A 71-year-old male asked:
Disclaimer

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
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
1
1 thank

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 76-year-old male asked:
Dr. Hamsa Jayaraj
53 years experience Internal Medicine
Many causes-high PSA: Many long term studies about rising PSA & research of PSA reveal that you do not have to rush in for biopsy Let your doctor keep monitoring PSA ... Read More
1
1 thank
A 60-year-old male asked:
Dr. Gurmukh Singh
48 years experience Pathology
Urologist: The issue you are considering is not a do it yourself matter. You need to consult a urologist. S/he may wish to do an MRI or ultrasound study before d ... Read More
1
1 thank
A 65-year-old male asked:
Dr. James Krick
35 years experience Urology
Common situation: Everyone seems to agree that psa is not a "perfect" cancer screening test. If it was everyone with psa elevation would be found to have cancer upon bi ... Read More
1
1 thank
A 61-year-old male asked:
Dr. Gurmukh Singh
48 years experience Pathology
Yes: You are young enough to have this investigation to check for prostate cancer. Only about 25% of people with similar data have prostate cancer, but it ... Read More
1
1 thank

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month