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Percent Free PSA
Book chapter

Percent Free PSA

Kenneth G Nepple, Gurdarshan S Sandhu and Adam S Kibel
Prostate Cancer Diagnosis, pp.51-60
Current Clinical Urology, Humana Press
10/17/2012
DOI: 10.1007/978-1-62703-188-2_5

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Abstract

The introduction of PSA in 1987 (Stamey et al. N Engl J Med 317(15):909–16, 1987) as a serum marker for prostate cancer and its subsequent development as a screening test for early detection (Catalona et al. N Engl J Med 324(17):1156–61, 1991) dramatically altered the diagnosis and management of this disease. PSA correlated directly with prostate cancer risk and, therefore, was a relatively sensitive test to identify men at risk. However, it became rapidly apparent that PSA had a limited specificity. Numerous nonmalignant processes, such as benign prostatic hyperplasia (BPH) and infection, also resulted in PSA elevations (Nadler et al. J Urol 154(2 Pt 1):407–13, 1995).
Prostate Biopsy Prostate Cancer National Comprehensive Cancer Network Benign Prostatic Hyperplasia

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