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Have grade 1 enlarged prostate, have to do PSA test. What are the chances of cancer?

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Practicing since : 1991
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Hello doctor
I am just diagnosed with Grade 1 enlarged prostate and have to do PSA test . What are the chances of cancer in Grade 1 enlarged prostate> I am 47 years old.
Posted Thu, 27 Sep 2012 in Men's Health
Answered by Dr. G.Srinivasan 3 hours later

Thanks for your query to XXXXXXX
In Indian population at your age the chances of having cancer is very low.
Prostate cancer tends to develop in men over the age of fifty.
Most prostate cancers are slow growing; however, there are cases of aggressive prostate cancers.
But the chance increases if u have family history of prostate cancer, especially of the aggressive type.
Having said that, PSA does not always mean cancer. It can rise in various other conditions including but not limited to inflammation and infection of the prostate.
PSA is usually done as a baseline test for future reference and to detect cancer at an early stage esp. those with family history of cancer.
Prostate cancer is most common in the developed world with increasing rates in the developing world. However, many men with prostate cancer never have symptoms, undergo no therapy, and eventually die of other unrelated causes. Many factors, including genetics and diet, have been implicated in the development of prostate cancer.
The presence of prostate cancer may be indicated by symptoms, physical examination, prostate-specific antigen (PSA), or biopsy. Prostate-specific antigen testing increases cancer detection but does not decrease mortality. The United States Preventive Services Task Force in 2012 recommended against screening for prostate cancer using the PSA testing, due to the risk of over-diagnosis and over-treatment with most prostate cancer remaining asymptomatic.
The last paragraph is from wikipedia to help u understand better.
Hope this answers your query. Kindly get back for doubts if any.
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