© 2002 by Oxford University Press
Journal of the National Cancer Institute, Vol. 94, No. 6, 415-416,
March 20, 2002
© 2002 Oxford University Press
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Value of Prostate-Specific Antigen: Are Higher Levels Meaningful?
In 1987, Stanford Universitys Thomas Stamey, M.D., published a seminal study in the New England Journal of Medicine that concluded that, as prostate tumors worsened, prostate-specific antigen levels rose in sync. Based on this and supporting reports, PSA testing gained fame, exploding to several million tests per year by the mid-1990s.
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But, like a rueful parent reflecting on childhood transgressions, Stamey wishes he knew then what he knows now. In January of this year, he published what again may turn out to be an influential report. This paper, carried in the Journal of Urology, concludes that PSA is "clinically useless" in staging prostate cancer or