In a significant update to its guidelines for prostate cancer screening, the American Cancer Society is now recommending that all men get routinely screened for prostate cancer with a PSA test.

Men at average risk should get a PSA test every two years from age 50 to 69, according to the new guidelines released Thursday.

Men considered at high risk due to race and family history should start testing earlier, at 45, and most are recommended to get tested every year. Specifically, yearly testing starting at age 45 is recommended for all Black men, who have higher rates of prostate cancer. Non-Black men should also get yearly testing starting at 45 if a close relative was diagnosed with prostate cancer before age 65, or if more than one of their relatives has had prostate cancer. On the other hand, if only one close relative was diagnosed with prostate cancer and it was diagnosed at age 65 or older, non-Black men in this case should start PSA screening at 45, but are recommended to get testing only every two years.

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