I'm 53 years old
PSA 1.70 in Nov. 2010 (0.5 in mid-2006, 1.0 late- 2008)
Free PSA 21.2% in Nov. 2010
DRE found an asymmetric prostate,(one lobe somewhat larger and hard than the other)
I assume the less than ideal free PSAof only 22% would be a lot more significant if my total PSA were below than 4.0. I go to toilet frequently 2hrs/day and 2times/night Can't find a risk number for this combination of PSA, fPSA and DRE results.
Shouls I get a biopsy to find out prostate cancer?
Thank for your help.
Thank you for your question. A high free PSA has an inverse relationship with risk of positive biopsy. That is the higher the free PSA > 25% usually indicates BPH and lower free PSA < 7% usually indicates prostate cancer.
Prostate biopsy should be performed based primarily on the PSA and DRE results. Other factors to include would be the rate at which PSA levels rise (PSA velocity), family history of prostate cancer, and race or ethnicity.
Ash K. Tewari, MD
This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.