TribLIVE

| AandE


 
Larger text Larger text Smaller text Smaller text | Order Photo Reprints

Book looks at possible harm in prostate screening

Email Newsletters

Click here to sign up for one of our email newsletters.
By The Washington Post
Monday, May 19, 2014, 9:00 p.m.
 

What do pathologist Richard J. Ablin and science writer Ronald Piana think about routine PSA screening for prostate cancer? The title of their new book offers a pretty good clue: “The Great Prostate Hoax: How Big Medicine Hijacked the PSA Test and Caused a Public Health Disaster.”

The authors say that screenings for prostate-specific antigen, or PSA, result in “a million needle biopsies per year, leading to more than 100,000 radical prostatectomies, most of which are unnecessary” and whose side effects can include incontinence and impotence.

It's a familiar criticism, but Ablin is an unusual critic: He describes himself, and is often cited, as having discovered the antigen in 1970. (As is often the case in modern science, many independent researchers can claim some role in the discovery.)

The debate over the PSA test is ongoing, and experts are careful about what they say. The National Cancer Institute, for example, says, “Although some organizations continue to recommend PSA screening, there is widespread agreement that any man who is considering getting tested should first be informed in detail about the potential harms and benefits.” There's no doubt that any concerned man could get a powerful and passionate argument against the test from this book.

Subscribe today! Click here for our subscription offers.

 

 


Show commenting policy

Most-Read Stories

  1. Steelers notebook: Blake gets outside shot in nickel
  2. Pirates use big 7th inning to sweep Marlins, stretch winning streak to 6
  3. Plum teacher, held for trial, vows to fight witness intimidation charge
  4. State Sen. Matt Smith resigning to become chamber president
  5. Gameday: Pirates at Padres, May 28, 2015
  6. Police seek leads on Shadyside bank robbery
  7. Santorum officially joining GOP contenders for the White House
  8. Rossi: Steelers’ tarnished Bell rings true
  9. UPMC offering buyouts to 3,500 employees in cost-cutting move
  10. North Shore access to be limited Saturday for Chesney concert, officials say
  11. Male suspect in custody from New Kensington shooting