Rising PSA

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Hi Everyone I'm new to this forum and trying to get some answers. My PSA test went from 1.1 Dec 2017-1.2 June 2018 then 1.7 Oct 2019. Im 51 and prostate cancer do run in my family. I had DRE in DEC 2017 and apart from moderate enlargement everything was good. I will be seeing the urologist next month and request another DRE along with a biopsy. Just wanted to know if I should be concerned. Thanks for your in put in advance.

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  • Posted

    I would think not, that's a very small amount of movement and well below the number (4.0) that should cause concrrn.

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    • Posted

      Hi Winn , I think my main concern which I should have mentioned previously, I also had it checked AUG 2019 and it was still 1.2 then when I checked again OCT 2019 it was up 1.7. Now to my understanding your numbers can fall below normal and you can still have prostate cancer. I have heard of individuals being diagnosed with much lower numbers. 1.2-1.7 in two months have me a little worried since PC runs in the family. Thanks for your response in advance.

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  • Posted

    1.2 to 1.7 is nothing and is consistent with benign enlargement. Get an MRI and, if negative and normal PSA density, follow up your PSA every 6 months.

    If you get a biopsy, the doctor may find gleason 6 cancer which is considered benign and should be followed and you may get talked into surgery/radiation for a condition that does not warrant this aggressive approach

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    • Posted

      Hi Eric like I was explaining to Winn earlier I also checked my psa in Aug 2019 and it was 1.2 then when I rechecked it this month it was 1.7. That jump have me freaked out especially with the history of PC in the family. I hope that jump is due to BPH and not worse . I will still follow up with my Urologist next month and do some additional testing. I will let you know how goes. Thanks for your help.

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  • Posted

    I Know this is a stressful time.. a jump in your PSA score is unsettling. This has to be reviewed against your longer term testing scores..the standard was a PSA of 4 or higher flagged further investigation.. however some experts also watch the velocity of change. Other issues ie infection can cause temporary spikes in PSA.. in summary this is a concern but don't panic ...

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    • Posted

      I am trying not panic. I will see my urologist next month in the mean time i will b proactive and get t another psa/ free psa and see what things look like. Thanks for your input.

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  • Posted

    Hello

    Sorry to hear that you are here but that's what this is for a little helpful information.

    All i would say for now is when you get a biopsy don't let them do the biopsy in their office get it where they put you out

    hope all goes well

    Henry

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  • Posted

    As others have written: this is not a source of concern. Your PSA rise is not alarming. Also I would recommend NO biopsy at this stage. You could have a MRI which is pretty definitive and is non invasive. Or you could wait until the PSA >2 before having the MRI.

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  • Posted

    Hello fella,

    Personally, i dont think you have to be really concerned.

    You are young, and i think that as your Psa is not remarkedy high, that thr Dr will suggest ."watch n wait"

    Just wait n see, dont be too worried

    Cheers

    Henry

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  • Posted

    The normal PSA value is usually stated to be less than 4.0. However, because of the fact that benign enlargement of the prostate gland tends to occur as men get older, an age-adjusted scale has been developed: 0-2.5: Normal for a man 40-50 yrs. 2.5-3.5: Normal for a man 50-60 yrs.

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    • Posted

      1. Always use the same lab as different labs have different ways of measuring.
      2. BUT if you are surprised with a result, by all means take it to another lab to test. Usually the two labs' results will be close but not identical eg 0.16 and 0.18
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    • Posted

      Ive always done it at it at the same lab. I read that sex within 24 -48 hrs of test can cause increase in numbers which im guilty off. I will retest next week before i see doctor then go from there.

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    • Posted

      Hi to all, I was ghost for couple of days while I further investigated my rising psa. For this I apologize. I had a new psa/free psa test done this pass wed at the same lab and the results were 2.1/ 19% which indicates psa still rising and free psa abnormal. I will see my Urologist next week so I can request a 3Tmpmri and a fusion biopsy of the prostate. I will keep all posted. Thanks for your support.

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    • Posted

      Also important is that an expert in prostate images reports on the MRI. Most facilities do not have experts in one organ put have generalists. These generalists can miss key issues that an expert would not.

      Ask a urologist you hold in high regard who should report on the MRI.

      Good luck.

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    • Posted

      One more thing.

      If and when you decide on a biopsy, make sure you first decide who should operate on you if you end up needing surgery.

      Choose the surgeon you want to operate on you (if you end up having surgery) to do the biopsy.

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