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What Do These PSA Value Of Cancer Test Indicate?

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Posted on Tue, 22 Apr 2014
Question: My dad was given a XXXXXXX score of 7 today. His PSA is 4.13. He is 84 years old. His doctor said that they will do nothing unless his PSA rises to 20. Then he would be given a shot to shrink the cancer. No other treatment was advised considering his age. His father died at age 75 of prostate cancer that spread all over his body. Does this sound reasonable or do we need a second opinion?
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Answered by Dr. Rakesh Karanwal (3 hours later)
Brief Answer: I fully agree with your doctor's opinion/advice Detailed Answer: Hi Mrs. XXXXXXX Thanks for posting your query on this forum. You have not mentioned whether the doctor had felt the tumor on digital rectal examination, or the tumor was detected on ultrasound or, whether it was detected only on biopsy. Kindly give the details of the doctor's findings. It would be preferable if you scan the reports and upload them. The treatment depends on the stage of cancer. The treatment is NOT recommended until a CETAIN STAGE is reached. Further, the stage is determined by taking several factors into consideration, such as:- * The extent of the primary tumor * whether the cancer has spread to nearby lymph nodes * the PSA level at the time of diagnosis and, * The XXXXXXX score, based on the prostate biopsy. With the PSA level being within normal limits and a borderline XXXXXXX score, I fully agree with the opinion of your husband's doctor. A normal PSA level either, rules out cancer or, it is in its earliest (pre-cancerous) stage. Under the present circumstances, NO treatment is indicated unless the PSA rises above 20. However, your husband requires a regular follow up, at intervals as determined by his treating doctor. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Rakesh Karanwal

Internal Medicine Specialist

Practicing since :1980

Answered : 1357 Questions

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What Do These PSA Value Of Cancer Test Indicate?

Brief Answer: I fully agree with your doctor's opinion/advice Detailed Answer: Hi Mrs. XXXXXXX Thanks for posting your query on this forum. You have not mentioned whether the doctor had felt the tumor on digital rectal examination, or the tumor was detected on ultrasound or, whether it was detected only on biopsy. Kindly give the details of the doctor's findings. It would be preferable if you scan the reports and upload them. The treatment depends on the stage of cancer. The treatment is NOT recommended until a CETAIN STAGE is reached. Further, the stage is determined by taking several factors into consideration, such as:- * The extent of the primary tumor * whether the cancer has spread to nearby lymph nodes * the PSA level at the time of diagnosis and, * The XXXXXXX score, based on the prostate biopsy. With the PSA level being within normal limits and a borderline XXXXXXX score, I fully agree with the opinion of your husband's doctor. A normal PSA level either, rules out cancer or, it is in its earliest (pre-cancerous) stage. Under the present circumstances, NO treatment is indicated unless the PSA rises above 20. However, your husband requires a regular follow up, at intervals as determined by his treating doctor. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal