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Prostate Cancer (Expert Forum)
Prostrate Biopsy--PSA Testing Results--Family History
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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Prostrate Biopsy--PSA Testing Results--Family History
by t1234, Nov 04, 2008 08:06AM
To Dr. Tewari
I was diagnosed with an enlarged prostrate about 18 months ago and referred to a Urologist.
I am being checked every six months (PSA and digital exam) by the Urologist, and my PSA has remained constant at 3.6-3.7 range.
Digital exam reveals no nodules (Surface of prostate is smooth).
At this point the thinking is to monitor it on a six month basis vrs doing a biopsy, but do you think I should go ahead and have a biopsy done.
I will be 62 in December this year.
Thanks
To T1234:
Thank you for your question. Please answer the following in order to help me formulate a proper response.
1) How long have you been getting your PSA tested and what have been the results?
2) Do you have a family history of prostate cancer?
Best,
AKT
To: Dr. Tewari
PSA results:
10/07/08 3.86 Unknown
04/08/08 3.40 Unknown
12/17/07 3.30 Labcorp
10/09/07 3.87 Unknown
04/10/07 3.30 Unknown
07/26/07 3.00 Prostrate Specific AG 3.4 Free PSA .80 24% Pathology Lab.
04/02/07 Prostrate Specific AG 3.3 Free PSA .90 27% Pathology Lab.
03/13/07 3.00 Pathology Lab
01/09/06 2.70 Pathology Lab
10/29/02 2.90 Quest
No family history of prostrate cancer. Family history of colon, skin, and breast cancer.
Thanks
I was diagnosed with an enlarged prostrate about 18 months ago and referred to a Urologist.
I am being checked every six months (PSA and digital exam) by the Urologist, and my PSA has remained constant at 3.6-3.7 range.
Digital exam reveals no nodules (Surface of prostate is smooth).
At this point the thinking is to monitor it on a six month basis vrs doing a biopsy, but do you think I should go ahead and have a biopsy done.
I will be 62 in December this year.
Thanks
To T1234:
Thank you for your question. Please answer the following in order to help me formulate a proper response.
1) How long have you been getting your PSA tested and what have been the results?
2) Do you have a family history of prostate cancer?
Best,
AKT
To: Dr. Tewari
PSA results:
10/07/08 3.86 Unknown
04/08/08 3.40 Unknown
12/17/07 3.30 Labcorp
10/09/07 3.87 Unknown
04/10/07 3.30 Unknown
07/26/07 3.00 Prostrate Specific AG 3.4 Free PSA .80 24% Pathology Lab.
04/02/07 Prostrate Specific AG 3.3 Free PSA .90 27% Pathology Lab.
03/13/07 3.00 Pathology Lab
01/09/06 2.70 Pathology Lab
10/29/02 2.90 Quest
No family history of prostrate cancer. Family history of colon, skin, and breast cancer.
Thanks
Doctor's Answer
by Ash Tewari, MD, M.Ch., Nov 06, 2008 11:36AM
, Nov 06, 2008 11:36AM
To: t1234
Another tool urologists use to determine if a patient needs a biopsy is called PSA velocity which measures the increase in PSA over time in years. A PSA velocity of over 0.75 ng/ml/year is an indication for biopsy and your PSA values do not fall into this category. Another PSA tests is free PSA which you have already have done. A free PSA <22% is another indication for biopsy and again this is not your case. I recommend having a another DRE and PSA level checked in 6 months.
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