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← Return to PSA results - worried
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Prostate Cancer | Last Active: Aug 7 6:29pm | Replies (18)
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I agree with referral to urologist. There’s no reason to panic. PA will determine need for further testing. My PSA jumped from 2.8 to 4.4, and that’s when I should have seen a urologist, but my PCP wouldn’t agree until PSA rose above 5 the next year. Digital exam never found anything, nor was an MRI conclusive. A biopsy and then PSMA PET scan confirmed cancer. You will likely have one or two PSAs done over a few months before any other action. PSA isn’t always the final answer. A friend with a large prostate had PSA 50+ with no cancer, but some are diagnosed with very low scores. All the best!
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Interesting you should mention your friend with a large prostate and a PSA of 50. I had a friend with the same results. He had biopsies more than once, and they never found anything.
He died of a different type of cancer, lymphoma.
You were right the PSA is not always an indicator of prostate cancer, but it’s the simplest/cheapest one we have right now.. When they stopped doing PSA tests regularly in 2012 (United States Preventive Services Task Force recommendation) it ended up in the mess we’ve seen recently. There have been so many people coming in with very advanced prostate cancers and a high percentage of oligometastatic cancers.
So while the PSA test isn’t 100% indicative, it sure is better than nothing.