Benefits of a Repeat PSA Test


An elevated prostate-specific antigen (PSA) has been a strong indicator of the presence of prostate cancer. However recently, it has become more commonplace for physicians to suggest a repeat PSA test instead of immediately opting to perform a prostate biopsy.

In the case of an elevated PSA, it is now advised to repeat the test before opting for an immediate biopsy, especially for men with no family history of prostate cancer.

In the case of an elevated PSA, it is now advised to repeat the test before opting for an immediate biopsy, especially for men with no family history of prostate cancer.

The American Urological Association (AUA) is strongly advising physicians to perform a second PSA test to see if the levels again range from 4 and 10 ng/mL and to observe if they are rising. This is especially advisable in men who have never had prostate cancer and do not have a family history of the disease.

A prostate biopsy has never been a full proof way to detect cancer. During a prostate biopsy, numerous core samples are obtained from various areas of the prostate and in some instances the biopsies come back negative for the presence of a malignancy, but the PSA levels continue to rise on repeat testing and a follow-up biopsy may frequently finally detect a malignancy. This is why many physicians are opting to monitor the PSA levels with a second follow test instead of immediately turning to a prostate biopsy.

According to the European Association of Urology, a man with a rising PSA with a velocity of 1 ng/ml/yr, is highly suspicious of having prostate cancer. Such a rising PSA is easily detectable utilizing a second PSA instead of an immediate biopsy.

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