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Cited by 527

The DOI matches its Crossref record; 67 of the 67 references it cites were found in a registry or an index.

Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker

Hernández, Javier, Thompson, Ian M.·2004·Cancer

Abstract

BACKGROUND: The widespread use of prostate‐specific antigen (PSA) screening has had a tremendous impact on all aspects of the management of prostate carcinoma. Although PSA‐based screening has resulted in a stage migration to more organ‐confined tumors at the time of diagnosis, and has been temporally associated with a decrease in prostate carcinoma mortality, PSA screening is imperfect. A recent analysis of results from the Prostate Cancer Prevention Trial (PCPT) has provided insight into the positive predictive value of PSA in the so‐called “normal” range. METHODS: The history of the discovery, initial studies, and subsequent widespread application of PSA screening is reviewed. RESULTS: The application of PSA for screening preceded the development of current prostate biopsy techniques and an upper limit of normal was established without complete disease ascertainment. More recent modifications of PSA‐based screening have been adopted clinically without sufficient validation. With current methods, overdiagnosis of clinically unimportant disease almost certainly occurs and high‐grade, aggressive disease may not be detected sufficiently early to allow successful treatment. CONCLUSIONS: To the authors' knowledge, the optimal upper limit of normal for PSA for prostate carcinoma screening is unknown. New biomarkers of disease are needed; these must be linked with disease prognosis and must be validated in rigorously designed clinical trials. Cancer 2004. © 2004 American Cancer Society.

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Metadata

Authors
Hernández, J., & Thompson, I. M.
Venue
Cancer
Publisher
Wiley
Published
2004-08-18
Volume
101
Issue
5
Pages
894-904
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W2100531189
Cited by
527
References
67
FWCI
41.12
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker. https://app.cochat.ai/papers/10.1002/cncr.20480
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Hernández, J., & Thompson, I. M. (2004). Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker. Cancer. https://doi.org/10.1002/cncr.20480

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