Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA Screening

Prostate cancer screening by PSA testing remains controversial, particularly in the elderly. Practice guidelines from most clinical societies suggest discontinuing PSA screening at age 70 while the USPSTF recommends against screening at any age. Recent reports have demonstrated an increased incidenc...

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Main Authors: Ridwan Alam, Jeffrey J. Tosoian, Ofobuike Okani, Ashley E. Ross, Milena Vuica-Ross
Format: Article
Language:English
Published: Elsevier 2017-02-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442016302534
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author Ridwan Alam
Jeffrey J. Tosoian
Ofobuike Okani
Ashley E. Ross
Milena Vuica-Ross
author_facet Ridwan Alam
Jeffrey J. Tosoian
Ofobuike Okani
Ashley E. Ross
Milena Vuica-Ross
author_sort Ridwan Alam
collection DOAJ
description Prostate cancer screening by PSA testing remains controversial, particularly in the elderly. Practice guidelines from most clinical societies suggest discontinuing PSA screening at age 70 while the USPSTF recommends against screening at any age. Recent reports have demonstrated an increased incidence of metastatic prostate cancer, with men aged 75 or older accounting for roughly half of those newly diagnosed at an incurable stage. We herein describe the case of an elderly gentleman with no history of prostate cancer screening who presented with anorexia and back pain of unclear etiology. Evaluation with bone marrow aspiration revealed a diagnosis of metastatic prostate cancer.
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spelling doaj.art-f359834cfef44170a6a45b830fb86a922022-12-21T22:59:26ZengElsevierUrology Case Reports2214-44202017-02-0111C7810.1016/j.eucr.2016.12.010Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA ScreeningRidwan Alam0Jeffrey J. Tosoian1Ofobuike Okani2Ashley E. Ross3Milena Vuica-Ross4The James Buchanan Brady Urological Institute, Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USAThe James Buchanan Brady Urological Institute, Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USATexas Oncology, Waco, TX, USAThe James Buchanan Brady Urological Institute, Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USAPathologists Bio-Medical Laboratory, Department of Pathology, Baylor University Medical Center at Dallas, Dallas, TX, USAProstate cancer screening by PSA testing remains controversial, particularly in the elderly. Practice guidelines from most clinical societies suggest discontinuing PSA screening at age 70 while the USPSTF recommends against screening at any age. Recent reports have demonstrated an increased incidence of metastatic prostate cancer, with men aged 75 or older accounting for roughly half of those newly diagnosed at an incurable stage. We herein describe the case of an elderly gentleman with no history of prostate cancer screening who presented with anorexia and back pain of unclear etiology. Evaluation with bone marrow aspiration revealed a diagnosis of metastatic prostate cancer.http://www.sciencedirect.com/science/article/pii/S2214442016302534MetastasisProstate cancerPSAScreeningOlder men
spellingShingle Ridwan Alam
Jeffrey J. Tosoian
Ofobuike Okani
Ashley E. Ross
Milena Vuica-Ross
Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA Screening
Urology Case Reports
Metastasis
Prostate cancer
PSA
Screening
Older men
title Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA Screening
title_full Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA Screening
title_fullStr Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA Screening
title_full_unstemmed Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA Screening
title_short Metastatic Prostate Cancer Diagnosed by Bone Marrow Aspiration in an Elderly Man Not Undergoing PSA Screening
title_sort metastatic prostate cancer diagnosed by bone marrow aspiration in an elderly man not undergoing psa screening
topic Metastasis
Prostate cancer
PSA
Screening
Older men
url http://www.sciencedirect.com/science/article/pii/S2214442016302534
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AT ofobuikeokani metastaticprostatecancerdiagnosedbybonemarrowaspirationinanelderlymannotundergoingpsascreening
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