Early screen­ing re­duces prostate risk

Shanghai Daily - - METRO - Cai Wen­jun

A CITY hospi­tal has in­tro­duced guide­lines for prostate cancer screen­ing in the name of early de­tec­tion and treat­ment, it was an­nounced yes­ter­day.

The team from Shang­hai Cancer Cen­tre screened pro­ject around 2,500 men in high risk groups from June last year. The in­ci­dence of prostate cancer was found to be 1.57 per­cent.

“The in­ci­dence of prostate cancer in big cities is four times that of small cities in China, be­cause of peo­ple’s age, life­style and high rate of screen­ing and de­tec­tion,” said Dr Ye Ding­wei, who led the pro­ject. “In Shang­hai, prostate cancer is the fifth most com­mon male cancer.”

The in­ci­dence of prostate cancer is 20 times higher in West­ern coun­tries, but mor­tal­ity is much lower thanks to early and reg­u­lar screen­ing. Be­cause over 80 per­cent of peo­ple af­fected in the United States are de­tected at an early stage, the five-year sur­vival rate is 99 per­cent. That rate is only 53.5 per­cent in China as most pa­tients are not di­ag­nosed early enough.

“Ef­fec­tive screen­ing is the best mea­sure, so we have worked out a guide­line to iden­tify those at high risk, plus the fre­quency of screen­ing and med­i­cal pro­ce­dures for those de­tected with ab­nor­mal data dur­ing screen­ing,” Ye said.

Ye’s team found that men over 50, those over 45 with a fam­ily his­tory, and those over 40 with high biomark­ers for a prostate­spe­cific anti­gen are most at risk. They set up screen­ing spots in the neigh­bor­hood and worked with other hos­pi­tals to pro­mote screen­ing, eas­ily per­formed through a blood test.

“We tar­geted these three types for more ef­fec­tive de­tec­tion and bet­ter use of re­sources,” he added.

Ye’s team have plans to screen as many as 50,000 men in a na­tion­wide pro­ject.

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