PSA Test or not Test - why do the experts disagree?
Something worth chewing on this week. Two of the biggest cancer organisations on the planet looked at the same prostate test - the PSA blood test - and landed on different advice this year. ESMO, the big European cancer society, leans against giving the PSA test to every man across the board. Their worry is that screening everyone also picks up slow cancers that were never going to do harm, and then some men get treated for something that would have left them alone. The AUA, the American urology body, keeps the PSA as the front-line test, used inside a proper conversation between a man and his doctor about his own risk. When I first read that, my instinct was to ask who is right. But that is the wrong question. They are both right, for different men. The experts are not confused - they are weighing the same test for different lives. Which is the whole reason I keep saying knowledge is armor. Nobody can hand you a clean yes or no on this. You have to understand it, know your own body and history, and decide with your doctor. Be the man who asks the question. I am not a doctor. But I would rather understand the test than be told what to do with it. Just remember that a single PSA test, if high can be misleading, you need to establish a baseline to be sure. So I will ask you straight: would you rather know, or not know? And what is making you lean that way?