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What Should Be Done When PSA Level Is Slightly High And The Prostrate Is Enlarged?
Question: I’m 69. PSA is 7.1. I have small soft not enlarged prostate. No urination issues, no fatigue. Dr can’t feel anything wrong.....should I do a biopsie? If I choose not todo biopsie am I taking an unnecessary risk.
Brief Answer:
You should biopsy and CT scan abdomen and pelvis. see details.
Detailed Answer:
Hello
I can understand your concern. As per your age, PSA level i.e 7.1 is above normal range. Causes of elevated PSA are prostate cancer, benign enlargement of prostate, prostatitis, urinary tract infection. So there is 25 to 30 % chances of prostate cancer in case of elevated PSA. As you don't have any urination related issues and other symptoms, so there will be less chances of prostate cancer. Do you have swelling over legs or pelvic area or bone pain?
Still, I will suggest you to do Biopsy and CT scan abdomen and pelvis to rule out any possibility of prostate cancer. Kindly follow up with detailed history and reports.
I think this will clarify your concern. Thank you.
Regards,
Dr Shyam Kale
Family and general physician.
You should biopsy and CT scan abdomen and pelvis. see details.
Detailed Answer:
Hello
I can understand your concern. As per your age, PSA level i.e 7.1 is above normal range. Causes of elevated PSA are prostate cancer, benign enlargement of prostate, prostatitis, urinary tract infection. So there is 25 to 30 % chances of prostate cancer in case of elevated PSA. As you don't have any urination related issues and other symptoms, so there will be less chances of prostate cancer. Do you have swelling over legs or pelvic area or bone pain?
Still, I will suggest you to do Biopsy and CT scan abdomen and pelvis to rule out any possibility of prostate cancer. Kindly follow up with detailed history and reports.
I think this will clarify your concern. Thank you.
Regards,
Dr Shyam Kale
Family and general physician.
Above answer was peer-reviewed by :
Dr. Prasad
I have no swelling in my legs or pelvic area. No bone pain. I play golf single digit handicap every day. Feel great
Brief Answer:
Kindly do biopsy and CT scan.
Detailed Answer:
Hello,
Thank you for follow up. As you don't have any complaints, that's good. But still I will suggest you to do biopsy and CT scan abdomen and pelvis. Kindly follow up if you have any query.
I think this will clarify your concern. Thank you.
Regards,
Dr Shyam Kale
Family and general physician.
Kindly do biopsy and CT scan.
Detailed Answer:
Hello,
Thank you for follow up. As you don't have any complaints, that's good. But still I will suggest you to do biopsy and CT scan abdomen and pelvis. Kindly follow up if you have any query.
I think this will clarify your concern. Thank you.
Regards,
Dr Shyam Kale
Family and general physician.
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Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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