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Article Category: Highlights

Did You Know Prostate Cancer Screening Has Changed? Find Out Why It’s Better Now.

And why it’s time to have a conversation with your doctor.

Published on September 21, 2022

Last updated 01:15 PM August 31, 2023

Illustration of scoreboard in stadium. Text reads "Hey man, know your stats, PSA < 4.0"

Quick history lesson: In the 1990s, U.S. doctors adopted the prostate-specific antigen test—or PSA—to identify prostate cancer early, when it’s more treatable. While the PSA helped more men get diagnosed, concern was raised over the risks versus benefits of biopsies, procedures and treatment. In response, the U.S. Preventive Services Task Force gave a controversial recommendation against routine screening with PSA in 2012.

But with new evidence from a variety of credible studies, they changed their recommendation in 2017. The current Task Force recommendation focuses on men having a conversation with their doctors about their risk for prostate cancer and the risks and benefits of screening.

Why did the guidelines change?

Prostate cancer is the most common cancer diagnosed in males after skin cancer. According to projections by the American Cancer Society, there will be twice as many new prostate cancer cases diagnosed as lung cancer this year.

“The prevalence of the disease cannot be ignored,” said Wellstar Health System Chief of Primary Care and Medicine Service Line Dr. Jeffrey Tharp, a primary care physician. “Early-stage prostate cancer has higher survivability than prostate cancer diagnosed in later stages.”

Dr. Tharp pointed out that while guidelines have changed, so have the way doctors diagnose and treat prostate cancer. An elevated PSA does not automatically mean a cancer diagnosis. And when cancer is diagnosed, some care options have no side effects.

Read on to learn:

  • Who should have a conversation with their doctor about prostate cancer screening, and when
  • Who is at higher risk
  • How the reason that’s holding some men back has changed
  • What is a PSA and why having them at regular intervals is important
  • Care options for prostate cancer

Some men have anxiety about what the treatment would be and the long-term effects of treatment. We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages.

- Dr. Jeffrey Tharp

Chief of Primary Care and Medicine Service Line, Primary Care Physician

Who should discuss prostate cancer screening—and when

If you have a prostate, you should discuss whether screening is right for you with your primary care doctor, nurse practitioner or physician assistant:

  • Starting at 40 if…you have a strong family history of prostate, breast, ovarian, uterine, colon and pancreatic cancer as well as melanoma—particularly if they were early onset or you have a known family history of carrying the BRCA1 or BRCA2 gene
  • Starting at 45 if…you’re a Black man, meaning you carry twice the risk of dying from prostate cancer 
  • Starting at 50 if…you have a typical risk level 

Is fear stopping you? 

“Some men have anxiety about what the treatment would be and the long-term effects of treatment,” said Dr. Tharp. 

But, he noted, treatment has changed a lot since the early 2000s.

“We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages,” he said. 

What exactly is a PSA?

A PSA test is a simple blood test you get at your doctor’s office.

The test measures the prostate-specific antigen, a substance in the body that is related to the presence of prostate cancer. However, a rise in PSA can also be caused by other factors such as recent sexual activity, exercise, prostate enlargement, age and infection.

“When someone has an elevated PSA for the first time, we put it in context,” Dr. Tharp said, indicating that doctors don’t automatically diagnose prostate cancer because of an elevated PSA. “A one-time PSA is important, but a trending PSA helps us see the bigger picture."

Once a PSA test result flags the possibility of cancer, primary care doctors typically refer patients to a urologist who specializes in prostate cancer treatment. 

Patients have a team helping them achieve their best outcome

At Wellstar, the patient’s doctors are part of a multidisciplinary prostate cancer care team at Wellstar who hold regular conferences dedicated to diagnosing, staging and planning care together so patients have the best outcomes. The prostate cancer team includes urologists, radiation oncologists, medical oncologists, pathologists, radiologists, primary care physicians and nurse navigators.  

“Once a man has been diagnosed with prostate cancer, our experienced physicians, navigators and nurses help him navigate the decision-making process around prostate cancer treatment,” said Dr. Olusola Davies, Wellstar radiation oncologist.

Because of the variety of prostate cancer types, how quickly their prostate cancer grows and other individual factors, each person’s treatment is tailored to them. Care plans may include active surveillance, prostate cancer surgery or radiation therapy.

“It’s important to give men time to absorb the information coming from the treatment team, ask questions and review things they might not be sure about,” Dr. Davies said.

Good news: newer treatments eliminate or reduce side effects

Many men with low-grade, early-stage prostate cancer choose to follow a treatment plan of active surveillance using a guideline-based protocol with their Wellstar physician. This option reduces unnecessary side effects from therapy and improves their quality of life.

In fact, more than 70% of Wellstar patients diagnosed with low-risk prostate cancer opt for active surveillance.

Various types of prostate cancer surgery, including minimally invasive robotic procedures, have the potential to spare nerves and preserve sexual function. And newer radiation therapies reduce radiation exposure to healthy tissue.

“Patient outcomes have been very good at Wellstar, and we have a well-coordinated interdisciplinary team to care for our patients,” said Dr. Tharp.

Make an appointment with your doctor today to discuss if the time is right to start screening for prostate cancer.

 
 

Tags

Jeffrey Lanier Tharp Olusola Obayomi-Davies Cancer Care
Primary Care Mens Health
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Illustration of a lung scan

Highlights

Wellstar Experts Collaborate to Help People Fight Lung Cancer

From catching cancer to following through with expert care, Wellstar ensures patients never have to fight lung cancer alone.

We are dedicated to early intervention in lung cancer, which improves outcomes for patients. After detection of an abnormality on a CT scan, patients are immediately surrounded by an interdisciplinary support team devoted to their well-being.

Identifying lung cancer early

If you are at increased risk for developing lung cancer, talk to your care team about screenings. With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. These screenings are offered at several Wellstar imaging centers.

The United States Preventive Services Task Force has revised lung screening guidelines. Patients may qualify for screening if they are 50 to 80 years old and smoked for 20 years. If they are a former smoker, they may qualify if they quit less than 15 years ago.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in one of the nation's largest lung screening programs and an incidental nodule program. When people come into a hospital seeking care for something else—whether that be a health condition like appendicitis or a traumatic event like a motorcycle accident—they might get a scan of the abdomen or chest that also shows portions of the lungs.

Using artificial intelligence, reports of those scans are fed to report coordinators, categorized based on their risk level and if a patient is higher-risk, forwarded to nurse navigators for review. Nurse navigators consult with physicians about the findings, and Wellstar can then initiate care if cancer is suspected.

The program, which started in fall 2020, has identified a total of 203 lung cancers and 22 other types of cancer, as of November 2025.

Expert care and support at every step

From the very beginning, people with lung cancer at Wellstar are surrounded by a team of experts. Rather than go through the time-consuming process of driving to multiple appointments with different specialists, patients meet with all these physicians in one place.

The Wellstar Lung Cancer STAT Clinic—at Wellstar Cobb, Wellstar Douglas, Wellstar Kennestone, Wellstar North Fulton, Wellstar Paulding and Wellstar West Georgia Medical Centers, as well as Wellstar Cherokee Health Park and the Thoracic NOW Clinic at Wellstar MCG Health Medical Center—give patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

"We plan patients’ appointments ahead of time, ordering multiple tests that will be necessary for the treatment decision-making. These can include PET scans, CT scans, MRIs and/or a pulmonary function test," Dr. Fortes said. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

Getting multiple expert opinions from the start not only gives patients peace of mind, it speeds up treatment, too. In the United States, the average time between an abnormal scan and the beginning of treatment is 60 to 90 days. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in patients with lung cancer.

"We have data to show that if we delay treatment, even in early-stage cancers, we decrease the chance of a cure," Dr. Fortes said. "The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

High-tech surgery options

For many patients, surgery is a crucial part of lung cancer treatment. Wellstar offers several minimally invasive options, reducing recovery time for patients.

More than 90% of lung cancer surgeries at Wellstar are performed using either the Da Vinci Surgical System or Video Assisted Thoracic Surgery techniques (VATS).

Minimally invasive surgeries reduce pain, scarring, blood loss and infection, as well as time to recover—getting patients back to work and other routines quicker.

The Da Vinci system is equipped with 3D cameras and instruments that can make very intricate, precise movements, allowing for shorter incisions and more accurate surgery. Some patients can leave the hospital as early as the next day.

For biopsies, Wellstar has completed 500 procedures using the Ion system, a robotic-assisted platform.

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process, significantly improving diagnostic yield compared to other modalities.

"The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung," said Dr. Fortes.

To reduce your risk of lung cancer and keep your lungs healthy, talk to your primary care team and follow a few tips, such as exercising and avoiding smoking. Learn more about treatments on our lung cancer care page.

Keep reading
Patient getting CT scan

Highlights

Monitoring Your Lung Health with Cancer Screenings

Lung cancer screening can detect cancer earlier—even before symptoms show up. Earlier-stage cancers are more easily treatable. If you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Our team has built one of the country’s largest and most comprehensive screening programs. Wellstar has been designated as a Screening Center of Excellence and Care Continuum Center of Excellence by the GO2 Foundation, an organization that supports lung cancer patients and educates about screenings and care. We’re also a designated Lung Cancer Screening Center by the American College of Radiology.

Evaluating your lung cancer risk

The United States Preventive Services Task Force has revised lung screening guidelines. You may qualify for screening if you are 50 to 80 years old and smoked for 20 years. If you are a former smoker, you may qualify if you quit less than 15 years ago.

“Those who are current or past smokers of cigarettes are more likely to develop lung cancer,” Dr. Fortes said. “However, while smoking is the leading risk factor for lung cancer, a large number of lung cancer patients have never smoked—1 in 5 women and 1 in 10 men diagnosed with lung cancer were never smokers.”

You may also be at increased risk of developing lung cancer if you have been exposed to radon, asbestos or other agents such as uranium or arsenic, according to the American Cancer Society. Previous radiation therapy in the lung area, such as chest radiation for breast cancer treatment, can also increase risk. Additionally, be sure to discuss your family history with your provider—siblings and children of people who have had lung cancer may have a higher risk of developing it.

Screening for lung cancer is not a one-time test, but a process that involves a periodic evaluation of your lungs over time to look for newly emerging cancer. CT scans can detect nodules that are compared over time for changes in size. 

“For those who are at high risk for lung cancer, it is best to have nodules and lung health evaluated by a team of physicians specializing in lung cancer care so the appropriate decision can be made of continued observation versus the need for early intervention,” Dr. Fortes said. 

Depending on the findings, some patients may have more or fewer exams. If findings are suspicious for lung cancer, your care team will contact you to discuss your screening results.

How do I schedule a screening?

An order from your physician is required to get a screening. Contact your primary care team or a pulmonologist to talk about screening and when it may be right for you. Once an order has been obtained from your physician, call (470) 793-4AIR (4247) to schedule your appointment.

What if my scan shows a lung nodule?

Your care team will support you at every step of the screening process. If you have any questions about your results or your screening plan, contact your provider over the phone or using the secure messaging feature in MyChart. You can also call our cancer care team at (877) 366-6032 to learn about our care options.

All lung screenings are initially interpreted by a radiologist. A team of physicians who specialize in the diagnosis and treatment of lung cancer will review findings that are suspicious for cancer. Once the physicians complete their review of your images, your results are posted within three to five days to your MyChart account. Results will be communicated with you and your physician via MyChart or mail within one week.

If a lung cancer is suspected, our team will call you to answer your questions and arrange next steps. You will then meet with a physician specializing in lung cancer treatment.

Patients whose screening shows a lung nodule may feel concerned. However, you should not be overly concerned if your report indicates you have small lung nodules. Most people who meet eligibility for screening will have some. Nodules are very common—at least 50% of people have them by the time they are 50 years old.

Learn more at wellstar.org/lungcancer.

Keep reading
Illustration of provider inspecting lung

Highlights

Wellstar Offers Saturday Hours for Lung Cancer Screening Day November 8

Lung cancer screening can detect cancer earlier, before symptoms show up. Earlier-stage cancers are more easily treatable and more frequently cured, so if you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health. To expand access to these vital screenings, Wellstar will offer screenings at several imaging locations Saturday, November 8.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Wellstar is partnering with the American Cancer Society National Lung Cancer Roundtable, the American College of Radiology, the Radiology Health Equity Coalition, and GO2 for Lung Cancer to celebrate National Lung Cancer Screening Day Saturday, November 8. While lung scans are always available at Wellstar’s conveniently located imaging centers during regular business hours, offering these Saturday hours will help patients fit screenings into their schedules.

Ask your care team about whether you meet the criteria for screening, or call us to learn more about qualifying and to make an appointment for a scan.Call us at (470) 793-4AIR (4247) to learn more and make an appointment for a scan.

The following Wellstar imaging locations will be open Saturday, November 8:

  • Wellstar Imaging at Wellstar East Cobb Health Park, 3747 Roswell Road, Suite 102 in Marietta
  • Wellstar Imaging Services, 60 Lacy St. in Marietta
  • Wellstar Imaging Services, 1220 West Wheeler Parkway in Augusta
  • Wellstar Imaging Services at Wellstar Cobb Medical Center, 1625 Hospital North Drive in Austell
  • Wellstar Imaging at Wellstar Douglas Medical Center, 8954 Hospital Drive in Douglasville
  • Wellstar Imaging at Wellstar Vinings Health Park, 4441 Atlanta Road SE, Suite 101 in Smyrna
  • Wellstar Imaging at Wellstar Windy Hill, 2540 Windy Hill Rd SE in Marietta
  • Wellstar West Georgia Medical Imaging, 1514 Vernon Road in LaGrange

In addition to these special hours November 8, low-dose CT lung scans are available at several Wellstar imaging locations. 

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