Pathology/cancer

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Question
In July of this year, as a result of blood in my urine, the doctor referred me to a hospital. My PSA at that time was 3.8. After seeing numerous doctors and a biopsy it was decided to leave my prostate alone and keep an eye on it with three monthly follow up appointments.
I have just had my first three month follow up appointment and, after a blood test last week which found my PSA at 5.09, the doctor has recommended me to have the cancer treated via radiotherapy or operation as soon as possible. Is this possible with such a low PSA..

Answer
Hello Derek:
PSA is a screening and follow up tool after confirming diagnosis of cancer. It is not diagnostic for cancer.
10% of f men over 50 will have a reading above 4.0. Roughly 3040% of these men will have prostate cancer.
Your PSA is just above the normal, the treatment should be based on a positive biopsy indicating presence of cancer and digital rectal exam. Benign prostate hyperplasia (enlargement) can also increase the PSA levels.

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Neha Dahiya MD

Expertise

Help patients understand the medical terminology of their lab results and / or tissue biopsy reports.

Experience

I am a pathologist and director of clinical laboratory services. I have been a practicing pathologist for last 9 years in a 350 bed multi specialty hospital laboratory in India.

Organizations
Indian association of pathologists and microbiologists.
International Academy of Cytology
International association of Pathologists - Indian division
Indian association of Cytology

Education/Credentials
MD (pathology) MBA

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