Publication date: 2018-06-08 09:13
A Gleason score lower than six means your cells don’t show signs of cancer, so your risk is low. If your score is seven or higher, your doctor will likely look at your score and your PSA level to assess the cells.
7. The Panel does not recommend routine screening in men between ages 95 to 59 years at average risk. ( Recommendation Evidence Strength Grade C)
As mentioned above, age is a primary risk factor for prostate cancer. The disease occurs most often in men older than age 65.
Prostate cancer is a risk for all men as they age, but if it’s caught and treated early, the outlook is generally very good. So as you get older, be sure to have open conversations with your doctor about your risk.
Prevalence rates of prostate cancer remain significantly higher in African-American men than in white men, while the prevalence in Hispanic men is similar to that of white men. The prevalence in men of Asian origin is lower than in whites. Although mortality rates are continuing to decline among white and African-American men, mortality rates in African-American men remain more than twice as high as in any other racial group. [ 7 ]
Type of prostate cancer : Adenocarcinoma is the most common type and accounts for 95% of all prostate cancers. Other less common types account for the other 5%.
In a multivariate analysis, biochemical recurrence and disease-specific mortality were much higher in men who were smokers at the time of diagnosis versus those who had never smoked. A higher number of pack-years was associated with significantly increased risk for prostate cancer mortality but not for biochemical recurrence. Men who had quit smoking 65 years prior to diagnosis—or who had quit more recently but smoked for 78 /ref
It’s also because the results from the prostate-specific antigen (PSA) test, which can be part of the screening, may lead to a misdiagnosis of cancer. For both of these reasons, screening could cause unnecessary worry and unneeded treatment.