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prostrate psa
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An_255639 posted:
Doctor says to not worry about PSA until 6 and would do biopsy at 10. PSA was 2.7 a year ago and has continued to rise. Was 4.11 9-13 and 5.23 on 2-11-14. He recommends checking in one year. What I read says to be checked further. Husband is sticking with the doctor. What are your thoughts.
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billh99 responded:
That is a fairly high PSA velocity. However, the latest studies do not show that PSA velocity adds much to the detection of PC. However, it is usefull in monitor people that have been treated for PC.

Here is a calculator for figuring PSA velocity. http://nomograms.mskcc.org/Prostate/PsaDoublingTime.aspx

And here are 2 links about PC risk and velocity.
http://www.cancer.gov/cancertopics/factsheet/detection/PSA
http://www.cancer.gov/clinicaltrials/results/summary/2011/psa-velocity2011

And look at the risk calculator link at the end of the 2nd article.

Note that the research was only done on those 55 or older.

You did not indicate his age, family history, or the results of a rectal exam.

Also note at the end of the first article some alternate tests, Free PSA, and PRO-PSA. I would look at getting them done now.
 
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trc454 replied to billh99's response:
Mine went from 3.4 to 4.5 and my dr sent me to a urologist.
The urologist was more concerned with the rate of change that with the number itself.

After doing the biopsy he determined I had early stage prostate cancer & we agreed not to wait & watch but will do cyber-knife later this month.

I would probably go see a urologist for peace of mind.


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