Prostate Cancer Psa Levels
Concerns before the scheduled biopsy for prostate cancer and I'm waiting for someone (perferrably a urologist) can?
me help in making an informed decision. I'm scheduled to have prostate cancer on biopsy 05/24/07. Here is a brief history of events so far: vital statistics and hx are as follows: Age: 38 Sex: Male; Ht: 5 '5 ", Weight: 162 lbs; Father died recently at age 73 2ndry prostate cancer was metastatic and as a result he had bone cancer, so the mother has diabetes and had previously benign tumor removed; Brother: Healthy; Race: Asia and India. The blood test done 04/23/07 and the results showed that the PSA level of 3.5, after that FreePSA test done on 04/05/1907 and PSA level 3.68. The normal range is 0-2.5. After scoring some successes some had a value of 8 indicates that probably I have a 24% chance of having prostate cancer. Accessed 05/16/07 Urologist and DRE was performed and was normal. Should I wait eight weeks and have another test PSA or go for the biopsy as suggested by the urologist? Do not want to be sliced and diced, but also wants peace of mind!
The previous answer is the correct conclusion, despite all the facts are wrong. While prostate cancer at your age is rare, is almost unknown. You have a significantly increased risk because the fact that his father had. PSA is not an indication of cancerous tissue, is produced by both normal and diseased prostate tissue. The absolute number is be a lot of sense, as "Normal" could be anywhere from 0.5 to 8, especially in the size of the prostate and overall health. It is best have regular PSA tests, and to keep a chart of their results. A rapid increase in PSA is more worrisome than a high absolute number. The percentage free PSA PSA is not bound to protein. If it is too low, there is a greater likelihood of PSA reading is caused by cancer. A rectal exam can only detect cancer when it is extensive enough to be palpable. In parts of Europe, the adoption of PSA testing has been slower than in the U.S., and digital rectal examination remains an preferred screening technique. But the digital rectal cancer will be lost in that comes earlier, more treatable stage. In the U.S., the vast majority of men are diagnosed with biopsy following abnormal PSA readings, and never reach the stage of having a positive digital rectal examination. If I were you, I would take a biopsy. Although biopsy is the most enjoyable experience is the only way to find peace of mind. If not, I must remain vigilant, and have PSA tests every six months, the mapping results. Given her family history, not worth taking risks. What you can expect from the biopsy is minutes discomfort, followed by a month of bleeding. It is not the worst thing that can happen.
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