Prostate Cancer Expert Forum
10.2
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This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.

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10.2

What is 10.2 in relation to Prostrate Caner?
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242579_tn?1252114771
Thank you for your question. I infer that you are interested in getting more information about interpreting a PSA result.

In short there is no normal PSA test that can completely exclude a prostate cancer diagnosis and an abnormal PSA result that is completely predictive of prostate cancer.

There are, however, some general guidelines:

15% of men with a PSA <4.0 will have prostate cancer.

25% of men with a PSA between 2.5 and 4.0 will have prostate cancer.

10% of men over 50 will have a reading above 4.0. Approximately 30–40% of them will have prostate cancer.

25% of men of all ages who have a PSA between 4.0 and 10 will have prostate cancer. Cancers in this range have been shown to be clinically important and potentially curable.

50% of men with a PSA over 10 will have prostate cancer.

Other important factors are the rate at which your PSA is increasing (PSA velocity), any prostate abnormality (positive digital rectal exam).

Biopsy is recommended for 1) men who are less than 40 with a PSA greater than 2.5 ng/mL 2) men older than 40 with a PSA greater than 4.0 ng/mL 3) men with PSA rising more than 25% per year or 0.75 ng/ml per year.

Kind regards,

Ash Tewari, MD

www.nycrobotics.com

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