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December 5, 2018

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Early screening reduces prostate risk

A city hospital has introduced guidelines for prostate cancer screening in the name of early detection and treatment, it was announced yesterday.

The team from Shanghai Cancer Centre screened project around 2,500 men in high risk groups from June last year. The incidence of prostate cancer was found to be 1.57 percent.

“The incidence of prostate cancer in big cities is four times that of small cities in China, because of people’s age, lifestyle and high rate of screening and detection,” said Dr Ye Dingwei, who led the project. “In Shanghai, prostate cancer is the fifth most common male cancer.”

The incidence of prostate cancer is 20 times higher in Western countries, but mortality is much lower thanks to early and regular screening. Because over 80 percent of people affected in the United States are detected at an early stage, the five-year survival rate is 99 percent. That rate is only 53.5 percent in China as most patients are not diagnosed early enough.

“Effective screening is the best measure, so we have worked out a guideline to identify those at high risk, plus the frequency of screening and medical procedures for those detected with abnormal data during screening,” Ye said.

Ye’s team found that men over 50, those over 45 with a family history, and those over 40 with high biomarkers for a prostate-specific antigen are most at risk. They set up screening spots in the neighborhood and worked with other hospitals to promote screening, easily performed through a blood test.

“We targeted these three types for more effective detection and better use of resources,” he added.

Ye’s team have plans to screen as many as 50,000 men in a nationwide project.


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