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Prostate Cancer (Expert Forum)
Request for assistance with PSA and Free PSA test results
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis, Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
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Request for assistance with PSA and Free PSA test results
by ehelp, May 08, 2007 12:00AM
My vital statistics and family hx are as follows: Age: 38; Sex: Male; Ht: 5' 5"; Wt: 162 lbs; Father: recently passed away at the age of 73 secondary Prostate Cancer which got metastasized and as a result he had bone cancer as well; Mother: has diabetes and previously has had benign tumor removed; Older Brother: Healthy; Race: Asian-Indian
About a 2 weeks ago 04/23/07 as part of routine check I had blood test done and the results indicated I had PSA level of 3.5, subsequent to this at the request of my doctor I had more lab work done yesterday and was just advised yesterday, 05/07/07, of the following:
PSA level: 3.68 with Free PSA level of 8
Additionally, the doctor stated that the above numbers would be indicative that I probably have a 24% chance of having prostate cancer. The doctor I have been seeing and who has ordered the test does family practice and has now referred me to a urologist for further tests and exams.
Given the above I would just like an independent opinion of another doctor from this forum. I understand without the benefit of examining me and/or looking at the lab results first hand it would be hard to provide an accurate opinion. Never the less, if you could please provide your feedback and analysis I would greatly appreciate it.
I thank you in advance for your assistance and look forward to your feedback.
Sincerely, Concerned Patient
About a 2 weeks ago 04/23/07 as part of routine check I had blood test done and the results indicated I had PSA level of 3.5, subsequent to this at the request of my doctor I had more lab work done yesterday and was just advised yesterday, 05/07/07, of the following:
PSA level: 3.68 with Free PSA level of 8
Additionally, the doctor stated that the above numbers would be indicative that I probably have a 24% chance of having prostate cancer. The doctor I have been seeing and who has ordered the test does family practice and has now referred me to a urologist for further tests and exams.
Given the above I would just like an independent opinion of another doctor from this forum. I understand without the benefit of examining me and/or looking at the lab results first hand it would be hard to provide an accurate opinion. Never the less, if you could please provide your feedback and analysis I would greatly appreciate it.
I thank you in advance for your assistance and look forward to your feedback.
Sincerely, Concerned Patient
Doctor's Answer
by Ash Tewari, MD, M.Ch., May 09, 2007 12:00AM
, May 09, 2007 12:00AM
Though there can be other causes of raised PSA, in view of your family history of prostate cancer in a first degree relative, I would advise you to undergo a digital rectal examination by a urologist followed by prostatic biopsy.
The presence of one affected family members increases the risk of prostate cancer to first-degree relatives by 2 fold.
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