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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Biopsy Test The Only Way To Confirm Prostrate Cancer?

hi...saw my urologist today..PSA has been erratic for a few years up and down. Today it was the highest it s been at 4.98. The digital exam was normal. Soft and smooth he said. We re going to retest in 6 weeks and he says no sex or masturbation 2 weeks before the blood test. Thoughts? How can we tell if it s BPH instead of cancer or is there no clear cut way unless you have a biopsy?
Fri, 3 Feb 2017
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's  Response
PSA levels upto 4 is perfectly alright. BPH patients show upto 10 which is also ok. the PSA levels are only indicative of the prognosis and the extent of the disease but are never diagnostic and confirmatory. Malignant changes give a hard palpation on examination. But according to reports PSA levels greater than 40 are more likely to be Malignant. Biopsy are always diagnostic. If you are willing for a invasive procedure go for a biopsy.
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Is Biopsy Test The Only Way To Confirm Prostrate Cancer?

PSA levels upto 4 is perfectly alright. BPH patients show upto 10 which is also ok. the PSA levels are only indicative of the prognosis and the extent of the disease but are never diagnostic and confirmatory. Malignant changes give a hard palpation on examination. But according to reports PSA levels greater than 40 are more likely to be Malignant. Biopsy are always diagnostic. If you are willing for a invasive procedure go for a biopsy.