事件记录
面试官: Your annual prostate exam. Is it still something that you should have done every year, or can you skip it? We'll find out next on 范围.
播音员: Help information from experts supported by research from the University of Utah Health. This is the scoperadio.com.
面试官: Dr. 汤姆米勒, so, 一度, I know that every year that they said you should get a prostate exam if you're after over 50 years old. Do you have to still do that anymore, or is there a better way?
Should I Get a Prostate Exam Every Year?
Dr. 米勒: 好吧, aside from the prostate exam being the brunt of many, many jokes over the year, the answer now is generally no. The guidelines no longer suggest doing a prostate exam to screen for 结肠癌. It was done in the past because the number of 前列腺癌 were picked up on digital screening, but we've no evidence that finding those cancers on exam actually leads to better outcomes, that is cures for prostate cancer. We do recommend the standard screening with PSA. That's still something that should be done at the age of 50 in average-risk men, and perhaps screening should start 早些时候 for men who have a history of prostate cancer in their family. The digital exam is pretty much gone by the way, so.
面试官: 好吧. So, just to clarify, because I mean this is a bit of a paradigm change for me. It feels a little weird like . . .
Dr. 米勒: 好吧, most men would tell you that.
面试官: 是的, I don't mean in that way, but it feels a little strange that we're saying now you don't need to do the rubber glove and the whole thing, that there's actually an alternative test you're talking about. Tell me more about that test.
PSA Test: An Alternative to the Rectal Exam
Dr. 米勒: 好吧, 基本上, the PSA test has been around for some time now since the mid-80s, and it was used in conjunction with the digital exam. 最近, the guidelines have de-emphasized the need to do a digital exam to check for prostate cancer. And, again, the reason for that is that we may not . . . if we find prostate cancer, it will be advanced and it may not change the outcome of the disease. Whereas testing with PSA, which is a blood test, can find cancer early enough to cure the cancer.
面试官: 让你. So it's just a blood draw that would start after the age of 50, 早些时候, if you have a 家族病史?
At What Age Should I Get Tested?
Dr. 米勒: Average comers starting at the age of 50.
面试官: 是的. So, as somebody who's approaching 50, is that something I can request from my doctor? Or what does the evidence say about getting it much before 50 if I don't have a 家族病史?
Dr. 米勒: 基本上, there's not a lot of good evidence that getting tested before the age of 50 with PSA is useful unless you have certain risk factors, 家族病史, strong 家族病史.
面试官: 让你. 但是50岁以后, 如果医生, if your physician's not suggesting it, then that's something you should be sure that you're suggesting to them.
Dr. 米勒: 正确的. So if you do have a complaint, so if you have a complaint where you have dysuria, 尿痛, a digital exam would be something that a physician would do. I don't want to point out that we don't do the digital exam. We do the digital exam when there's a reason to do it.
面试官: 让你, and there's some symptoms or something going.
Dr. 米勒: 完全. 记者：明白了. So, otherwise, ask for that PSA. 这是完全 . . . it's even more effective.
Dr. 米勒: 正确的.
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