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@ARTICLE{Albers:302890,
author = {P. Albers$^*$ and A. Krilaviciute$^*$ and P. Seibold$^*$
and M. de Vrieze$^*$ and J. Lakes and M. A. Kuczyk and N. N.
Harke and J. Debus and C. A. Grott and J. E. Gschwend and K.
Herkommer and V. A. Soehne and A. Benner$^*$ and G.
Kristiansen and B. Hadaschik and C. Arsov and G. Antoch and
L. Schimmöller and F. L. Giesel and M. R. Makowski and F.
Wacker and H.-P. Schlemmer$^*$ and R. Kaaks$^*$ and N.
Becker$^*$},
title = {{D}o {W}e {N}eed {E}arly {D}etection of {G}rade {G}roup 2
{P}rostate {C}ancer in a {S}creening {P}rogram for {Y}oung
{M}en? {R}esults from the {PROBASE} {S}creening {T}rial.},
journal = {European urology oncology},
volume = {nn},
issn = {2588-9311},
address = {Amsterdam},
publisher = {Elsevier},
reportid = {DKFZ-2025-01430},
pages = {nn},
year = {2025},
note = {#EA:C130#LA:C130# / epub},
abstract = {In general, low-risk and favorable intermediate-risk
prostate cancers (PCs; International Society of Urological
Pathology grade group [GG] 1 and GG 2) are slow-growing
cancers with low metastatic potential. Active surveillance
is recommended for GG 1 PC and can be recommended for GG 2
PC in the absence of adverse pathological parameters.
Therefore, the question arises as to when low-grade PC
should be detected in a screening setting. We conducted an
analysis of the group with intermediate prostate-specific
antigen (PSA) risk (1.5-2.99 ng/ml) from the PROBASE
screening trial for young men (starting age 45 yr) and
evaluated 159 biopsies performed for confirmed PSA ≥3
ng/ml in the first two biennial screening rounds. Of these
biopsies, $37\%$ were positive, with $78\%$ (46/59) showing
GG 1 or GG 2 disease. Only $0.8\%$ of men with intermediate
risk (13 of 1661 men screened) had GG 3-5 PC and would have
experienced a delay in diagnosis of between 1 and 3 yr if
screening were performed at 5-yr intervals. These results
suggest that the screening interval could be extended from 2
yr to 5 yr for men aged 45 yr at intermediate risk, similar
to the interval for men at low risk (PSA <1.5 ng/ml). This
would reduce unnecessary testing and overdiagnosis in nearly
$10\%$ of the screening population aged 45 yr.},
keywords = {Grade group (Other) / Intermediate risk (Other) /
International Society of Urological Pathology (Other) /
Prostate cancer (Other) / Screening (Other)},
cin = {C130 / C060 / E010 / C020},
ddc = {610},
cid = {I:(DE-He78)C130-20160331 / I:(DE-He78)C060-20160331 /
I:(DE-He78)E010-20160331 / I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40640052},
doi = {10.1016/j.euo.2025.06.007},
url = {https://inrepo02.dkfz.de/record/302890},
}