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Doctor insights on: Test Prostate Cancer

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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??

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

Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

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


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What is confirmatory test for prostate cancer?

What is confirmatory test for prostate cancer?

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

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What is an imaging test for prostate cancer?

What is an imaging test for prostate cancer?

Many: The common imaging tests in prostate cancer evaluation include ct and MRI of the pelvis and prostate, bone scan, pet-ct bone scan with naf-18 tracer, and rarely the prostascint test. Most cases need a basic ct scan and a bone scan. ...Read more

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Is a psa blood test for prostate cancer part of an annual physical?

Is a psa blood test for prostate cancer part of an annual physical?

No: Guidelines advise not screening for prostate cancer with the psa test. More information here in my health guide on psa. Http://bit. Ly/kqdvhz. ...Read more

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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: Despite recent federal panel recommendations, I recommend annual psa testing for all men over 50. Prostate cancer has no symptoms in the early treatable stages. ...Read more

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What is the name of the blood test that checks for prostate cancer?

What is the name of the blood test that checks for prostate cancer?

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

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Avodart keeps PSA low. So how would the PSA test help somebody diagnose prostate cancer if the med keeps the number low?

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

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What test is used to confirm prostate cancer is gone?

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

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How far along are they finding new tests for prostate cancer?

How far along are they finding new tests for prostate cancer?

Not far enough: We do not expect any major changes in testing for prostate cancer. There is some exciting work on molecular diagnostics but the simple answer is there is nothing new and ready to use. ...Read more

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Signs of prostate cancer? Will it show up in the pas test if you have it?

Signs of prostate cancer? Will it show up in the pas test if you have it?

Not unless iate: Prostate cancer causes no symptoms early in its course and is usually picked up by biopsy prompted by abnormal rectal exam or elevated psa or accelerated psa. Abnormalities of psa and rectal exam do not prove cancer, but often lead to biopsy which is definitive test. ...Read more

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Are there any urine tests for prostate cancer?

Are there any urine tests for prostate cancer?

None that: Work, or are in the main stream (no pun intended). The psa test is also not specific for cancer. ...Read more

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What is the normal range on psa tests for prostate cancer?

What is the normal range on psa tests for prostate cancer?

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

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What are the most advanced tests for diagnosis of metastasis of a primary prostate cancer?

What are the most advanced tests for diagnosis of metastasis of a primary prostate cancer?

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

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Can you tell me if a person had prostate cancer would this be evident from a simple urine test?

Can you tell me if a person had prostate cancer would this be evident from a simple urine test?

Not completely: While urine based tests like pca3 may provide some information about prostate cancer, the only definitive way to diagnose prostate cancer presently is a prostate biopsy. ...Read more

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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?

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?

Prostate cancer: 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

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My man has stage 3 prostate cancer even though the blood test was negative. How could the test have been wrong?

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

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What do you suggest if my man has stage 3 prostate cancer even though the blood test was negative. How can that be?

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

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Symptoms for Prostate cancer very similar to my diabetic symptoms. Turning 51 in a few days. Should I request PSA test?

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

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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?

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?

It depends: On how far outside of the prostate the cancer has spread. Some prostate cancers are slow growing. There are many treatment options that include radiation, chemotherapy and or surgery ...Read more

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Psa test reveals 1.7, is this a good indicator that you have no prostate cancer?

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

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How reliable are the screening tests for prostate cancer? Does prostate cancer screening save lives?

Doubtful: Psa screening of asymptomatic men has not been shown, conclusively, to reduce prostate cance mortality in the us population. ...Read more

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Has anyone ordered screen for prostate cancer using the new pca3 gene test?

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

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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?

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?

Incomplete question: Please re-enter your question and include the PSA values.

When prostate cancer spreads to bone, primary treatment includes androgen deprivation therapy. ...Read more

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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?

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?

Inflammation: Psa can be elevated in conditions other than cancer. Anti-inflammatory drugs can lower psa by reducing inflammation. Studies that reported lower risk of prostate cancer with asprin use have since been challenged on this basis. ...Read more

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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?

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

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Which test is recommended for checking that prostate cancer is organ-contained? A needle biopsy or a Trans-rectal MRI?

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

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What is the most reliable test for the progression of prostate cancer? (other than PSA blood test)

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

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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.

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.

WBC in urine: White blood cells, pus, in the urine would be more related to bladder or kidney infection. The prostate does not actually come in contact with urine even though the bladder drains right thru the prostate. ...Read more

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I have been having difficulty urinating for the past year. I'm worried I have prostate cancer? I have recently did yearly blood test and every Normal

What did the Dr say?: You just saw your Dr. Did you discuss your "difficulty? Your description lacks any specific details. The question is too vague to get an answer. If your DR did not check this out, go back. ...Read more

Dr. M. Hytham Beck
7 Doctors shared insights

Prostate (Definition)

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


Dr. Moez Khorsandi
549 Doctors shared insights

Prostate Cancer (Definition)

The second most common cancer after skin cancer ...Read more


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