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Chart: NCCN Guidelines for Early Detection (Age, Risk Factors, PSA Scores)

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Prostate Cancer Early Detection: 
Age Recommendations and PSA Levels Chart

Age 40-75

  • Black/African American individuals
  • Those with a family history of cancer and/or known genetic mutation that increases the risk for prostate cancer

 

Age 45-75

  • Average-risk individuals
Discuss risk and benefits of prostate cancer screening with your doctor.
Have a baseline PSA and strongly consider a baseline DRE.
If PSA less than 1 ng/mL and DRE normal (if done), repeat testing every 2 – 4 years.
If PSA 1 - 3 ng/mL and DRE normal (if done), repeat testing every 1 – 2 years.
If PSA greater than 3 ng/mL and/or a very suspicious DRE, talk with your doctor about further testing and follow-up.

Age 75+

Talk with your doctor about if prostate cancer screening should continue.
If PSA less than 4 ng/mL and DRE normal (if done), repeat testing in select patients every 1 – 4 years.
If PSA greater than 4 ng/mL or a very suspicious DRE, talk with your doctor about further testing and follow-up.

Based on National Comprehensive Cancer Network® Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Prostate Cancer Early Detection 2022.

 

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