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Prostate Cancer Community
This patient support community is for discussions relating to advanced or metastatic prostate cancer, biopsy, bone scan, blood in urine or semen, benign prostatic hyperplasia (BPH), CT scan, cystoscopy, erectile dysfunction (ED), hormone therapy, incontinence, pain (abdomen, lower back or hip), PSA test, prostatitis, radiation therapy, rectal exam, recurrent cancer, screening, staging (tumor size, metastasis), transrectal ultrasound, watchful waiting, and urinary difficulty, burning, or urgency (leaking).
Prostate biopsy with normal psa
by Janie50, Jun 02, 2008 10:01AM
My husband just turned 50 and went for his first prostate examination. During the rectal exam the dr. found a slight lump. His psa was in the excellent range 0.4. The dr said this could just be a normal thing for him, but referred him to a urologist. The urologist wants to to do a needle biopsy. He would not comment either way about whether this could just be normal or serious. How common is it for you to have a nromal psa and have cancer because of a lump that may or not be something you have always had?
This discussion is related to psa ,normal levels?.
This discussion is related to psa ,normal levels?.
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The concept of “normal” (meaning the absence of disease) is not really accurate for PSA used for prostate cancer screening. The values used as thresholds for biopsies would represent threshold values for increasing risk in which a balance of risk of procedure and odds of having disease weighs in favor of the odds of having disease. A PSA of 0.5 would have about a 7% risk of prostate cancer.
An abnormal DRE is an indication for a biopsy and does not need a high PSA to justify the decision to do so.