been living with prostate cancer since 1997.

"If you treat it, the side effects are worse than the disease for most people," said Stanton.

Stanton agrees with the American Cancer Society that better patient education is needed.

"(For) Most men, even after they've been told this, it probably wouldn't sink in," Stanton said.

In any case, Stanton wants to know more.

"I just don't think there's any black and white answer to this question," Stanton added.