A 71-year-old male asked:
what is the cutting edge of imaging in a high psa differential? pt refuses to have biopsy and psa has been 10-12 over 7 years, but now has psa 15.
1 doctor answer
Dr. Michael Michaels answered
52 years experience Urology
Can't force him: Patient seems to have been told hat a definite diag.can only be by biopsy.Imaging will not give definite diagnosis.Free & total PSA would help:High free PSA(above 25%) is usually BPH(enlarged benign prostate).Low freeP more favors cancer:below 15%,below 7% is v. likely cancer >If biopsy is negative for cancer but stays low or is lower,repeat Biopsy. PSA velocity is also a factor but space limited.
Answered on Sep 6, 2014
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
People also searched for:
Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute!