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@ARTICLE{deVrieze:292542,
author = {M. de Vrieze$^*$ and R. Al-Monajjed$^*$ and M. Boschheidgen
and P. Albers$^*$},
title = {{P}rostate {C}ancer {S}creening in {Y}oung {M}en.},
journal = {Journal of Personalized Medicine},
volume = {14},
number = {8},
issn = {2075-4426},
address = {Basel},
publisher = {MDPI},
reportid = {DKFZ-2024-01785},
pages = {818},
year = {2024},
note = {#EA:C130#LA:C130#},
abstract = {Background: Prostate cancer (PCa) screening strategies are
being developed and evaluated in several countries. However,
most of the evidence regarding PCa screening has been
generated in study populations aged 50 and older. Aims: This
study summarizes findings of a screening trial in younger
men and discuss those findings in the context of other
screening trials. Methods: Non-systematic review. Results:
Screening of 45-year-old men resulted in a low PCa detection
rate. Nonetheless, almost $70\%$ of screen-detected PCa at
this age was clinically significant. In young men ISUP GG 1
screen-detected cancers warrant rigorous follow-up. A
baseline, midlife prostate-specific antigen (PSA) value at
age 45 may safely exclude the vast majority of men from
further screening investigations for at least 5 years. At
age 45, a confirmatory PSA value reduces the number of
subsequent tests almost by half. Sequential magnetic
resonance imaging (MRI) as a reflex test subsequent to an
elevated PSA ≥ 3 ng/mL needs further investigation in
young men. Conclusions: Screening in young men needs to be
carefully investigated in order to avoid overscreening and
overdiagnosis.},
subtyp = {Review Article},
keywords = {PSA (Other) / baseline PSA (Other) / multiparametric MRI
(Other) / prostate cancer (Other) / prostate cancer
screening (Other) / risk-adapted screening (Other)},
cin = {C130},
ddc = {610},
cid = {I:(DE-He78)C130-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:39202010},
pmc = {pmc:PMC11355119},
doi = {10.3390/jpm14080818},
url = {https://inrepo02.dkfz.de/record/292542},
}