| Discussion in 'All Categories' started by Anderson - Apr 17th, 2013 10:35 pm. | |
Anderson
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Dear Doctor, I am 60. Around the end of November last year, my doctors office told me that - based on psa3 testing results they received - my chance of prostate cancer had increased from 5 percent on a prior test to 10 percent now, but their recommendation was not to do anything. I had a colonoscopy in mid-March of this year, followed by a barium enema the next day (March 15). Afterwards, I was told I was ok. On April 10, i had a PSA test at a community health fair. After my doctor's office received the results, they said I should rush to see a urologist. They said my PSA was 9.1, where it previously had been 5.1. I can get an appointment with a noted urologist, with expertise in the subject, for the end of the month. My questions are: 1) Is it possible or likely the colonoscopy and barium enema in mid-March affected the April 10 Psa test, making the result inaccurate? 2) In my situation is the end of the month too long to wait to see a doctor? 3) Is there anything else i should be asking or doing? Worrying |
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re: Prostate
by Dr J S Chowhan -
Apr 18th, 2013
4:48 am
#1
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Dr J S Chowhan
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Dear Mr Anderson, Prostate-specific antigen, or PSA, is often a protein manufactured by cells with the prostate gland. The PSA test measures the amount of PSA in a man blood. Just for this test, a blood sample is sent into a laboratory for analysis. The outcomes are often reported as nanograms of PSA per milliliter (ng/mL) of blood. The blood degree of PSA is often elevated of males with prostate type of cancer, as well as the PSA test was originally authorized by the FDA in 1986 to evaluate the progression of prostate cancer in males who had been recently clinically determined to have the condition. In 1994, the Approved by the fda the usage of the PSA test together with a digital rectal exam to try asymptomatic men for prostate cancer. Guys that report prostate symptoms often undergo PSA testing to aid doctors determine the type from the problem. As well as cancer of the prostate, numerous benign conditions could cause a PSA level to go up. The commonest benign prostate conditions cause an elevation in PSA level are prostatitis and benign prostatic hyperplasia. There is not any evidence that prostatitis or BPH contributes to prostate cancer, but it is practical for a person to possess one or both of such conditions and also to develop prostate cancer too. The PSA test measures the blood level of PSA, a protein that is created by the prostate. The larger a PSA level, a lot more likely it is which he has cancer of the prostate. However, there are additional reasons behind through an elevated PSA level, and a few guys that have cancer of the prostate will not have elevated PSA. The PSA test continues to be popular to screen men for prostate type of cancer. Additionally it is utilized to monitor guys who have been diagnosed with prostate type of cancer to find out if their cancer has recurred (return) after initial treatment or perhaps giving an answer to therapy. Some advisory groups now recommend contrary to the technique PSA test to screen for prostate cancer since the benefits, if any, are small and the harms may be substantial. None recommend its use without having a detailed discussion in the advantages and disadvantages of utilizing test. With regard J S Chowhan |
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