Prostate Cancer Expert Forum
Should I be worried about my dad's PSA test?
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Should I be worried about my dad's PSA test?

My father recently returned from his doctor.  Recently he went for blood work and an ultrasound because of groin pains.  His PSA blood work came back with a number of 7, this was his first time to get a PSA test.  His doctor said she wasn't sure what was wrong (why his groin was sore) and is scheduling him for a catscan.  

My question is if his PSA score was a 7, shouldn't his doctor have discussed the possibility of prostate cancer, or talk about radiation???  I am worried that nothing was discussed regarding this subject.
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Thank you for your question. A PSA value higher than 7 is abnormal and requires further investigation. The most serious condition is prostate cancer therefore it needs to be ruled out first. The usual trend is to run routine tests like urine examination, digital rectal examination, and ultra sound imaging of the prostate gland. The decision to biopsy will be based on these other tests.

Your father is eligible for repeat PSA test. In addition, an elevated PSA could correlate with entities other than cancer ranging from inflamation (inflammation) to the prostate glande (prostatitis) to Benign Prostatic Hyperplasia (BPH).

Best,

Ash Tewari, MD
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