Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

186 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Ultrasound showed increase in prostate size. Should I be worried about prostate cancer?

Answered by
Dr.
Dr. G.Srinivasan

Urologist

Practicing since :1991

Answered : 1414 Questions

default
Posted on Mon, 7 Jan 2013 in Men's Health
Question: Hello!
I am little concerned over my ultrasound (normal, not the rectal ultrasound) results. The doctors said that it is all fine however when I compared the results with the ones 4 months ago, there is a significance difference in the size of the prostate. Last time it was 17 ml, now 26.
In september I had also my PSA test, it was 0,8 with fpsa around 30%.
Is there is a significant reason to think about the prostate cancer or does the size of the prostate actually vary?
With best regards
XXXXXXX
doctor
Answered by Dr. G.Srinivasan 1 hour later
Hi,
Welcome to XXXXXXX and thanks for your query.
Prostate size assessment may be done in various ways.
Clinical examination by finger insertion in the rectum/ Ultrasound scan through the abdomen/ ultrasound scan through the rectum.
Of the two scans, the trans-rectal scan is more accurate in assessing the size and not the trans-abdominal route.
I have seen in clinical practice, such variations and the size as such is not a criteria for treatment.
The FEEL on rectal examination, your symptoms, residual urine on scan, uroflowmetry and serum PSA values have to be taken into consideration for starting the right treatment.
Hope this helps, kindly get back for doubts if any.
Regards
DR GS
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. G.Srinivasan 8 minutes later
Thanks a millioin Dr Grinivasan.

I have made all the urinanlysis (was perfectly fine) made also in October and together with nickel spot test onlya very, very mild prostatis was found which was cured with Ciprinol. During the test I also did not feel any pain.
Today I am also feeling well, there is no other problems than just the damn number.

The serum PSA values were 0,8 and around 30% for fPSA.

Considering this and to make it short - may I relax over the christmas as this does appear to be a major concern?

Wishing you a great festive season,
XXXXXXX
doctor
Answered by Dr. G.Srinivasan 19 minutes later
Hi
Welcome back.
Of course you can relax. The size of the prostate alone is not a cause of worry.
Thank you for your wish.
I wish you a great festive season too.
Regards
DR GS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Lab Tests
Medical Topics ,   ,   ,  

Recent questions on  Tumor marker

doctor1 MD

I had prostate cancer 3 1/2 years ago Gleason 3+4 =7 PSA 4.3 cancer contained in 1/2 of prostate no spreading. I elected seed implant For the next 3 1/2 years PSA never dropped but rose to over 7. Doctor was examining alternatives as he thought the seed implant failed... He was on vacation so I ran the PSA one more time and WOW! it shows a drop to we might have done something unnecessarily if I did not run the PSA . I know ther are bounces.. but a drop that fast. Is that possible and maybe some idea why and how Steve

doctor1 MD

I have an enlarged prostate and with a PSA of 11.6. I had a biopsy a year ago (showed no cancer) and has a recent one this month (inconclusive) due to swollen prostate. The doctor said I have to wait for 6 months inorder for the swelling to subside. He gave antibiotic, Cifromax, but the prescription says that tendon problems could be the side effect, which I am having right now. I had been in this antibiotic since July 2013 on and off. I need to find out who is the best urologist here in Salt Lake and Layton area.

doctor1 MD

I have recently been made redundant, quite a stressfull time. I started getting up more frequently in the night to urinate. I had a PSA test and it came back as 4.7. I went on antibiotics for 10 days and at the end of the course the PSA had risen to 5.1 - My urolgist has suggested a bioposy - stress levels through the roof - I am 46 and otherwise healthy

doctor1 MD

I AM A 64 YEAR OLD WOMEN THAT HAS HAD NO CYCLE FOR 10 YEARS. TWO WEEKS AGO MY BREAST BECAME TENDOR AND FELT BLOATED MOST DAYS. THEN YESTERDAY WITH CRAMPS I STARTED BLEEDING LIGHTLY. TODAY THE FLOW IS A LITTLE HEAVIER. iS THIS NORMAL OR SHOULD I...

doctor1 MD

Hiii, My mother in law is of 65 years old. She had developed a lesion in her liver last year, which has increased in size now. I am attaching all the reports related to her ongoing treatment. Can you please explain what the reports suggests and...

doctor1 MD

Hi, I would like some help with my blood test results as my doctor has not been able to help. I have a multinodular goiter with 6 nodules, the largest is 5cmx2cm. I am particularly concerned about the high FT4 (while FT3 is below optimal level),...

doctor1 MD

I am shivakumar my father name is d.chenveeraiah s/o. d.Bakkaiah, Aroor Village, Sadasivpet Mandal,Medak Dist.A.P.(India). my father suffering liver cancer problem. all hospital going but not improve. hyderabad indo-american cancer institute & research medical report details given below: SEROLOGY/IMMUNOLOGY TEST RESULT HIV I&II Ab(ECLIA) : Non-Reactive HbsAg(ECLIA) : POSITIVE HCV Ab(ELISA) : Non-Reactive METHOD: ELISA - ENZYME LINKED IMMUNOADSORBENT ASSAY ECLIA - ELECTROCHEMILUMINES IMMUNO ASSAY Dr. BHAVANI ESHWARAGARI, MICROBIOLOGIST. sir the above report see it my father report. CT SCAN OF ABDOMEN (ORAL & CONTRAST) Liver: Heterogenous irregular ill defined mass lession diffusely involving the right lobe of liver, & having 9.1 x6.2cms exophytic heterogeneous solid element seen (segment VIII,VII,VI,V) few irregular hyperdensities noted with in it (? bleed). The exophytic component seen to be reaching lower lobe of right lung. On post contrast delayed sectin is showing heterogenous enhancement. GB: Physiologically distended and shows normal wall thickness. No calculi or pericholecystic peripancreatic collections or pancreatic calcifications. Spleen is enlarged in size. No focal lesion seen. Kidneys: Normal in size and density . No focal lesion seen. They show normal post contrast concentrationand excreation. no calculi. no hydronephrosis. Urinary Bladder: Well distended with normal wall thickness. No culculi or diverticulae . Prostate: Normal is size and density. Aorta and IVC are normal. There is no evidence of any abdominal adenopathy or ascites. The small and large bowel loops are normal to the extent visualized. Appendix is not visualized. No evidence of any inflammatory pathology or loculated colllection in the right iliac fossa. IMPRESSION: HETEROGENEOUS ENHANCING HEPATIC MASS WITH? INTERNAL BLEED, S/O NEOPLASTIC ETIOLOGY(?HEPATECELLULAR)- SPLEENOMEGALY. ADV: FNAC Dr. Harish chander reddy. Radiologist. the above report is my father ; TUMOR MARKERS TEST RESULT REFERENCE RANGE Serum AFP 549.5 UPTO 10 IU/ml Method ECLIA Men & Non- preganant women and KIM hospital ULTRSOUND GUIDED FNAC REPORT: FINDINGS: Ultrasound guided FNAC of mass lesion in the right lobe of liver was performed under local anaesthesia with all aspeptic precautions. procedure was performed with 22G needle. Procedure was uneventful and tolerated well by the patient. ? esophageal candidias s please any treatment in ayurvedic medicine. help me sir.. sir my father all report sending for liver cancer reports any medicin and ayruvedic medicin i wainting for your replay my mail id : YYYY@YYYY , YYYY@YYYY