For early detection digital rectal examination and prostate specific antigen are required.
Chance of prostate cancer given positive PSA test is one in three and chance of cancer given both abnormal PSA and DRE test is one in two.
Prostate cancer can still be present with normal PSA.
- Interpretation of PSA testing:
40 - 49 .....0.65..............2.0
50 - 59......0.85............. 3.0
60 - 69......1.39..............4.0
70 - 79.......1.64..............5.5
Men whose PSA above 50th centile but below the 95th centile have been shown to be at higer long term risk of prostate cancer compared with those below the median.
PSA velocity which is calculated by meansuring PSA over 12 - 18 months can suggest the higer risk if it is over 0.75 ng/ml/yr.
Precentage of free PSA: Prostate cancer is likely if FTP is below 10% and a low risk if FTP is over 25%.
1 comment:
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