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PSA Test

Prostate Cancer | Last Active: Jan 19, 2023 | Replies (11)
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@jb2buckwater

PSA test scores change regularly. You are not greater than 4 so there is likely no need to immediately get tested again. Best advice will come from your urologist. If you are concerned about Prostate Cancer, it may be worth reading Dr. Walsh's "Surviving Prostate Cancer". I am not a doctor, but I would not be losing sleep over your 2.41 score. I would however get it tested again in a few months.

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Replies to "PSA test scores change regularly. You are not greater than 4 so there is likely no..."
lengarrett | @lengarrett | Jan 18, 2023

Thanks so much.

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drj | @drj | Jan 18, 2023

Do not look at the absolute value. The 4 ng/ml cutoff has done much damage by delaying life saving treatment for those under 4.. There are large numbers of prostate cancer patients with significant disease with values such as 2. On the other hand, there are also patients with a 4ng/mL higher who were treated unnecessarily, because there are several reasons for PSA values to fluctuate unrelated to cancer.

So, what to do, The proper way to use PSA is to track it over time and look for a progressive rise over time. This patient needs more frequent testing, particularly with a family history. It should start now.

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