How we manage prostate biopsy and prostate cancer therapy in men with haemophilia

P F Fogarty1, P Kouides

  • 1Penn Comprehensive Hemophilia and Thrombosis Program, University of Pennsylvania, Philadelphia, PA 19104, USA. patrick.fogarty@uphs.upenn.edu

A 56-year-old African American male with severe haemophilia A [baseline factor VIII (FVIII) activity <1%] and chronic hepatitis C virus infection started annual serial monitoring of prostate-specific antigen (PSA) at age 40 because of a family history of prostate cancer (his father died from the disease at age 63). His most recent PSA level was 4.4 ng L (-1); previous values were <3 ng L(-1 . Digital rectal examination was unrevealing.

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