isopsa

Posted by jnj @jnj, 3 days ago

I have had an enlarged prostate for years. I have taken an isopsa that has a result of 6.8 is this high. I am 68 years old and do not know if this is high. I am going to get an MRI the last of October and would like to know if this will tell if I have cancer. Prostate cancer does not run in my family.

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shalom7777777 | @shalom7777777 | 3 days ago

From what I have read 6.8 is a bit high but not uncommon with an enlarged prostate at your age. Good you are having an MRI. But only Biopsy can really confirm cancer. Not everybody with high PSA/enlarged prostate end up having cancer. Wishing you all the best!

topf | @topf | 3 days ago

If I remember correctly 6.0 is the cutoff. If you are < 6, then you can be quite certain not to have clinically significant PCa. If it is >6, your likelihood increased, but the test still has a lit of false positives. Mine was 13, and I indeed had cancer.

jeff Marchi | @jeffmarc | 3 days ago

With an enlarged prostate, that isn’t very high. Had a friend who had a large prostate and his PSA was always around 50 but multiple biopsies found nothing. How big is it, Over 100cc?

An MRI can probably find if you have tumors that are possibly prostate cancer. If they are high PIRADS (4 or 5) then you definitely need a biopsy.

jnj | @jnj | 3 days ago

thank you all I fell better.

topf | @topf | 3 days ago

In reply to @jeffmarc "With an enlarged prostate, that isn’t very high. Had a friend who had a large prostate..." + (show)

@jeffmarc He referred to an isopsa test, which is an alternative to a pse. I.e. a test if psa is somewhat elevated, but you still might be able to avoid the biopsy.