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Psa
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I was chatting to a friend who had his prostate removed = the PSA reading was 7 + if i remember rightly .
He is always advising people to have the test done
Another person i know had a reading of 4.34
It got me wondering about PSA readings .
Would a reading of 4.34 warrant further investigations ?
He is always advising people to have the test done
Another person i know had a reading of 4.34
It got me wondering about PSA readings .
Would a reading of 4.34 warrant further investigations ?
Answers
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For more on marking an answer as the "Best Answer", please visit our FAQ.I've seen 3 different doctors in our practice over the years (1 man and 2 women) and all 3 have the opinion that they're so unreliable that they didn't think there was any point, although they would happily let me have one if I wished. I had one which was normal and have never bothered since but I do have the finger test.
I agree with sqad - I looked closely into the research on PSA testing when I was working in the NHS - we were considering a local initiative - eventually binned because of lack of good evidence of efficacy/accuracy of the test.
I wouldn't have it done myself unless I had some fairly compelling physical symptoms - far too much chance of 'over-diagnosis' followed by ghastly angst and potentially unnecessary treatment.
I wouldn't have it done myself unless I had some fairly compelling physical symptoms - far too much chance of 'over-diagnosis' followed by ghastly angst and potentially unnecessary treatment.
Notoriously unreliable test. You can have a raised PSA and not have cancer (three-quarters of men with a raised PSA do not have cancer), and a non-raised PSA and have cancer. It is advised that otherwise well men with no classic symptoms ( pain when peeing, having to get up often in the night to pee, or urgency to pee) should not get a PSA test.
I wouldn't - can lead to unnecessary unpleasant further investigations. Most men with prostate cancer will die with it, not of it.
Of course, if you do have any of symptoms above, see your GP immediately.
I wouldn't - can lead to unnecessary unpleasant further investigations. Most men with prostate cancer will die with it, not of it.
Of course, if you do have any of symptoms above, see your GP immediately.
Agree with others that 4.3 isnt high.
We advise not to test a PSA when you have any sort of ongoing infection, and refrain from vigorous exercise, cycling & ejaculating a week before testing your PSA.
It may be different in England but your friend sounds as if he has had a higher grade/volume of disease and had a biopsy to warrant this removal.
PSA getting to 10 we investigate for sure.... over 20 we would be investigating & requesting a bone scan to rule out any spread. Xx
We advise not to test a PSA when you have any sort of ongoing infection, and refrain from vigorous exercise, cycling & ejaculating a week before testing your PSA.
It may be different in England but your friend sounds as if he has had a higher grade/volume of disease and had a biopsy to warrant this removal.
PSA getting to 10 we investigate for sure.... over 20 we would be investigating & requesting a bone scan to rule out any spread. Xx
// I thought that you meant the survival rate, without treatment. //
Prof Stansfeld taught us in the seventies that if you dissected any eighty old you would find an average of three tumours ( not benign) not doing an awful lot
so I can easily see that men die with ca pr and not from it
no one has mentioned PPV
positive predictive value
if the test is up - what is the chance of having ca pr ?
3 Mar 2012 - Overall, the positive predictive value for a PSA level >4.0 ng/mL is approximately 30%, meaning that slightly less than one in three men with an elevated PSA will have prostate cancer detected on biopsy [63–65].
as a screening test - pretty crap
Prof Stansfeld taught us in the seventies that if you dissected any eighty old you would find an average of three tumours ( not benign) not doing an awful lot
so I can easily see that men die with ca pr and not from it
no one has mentioned PPV
positive predictive value
if the test is up - what is the chance of having ca pr ?
3 Mar 2012 - Overall, the positive predictive value for a PSA level >4.0 ng/mL is approximately 30%, meaning that slightly less than one in three men with an elevated PSA will have prostate cancer detected on biopsy [63–65].
as a screening test - pretty crap