prostate cancer

[chemposer]

My psa test results are in the range of 3.55 to 3.88 for psa testing which is in the "normal range".  However my free psa is 7-8.
Is this test result for the free psa of concern?
My reading states that the free psa should be in the 20-25 range.
Can anyone give me some clairification?
Thank you,
Jerry

[keyzersoce]

I am not a doctor. but can tell you that studies indicate the percentage of free PSA is lower in men with prostate cancer. Doctors will usually suggest a biopsy at 20% or less and a PSA level from 4 to 10. Some PSA is bound to blood proteins and some travels freely; this just tells them how much is traveling freely. Even though your PSA level is under four, it may have risen from 3.0 to 3.55 in a short time. What is your history?

It doesn't mean you have prostate cancer; it just may alert your urologist to do further testing.

Good luck.

[ac3838]

I hope yours is not the case but my PSA was 3.0 and free PSA was 7% and after a biopsy was done  had prostate cancer but at least it did not spread and was contained in the prostate.  I had a robotic prostectomy performed.  It is my understanding that a low free PSA usually denotes cancer but with a low PSA it usually hasnt spread beyond the prostate.
Good luck to you.

[aquagas]

i read about psa and as a rule of thumb, any psa over 4 has a 10% chance of cancer.
as you probably know, it depends if it is localised or advanced.