(Ivanhoe Newswire) -- PSA levels appear to be more predictive of
three-year prostate cancer risk in African American men compared with
Caucasian men with a family history of prostate cancer, according to a new
study.
"It was previously thought that PSA levels were just naturally higher in
African American men, suggesting a need to possibly adjust the threshold
upward before recommending a biopsy," said Veda Giri, M.D., director of the
Prostate Cancer Risk Assessment Program at Fox Chase Cancer Center.
Biopsies are currently recommended for men when their PSA levels are above 4
ng/mL.
For this study, researchers at the University of Chicago observed 646
high-risk men, 63 percent of whom were African American. Researchers said
they found no "race specific" differences in PSA levels when race was
measured using genetic markers of ancestry or reported by participants.
Researchers then analyzed men with a PSA between 1.5 and 4 ng/mL. They found
that among men with a family history of prostate cancer, PSA levels had the
same predictive value whether the men were white or black.
"African American men and men with a family history of prostate cancer
should be encouraged to participate in early detection studies to define
personalized screening strategies that may diagnose prostate cancer at a
curable point," Giri said.
SOURCE: Cancer Prevention Research, 2009