We are still talking about 30,000 men directly dying a year from PC, and that doesn't count the thousands of advanced cases that will take their places in the statistics further down stream. I can only speak for myself. I volunteered to start getting my PSA drawn at my yearly physicals at age 50, because that is what the common wisdom was at the time. I never had it earlier than 50, because there was no known cases of PC on either side of my family, at least not dx. Had I not been taking it yearly, and then ultimately it tripled and ended up with my dx. last August, I would have never known I had an agressive killer inside me. With no prostate trouble symptons, no other weird symptons going on, never would have known until ultimately it would have been too late, or at the best, a very advanced case. A biopsy is somewhat expensive, I can see not taking biopsies without good cause or reason, but to include PSA testing as part of an annual blood work test only makes common sense to me. It's not going to hurt any man to have a baseline PSA done, even at age 40, just to have a reference point. All I am saying, that without my own common sense at being tested on my own, having a good GP that was monitoring me closely, and having regular PSA tests, I very well may have been in a future group of dead 30,000 men from prostate cancer.
David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 6 month on 5/9