Doctor insights on:
Test Prostate Cancer
I had PSA test. Prostate cancer test. Total PSA is 0.506 ng/mL and PSA free is 0.152. I think psa free is very low. Can you tell me results fine or??
Firstly: Reason for PSA testing in a24 year old is unclear. Pre test probability is very low making the positive predictive value of the test extremly low hence not neccessary to do. The numbers give are WNL and reflective of a small sized prostate gland which is consistent with your age ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
A single PSA test is: Rarely an indication for a biopsy, but the pattern of psa and rate of rise calls for biopsy to confirm. Many slight rises lead to bx, with some risks of sepsis, and trivial small foci of low risk cancer that are best observed rather than treated. While the biopsy is the correct answer, the real answer is do you really need to know now, and that is individaully very differnt. ...Read more
When and how often do you recommend taking the psa test for prostate cancer screening? Indicate your recommended frequency of the test and when to start taking it, if at all.
PSA: The psa (prostate specific antigen) blood test is used to evaluate men for the possibily of prostate cancer. An abnormal level may be due to cancer, infection, or benign prostate enlargement. Also, prostate cancer may be present with a normal psa level. Your physician will determine if you need the test and what should be done when the results are available. ...Read more
Avodart keeps PSA low. So how would the PSA test help somebody diagnose prostate cancer if the med keeps the number low?
No affect survival:
Scroll down to medications part. Have to adjust PSA concentration 'manually' depending on how long you've been on 5a-reductatse inhibitor.
http://www. Medscape. Com/viewarticle/718972_4 ...Read more
PSA: Psa is an excellent way to monitor response to most prostate cancer treatments. After surgery, the ideal result would be less than 0.01 ng/dl. After radiation, a low (less than 0.5 to 1), stable level indicates a good result. A discussion with your doctor regarding your specific situation is most important since every case is unique. ...Read more
Pcs: Need a bx, very rare in a 23 yo. ...Read more
Multiple answers: If your prostate was removed for cancer psa should be <0.1. If you had radiation we like it below 0.5 but anything below 1.0 is acceptable. If you are being screened, I like it based on age; >75 up to 6.5; 65-75 4.5; 55-65 3.5; 45-55 2.5. You also don't want it going up >0.7/year. For more: @thepeedoc www. Peedoc. Com. ...Read more
Many choices: A few options here. For bone involvement a na-f18 pet scan is the most sensitive along with MRI scans. Standard bone scan, imho, is outdated. Also, we find the measurement of ctc's (circulating tumor cells, very useful. Standard ct scan is good for lung and liver disease. Last, MRI with iron nanoparticles is great for lymph node + disease evaluation. Prostatscint is not so useful anymore. ...Read more
My grandpa & great grandpa had aggressive prostate cancer & I have multiple genetic markers for it. I am 31. What tests should I have done 2 b safe?
I would get a psa test at age 40 given your family history
if anybody in your family was diagnosed in there early 50s maybe age 35....But that may be overly aggressive. ...Read more
My man has stage 3 prostate cancer even though the blood test was negative. How could the test have been wrong?
PSA is not perfect: Blood tests are molecules shed from the surface of a tumor into the blood. The ones available for most tumors are carbohydrate markers that are only of value for tumor response and not diagnosis. The prefix to these markers are CA 125 for ovary and CA 19.9 for pancreatic Ca. The CA refers to carbohydrate antigen. PSA is such an antigen and unreliable in about 40% of patients. ...Read more
What do you suggest if my man has stage 3 prostate cancer even though the blood test was negative. How can that be?
Psa normal: Not all prostate cancers express PSA. Therefore, someone can have a prostate cancer but still have a normal PSA. I have heard estimates as high as 5-10% of prostate cancers do not express PSA. This is one of the reasons why a prostate exam should be done in addition to a PSA test for screening. At stage 3, he should proceed for further evaluation and treatment. ...Read more
Symptoms for Prostate cancer very similar to my diabetic symptoms. Turning 51 in a few days. Should I request PSA test?
Not symptomatic: As a rule. Occasionally presents with blood in urine. Might notice some slowing down of urinary strew. Quite reasonable to get PSA tested in view of both age & concern. Symptoms most likely those on Diabetic Neuropathy. Your Dr. Can order the PSA & perform a digital rectal examination. ...Read more
Father has prostate cancer on outside of prostate. Is it serious to have that. Did test Cancer was not in blader. What's best treatmnt is it curable?
34: You are 34.Prostate CA is unheard of at 34.I am surprised a doctor ordered PSA on you, unless of course you went to one of those walk in cash labs. Be well. ...Read more
How reliable are the screening tests for prostate cancer? Does prostate cancer screening save lives?
Examination & PSA: Examination of prostate, elivation of psa levels, and biopsy is still gold stranded for diagnosis. Now the tumor marker pca3 is available, which specific for cancer tested from urine. It is useful when biopsy is negative with high psa level, to monitor micro disease, and after treatment, . ...Read more
What do you suggest if my husband has prostate cancer which has spread to his bones. His psa was until the last test. The ps?
I have a high psa count but no prostate cancer. Recently I found that taking ibiprophen for 2 weeks before a psa blood test lowers my psa count. Why?
Is it possible to have prostate cancer in the age of 26. I had gone for the psa test and psa level is 3.75. But doctor said no problem you live your?
Very rare: It is possible but unlikely. The incidence of prostate cancer in patients under 50 is very low and usually found in patients with a strong family history. Psa can be elevatd due to other noncancer causes and is controversial as a screening tool. You should see a urologist to discuss further. ...Read more
I have a PSA done once each year. Along with various other blood tests, this is purely a routine check. However, as a matter of interest, is it true that the PSA level never falls if a person has prostate cancer?
See below.: IF an elevated PSA is due to prostate cancer, then in the absence of treatment, one would not expect a significant, reproducible decline keeping in mind that there can be PSA variations within the body of 10-20%; not uncommon to have variations both within a specific lab and/or between different labs; and that one can have prostate cancer with PSA variations occurring for unrelated reasons. ...Read more
Which test is recommended for checking that prostate cancer is organ-contained? A needle biopsy or a Trans-rectal MRI?
Radiography: Needle biopsy will only reveal tumor cells within the prostate gland. Usually, multiple core biopsies are obtained as cancer cells can be scattered throughout the prostate gland. To determine if the cancer has spread beyond the prostate locally, transrectal ultrasound or MRI would be more appropriate. To evaluate for metastatic disease, CT or PET scanning would be modalities of choice. ...Read more
What is the most reliable test for the progression of prostate cancer? (other than PSA blood test)
See below: PSA is a screening test. Other tests such as percent-free PSA and complexed PSA can be done on blood to check for the amount of free PSA present. If your % free PSA is less than 10%, you should definitely consider a prostate biopsy. Levels between 10-25% should be discussed with your Urologist. PSA density/velocity and age-related PSA tests are controversial; therefore discuss with your Urologist ...Read more
My father age 52 years had recurrent pus cells in urine from past 3 months, is this related with prostate cancer though his psa test are normal.
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more