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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are High PSA Levels Indicative Of Prostate Cancer?

Hi. I need to know if a high PSA exam is suggestive of prostatic cancer. There have been two exams and the values ​​are high in both. Specifically 5.50 and 5.10. What i should to do? I was referred to a urologist and I need to know that I was going to do.
Fri, 12 Sep 2014
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General & Family Physician,  's  Response
Hi welcome to Healthcaremagic,
The scenario would have been more clear if you had mentioned your age.
A PSA value between 4 to 10 ng/dl is considered suspicious for prostatic cancer for age above 50years. While value more than 10ng/dl is suggestive of prostatic cancer.
PSA values can also be elevated in prostatitis and Benign Prostatic Hypertrophy both of which are benign conditions.
Only nearly 30percent of those with raised PSA will have cancer.
The next investigation you will have to go through after consulting an urologist will be a TRUS - Trans Rectal Ultrasound of prostate and a Trans Rectal 10 core prostatic biopsy.

Please do consult via Healthcaremagic in case of any query.
Thank you.
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Are High PSA Levels Indicative Of Prostate Cancer?

Hi welcome to Healthcaremagic, The scenario would have been more clear if you had mentioned your age. A PSA value between 4 to 10 ng/dl is considered suspicious for prostatic cancer for age above 50years. While value more than 10ng/dl is suggestive of prostatic cancer. PSA values can also be elevated in prostatitis and Benign Prostatic Hypertrophy both of which are benign conditions. Only nearly 30percent of those with raised PSA will have cancer. The next investigation you will have to go through after consulting an urologist will be a TRUS - Trans Rectal Ultrasound of prostate and a Trans Rectal 10 core prostatic biopsy. Please do consult via Healthcaremagic in case of any query. Thank you.