A PSA of 20 not necessarily Prostate Cancer
Question
My husband has had 5 PSA tests over the last 22 months, the first test score was 7, then it jumped to 11, then to 15, then 16 and in June it was at 20. He has had 2 DRE’s on both ocassions the prostate was very enlarged. He has also had 2 biopsis, which came back negative. At no time has he had any treatment for BPH, he recently saw another consultant (he has been diagnosed with low testestrone) who has now referred him to an Oncologist, should he be worried? I read one of the articles on your site that says that if a PSA score is over 15 most surgeons won’t preform surgery??
Answer
I think your husband ought to have a PCA3 test. A PSA of 20 may be due to benign disease but is suspicious, and a PSA free:total ratio and a PCA3 test would be the best way forward.
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