I had 2 PSA tests, the second was the highest @ 9.4. The urologist put me on Cipro and retested 6 weeks later. The PSA went down to 3.2, but the Free PSA is at 10%, not good. The lowering of the psa and the low free psa test seem to be contradictory. Does this seem right and what might it mean? I am scheduled for an ultrasound and a biopsy now.
2007-01-18 07:55:52 · 5 answers · asked by lowscore65 2 in Health ➔ Diseases & Conditions ➔ Cancer
PSA testing is very controversial, because both cancer and benign conditions can cause increased levels. Free PSA is sometimes used to try to distinguish between these.
http://www.cancer.gov/cancertopics/factsheet/Detection/PSA
"PSA circulates in the blood in two forms: free or attached to a protein molecule. With benign prostate conditions, there is more free PSA, while cancer produces more of the attached form."
The safest thing is to have the ultrasound and the biopsy.
2007-01-18 08:17:11 · answer #1 · answered by Anna K 2 · 0⤊ 0⤋
medical doctors use PSA, alongside with different ideas, to degree your prostate health. A intense PSA factor might want to correctly be a demonstration of prostate maximum cancers. although there are different circumstances that reason an more effective PSA. Enlarging Prostate, prostate maximum cancers, and prostatitis are the most problem-free causes for a intense PSA. even as a intense PSA does no longer continuously advise prostate maximum cancers, your healthcare professional will want to be confident that you do not have it. The PSA is a nasty diagnostic testing device. that is in common words 50% precise. on your case your higher PSA has no longer something to do with prostatic maximum cancers. The try is in many cases used to exhibit screen a affected individual when they have been dealt with for most cancers of the prostate. shall we are saying for this communicate that a affected individual has a PSA of 12 and they locate that the affected individual has prostatic maximum cancers and they manage the affected individual. The PSA now falls to 4. they are going to exhibit screen the PSA and if it will develop appreciably they are going to understand they have a regrowth of the most cancers yet when it continues to be round 4 then they are going to keep in mind that the affected individual is freed from maximum cancers. i desire that permits.
2016-10-15 10:11:41 · answer #2 · answered by ? 4 · 0⤊ 0⤋
Cancer, virus/bacteria infections and other issues cause the PSA level to rise. At the same time, the amount of free PSA (unattached to protein) in your blood should be at least 15%. You have symptoms similar to me, I have a PSA count of 6.8 and a free PSA level of 7%. Heading in for MRI of the prostate.
2015-06-25 12:13:38 · answer #3 · answered by Dave 1 · 0⤊ 0⤋
The benign will cause more free PSA, with cancerous conditions producing PSA. I think your treatment is heading in the right direction.
2007-01-18 11:23:54 · answer #4 · answered by jalwerdt 2 · 0⤊ 0⤋
I think it best to have your physician interpret your prostatic specific antigen tests. I have no idea what the correlation between the free test and the other would be. You are doing the right thing by having an ultrasound and a biopsy. I wish you well.
2007-01-18 08:06:26 · answer #5 · answered by Anonymous · 0⤊ 0⤋