At 16:45 4/09/96, Armando Brito de Sa' is rumored to have typed:
> First, Amrit Takhar:
>
> >> family history of colon and lung cancer. (snip) prostate cancer. He has
> no >> symptoms other than an intermittent dry cough over the past years (PFR
> 640, >> lungs clear) Physical exam normal
> >> What do other GPs do in this situation?
> >> What screening tests would you offer if any?
>
>
> Then, Patrick Atlas:
> >In France, we could propose him an Hemocult test then a colonoscopy for the
> >screening of colon cancer, a lung x-ray for the lung cancer. Anything else?
> >Biological markers are not available here for the cancer screening.
>
> -------------------------
>
> Here in Portugal we probably would do the Haemocult, the lung X-ray and a
> PSA for prostate Ca. All to reassure the patient, since neither have decent
> positive predictive values for asymptomatic patients, that is, for
>_screening_.
>
> As for colonoscopy, only faced with a history of family polyposis; it would
> be a violence to do it in an otherwise asymptomatic patient...
>
> There is a great paper on Canadian Family Physician (Dec 95, I think, or
> close) presented as a dialogue between a GP and a patient wanting to do a
> PSA test. The physician discusses all the pros and cons of prostate cancer
> screening while the patient makes the questions we regularly listen to.
> Beautiful. I can dig the reference if someone is interested.
>
>
> Armando
>
Oh well, I forgot the prostate cancer. Of course, PSA could be proposed but
no idea about the minimal age.
___Patrick Atlas, MD____________tel: +33 83 28 60 61__________________
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