E. David Crawford, MD, presented “Early Detection of Prostate Cancer: Navigating the Challenges in 2023” during the 33rd International Prostate Cancer Update on January 23, 2023, in Vail, Colorado.

How to cite: Crawford, E. David. Early Detection of Prostate Cancer: Navigating the Challenges in 2023.” January 2023. Accessed Mar 2024. https://grandroundsinurology.com/early-detection-of-prostate-cancer-navigating-the-challenges-in-2023/

Early Detection of Prostate Cancer: Navigating the Challenges in 2023

E. David Crawford, MD, Editor-in-Chief of Grand Rounds in Urology and Professor of Urology at the University of California, San Diego, discusses the challenges of early detection of prostate cancer (PCa) and recommends a prostate-specific antigen (PSA) cut-off of 1.5 ng/ml. Because most diagnostic testing is completed by primary care physicians who may not understand the nuances of PSA testing, Dr. Crawford recognizes that they need a simple message from urologists. Dr. Crawford contends that PSA testing should be considered as routine as measuring a patient’s cholesterol, especially since more than 70% of men will have a PSA of less than 1.5 and will not require further screening for another 5 to 10 years.

He states that a PSA of 1.5 ng/ml to 4.0 ng/ml may be in a “danger zone” and require additional testing for benign prostatic hyperplasia (BPH), PCa, and PCa risk. Dr. Crawford concludes by reiterating the importance of simple messaging to move forward with effective screening and early detection of PCa.

About The 33rd Annual International Prostate Cancer Update:

The International Prostate Cancer Update (IPCU), founded in 1990, is a multi-day CME conference focused on prostate cancer treatment updates with expert, international faculty. It is led by expert physicians and is designed for urologists, medical oncologists, radiation oncologists, and other healthcare professionals involved in the diagnosis and treatment of prostate cancer. The 33rd iteration of the meeting occurred January 22-25, 2023 in Vail, Colorado. To view more educational presentations from IPCU 33, visit our collection page.