Review article: Prostate cancer screening using prostate specific antigen: Controversies and recommendations

Abstract

Background : Prostate cancer is the commonest cancer among men in Nigeria and early detection is key to cure and survival but its screening through prostate specific antigen (PSA) has remain controversial in literature. Screening with prostate specific antigen (PSA) has led to more men diagnosed with prostate cancer than in previous years with potential for negative effects from overdiagnosis and overtreatment. Method : This is a review article on the controversies and recommendations regarding prostate cancer screening following detailed search of literature and online databases such as Pubmed and Google using PSA, DRE, prostate cancer, screening as key words. Conclusion : Prostate cancer screening is fraught with a lot of controversies therefore it should be individualised through  discussion between the physician and informed client using appropriate guidelines and recommendations. Key Words : Screening, prostate, cancer, PSA, DRE