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Increased PSA level - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3159 Questions
Doctor :   Hi
User :   Hi
Doctor :   How can I help you? I am Dr.Bharath here
User :   Sir,
User :   Recently a prostatic tumor detected in my father
User :   PSA is 27
Doctor :   Ok
User :   what you think about it
Doctor :   I shall explain you
Doctor :   May I know his age?
User :   68 yrs
Doctor :   Ok
Doctor :   27 I take it as ng/ml in units
User :   yes
Doctor :   Fine
Doctor :   So less 4 is considered as normal
Doctor :   but increased levels does indicate
User :   yes
Doctor :   problems with the prostate gland
Doctor :   but it is not increased to alarming levels
User :   so why it is 27?
Doctor :   Yes, that is increased
Doctor :   meaning problem with Prostate gland
Doctor :   meaning Prostate hypertrophy
Doctor :   or a tumor like growth
User :   is a tumour like growth means cancer?
Doctor :   PSA is mainly done as a screening procedure for cancer
Doctor :   So it is better for your father to be consulted by a Urologist
User :   we are doing they suggest medicine for 21 days and again PSA check
Doctor :   Ok
User :   how we differentiate between a simple tumour and a cancer in case of prostate?
Doctor :   PSA level monitoring
User :   means?
Doctor :   and there shall be a need for a imaging procedures
User :   can u write the name of the imaging test?
Doctor :   like CT and MRI scans
Doctor :   Firstly ultrasound shall be required
Doctor :   the necessity of the same shall be decided by the Urologist
User :   what result can be found in ultrasound?
Doctor :   The size of the prostate shall be determined
User :   it is 21 mm
Doctor :   Ok
Doctor :   How was is determined?
User :   doctors saying
Doctor :   Ok
Doctor :   Weight of the prostate shall be assessed by imaging techniques
User :   k
Doctor :   First, you should consult a Urologist
Doctor :   and then proceed with other tests
User :   that we are doing
Doctor :   Ok
User :   we did two PSA check
Doctor :   What has he opined?
User :   1 with Ranbaxy lab and 2 with others
Doctor :   ok
User :   both have dramatic difference
User :   ranbaxy says 3.4
User :   others says 27
User :   is psa level changes
Doctor :   Ok
User :   no i am asking is psa lebvel changes?
User :   if that what it signifies?
Doctor :   It signifies that there is need for it be assessed in more detail
Doctor :   to comment on cancer of the prostate gland
User :   prostate can be removed?
Doctor :   Yes, it can be
User :   so why doctors not removing it.
User :   is there any type of harm if PSA is above 4 and we opt for surgery
Doctor :   That shall be decided upon the problem
Doctor :   only if it is problematic one
Doctor :   like BPH (hypertrophy)
Doctor :   or a growth
Doctor :   then it shall be removed
Doctor :   For further queries, you can get a second opinion from our Urologist
Doctor :   I shall give you the link
User :   pls yes give me
Doctor :   WWW.WWWW.WW User :   where they are located
Doctor :   You can visit the link
User :   k
Doctor :   it is of telephonic consultation or a email consultation type
Doctor :   that we provide
User :   pls tell me is surely it is a cancer ?
Doctor :   It is not a confirmatory one as of no
Doctor :   'now
User :   ??
User :   k
Doctor :   Is there any thing else I can help you with?
User :   Thanks Doctor
User :   Thanks a Lot
User :   for resolving my query
Doctor :   I suggest you not to jump to any conclusion as cancer or not a cancer as of now
Doctor :   it needs further tests progressively
Doctor :   depending on the progression
Doctor :   a Urologist can comment on it
Doctor :   be take him for regular monitoring
Doctor :   Are you gettting it?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
Doctor :   Hi, are you back?
User :   yes
Doctor :   Fine
Doctor :   Did you get the last lines I suggested?
User :   PSA can be find in urine or blood ?
User :   yep
Doctor :   Serum PSA is the reliable indicator
Doctor :   serum means blood
User :   k
User :   regular monitoring means?
Doctor :   Regular follow ups with the Urologist
User :   k
User :   last question
Doctor :   and also getting the tests recommended by him in the scheduled time
Doctor :   ok
User :   if not hypertrophy can we still operate and remove prostate b'coz at last tumour is in prostate
User :   if it is removed problematic reason is removed
Doctor :   If it is tumor or hypertrophy it shall be removed
Doctor :   and Urologists shall do it even before you telling it
Doctor :   if it is necessary
Doctor :   So dont worry for they not operating it
User :   i am worrying for if the antigen damage or harm other parts of body
Doctor :   No, it does not
Doctor :   it does not have other extra side effects
User :   really
Doctor :   hence there is no need for you to be afraid of that
User :   Thank God
User :   and thanks to you to away my fear
Doctor :   You are most welcome
Doctor :   Please fill the \feedback form say done when done.
Doctor :   Have you filled the feedback form?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
User :   yes i have
Doctor :   Fine
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.

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