3 doctors weighed in:

62 yr old, PSA of 7.92, free PSA of 8% and PSA velocity factor of 1.51 ng/ml/yr. Should I be concerned at all? Is a biopsy warranted?

3 doctors weighed in

In brief: Yes- be concerned

PSA over 4 ng/ml is abnormal.
The range from 4-10 may be caused by benign prostatic hypertrophy (BPH) or prostatitis. See a urologist.

In brief: Yes- be concerned

PSA over 4 ng/ml is abnormal.
The range from 4-10 may be caused by benign prostatic hypertrophy (BPH) or prostatitis. See a urologist.
Dr. William Mitchell
Dr. William Mitchell
Thank

In brief: Yes

Assuming there are no other obvious reasons to explain your abnormal PSA values (total PSA 4-10 ng/ml; free PSA <10%), such as recent symptomatic UTI, your chance of finding prostate cancer (PCa) on a prostate biopsy approaches 50-60%.
Prostate biomarkers would likely support. Can do an MRI prostate (recommended if prior negative bx), but recommendation is to proceed with a 12-core TRUS-guided bx

In brief: Yes

Assuming there are no other obvious reasons to explain your abnormal PSA values (total PSA 4-10 ng/ml; free PSA <10%), such as recent symptomatic UTI, your chance of finding prostate cancer (PCa) on a prostate biopsy approaches 50-60%.
Prostate biomarkers would likely support. Can do an MRI prostate (recommended if prior negative bx), but recommendation is to proceed with a 12-core TRUS-guided bx
Dr. Gregory Lewis
Dr. Gregory Lewis
Thank
Dr. Clarence Grim
Internal Medicine - Endocrinology

In brief: PSA and what to do.

This must be discussed with the Dr.ordering the PSA.
You need to know the risk and benefits of watchful waiting vs aggressive treatment in your particular case.

In brief: PSA and what to do.

This must be discussed with the Dr.ordering the PSA.
You need to know the risk and benefits of watchful waiting vs aggressive treatment in your particular case.
Dr. Clarence Grim
Dr. Clarence Grim
Thank
Get help from a real doctor now
Dr. Steven Seres
Board Certified,
18 years in practice
497K people helped
Continue
111,000 doctors available
Read more answers from doctors