
Regular screening doesn't always save lives once you account for the high rate of false positive results, and it increases men's risk of serious complications from biopsies and treatment of the tumours that would never have killed them. So in new guidelines concluding that the harm of testing outweigh the benefits, the U.S. Preventive Services Task Force recommends that no men receive routine PSA screening at any age. The advice is based on a review of the research, including two large trials of the PSA test, which found no significant difference in survival rates between men who did and did not get screened, after 10-14 years of follow up.
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Prostate Cancer Cells |
It may take a while for doctors to accept the new advice, and critics are concerned that halting PSA tests will lead to a rise in more-advanced disease, which is harder to treat. The task force stressed, however, that patients with a family history of prostate cancer or other risk factors may still ask their doctor whether the PSA test makes sense for them, even if it's not part of their routine check-up.
Medical Evolution: Health advice is based on research, but medical knowledge keeps advancing. The Old Science gives way to New Science; here's a few examples:
MAMMOGRAPHY :
Old Science: Many organizations advised women to start screening for breast cancer at age 40.
New Science: To avoid misdiagnoses, women should start breast screening at age 50.
HORMONE-REPLACEMENT THERAPY:
Old Science: Estrogen and progestin protected post-menopausal women from heart disease.
New Science: Hormones do not protect the heart and can increase the risk of breast cancer.
LUNG CANCER:
Old Science: Chest X-rays can detect early lesions and get patients treated sooner.
New Science: X-rays don't help patients live longer even after they are treated.

Now in a report just published in the journal Neurology, a team of Finnish researchers has linked lycopene levels in the bloods to stroke prevention. They made this connection after following more than a thousand middle-age men for 12 years. Men with the greatest amount of lycopene in their blood had a 55% lower chance of having any kind of stroke. The lycopene connection was even stronger (59%) when it came to protecting against strokes due to blood clots (the most common kind). The finding came as a surprise -- the researchers initially wanted to know if other antioxidants affected strokes, such as alpha carotene, beta carotene, vitamin A, and vitamin E. But they didn't. So, that makes the succulent tomato far more than a food; that makes it almost a nutraceutical. Other lycopene-containing foods range from tomato puree, juice, and paste as well as watermelon and red or pink grapefruit. Enjoy!
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