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At the heart of general practice since 1960

Colorectal Ca waiting lists spiral as two-week rule takes its toll

Men who have a prostate biopsy after an abnormal PSA test suffer from substantial psychological distress even when given the all clear.

Over a third of men were still worrying about prostate cancer up to six weeks after a benign result, according to a University of Massachusetts study. Twice as many thought they had an increased risk of prostate cancer after an abnormal PSA followed by a benign biopsy as among men with normal PSA levels.

Lead author Dr Mary

McNaughton-Collins concluded the anxiety felt by men who underwent biopsy was an 'under-recognised cost of screening' and needed to be considered when debating the benefits and harms of PSA testing.

Dr Muir Gray, programme director of the National Screening Committee, said: 'PSA testing can lead to unnecessary worry but also to an operation for which there is no evidence of benefit and for which there could be complications.'

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