advertisement
Question
Posted by: johan | 2007/03/26

enlarged prostate gland

Doc,

During August 2006 I had a routine 12 monthly CT scan (had cancer of the small intenstine nearly six years ago, operated on sucessfully) it was established that I have an enlarged prostate gland, but am clear otherwise (AGAIN) from any sighns of tumours.

I subsequently saw a Uroligist and he done a PSA=1.31, Free PSA=0.41 and PSA ratio=0.31, as well as a internal check up. He stated that although the gland is larger, it felt smooth and not rough at all.

Subsequently I had another CT scan on 6 March '07 (on my own request) as well as another PSA. The CT scan again showed no sighn of any tumours, but again an enlarged prostate gland. My latest PSA= I.07.

Although my Uroligist, Surgeon and GP is comfortable with the results, my Uncologist feels that some times the PSA could be OK, but the Prostate can still be cancerous and I should have a biopsy done of the gland. I can only see my Uroligist in 3 weeks time. Hence, what is your view on my prostate gland? Do I realy need a biopsy?

Not what you were looking for? Try searching again, or ask your own question
Our expert says:
Expert ImageCyberDoc

Hallo Johan
Normal PSA, with normal physical exam is a fair indication that all is well. ( 90% sensitive)
An additional way to exclude prostate cancer will be with sonar guided biopsy. One PSA alone has little value - but serial PSA does give one an idea whether anything is growing - in other words if the PSA is HIGHER every time you test it, it needs further exam. Normal can be 0-4ng/ml.
If you don't want to go for the biopsy, follow up on the PSA's every 6 months and get a physical exam at least yearly. As one gets older the prostate enlarges anyway - 50% of men at 50 years old have enlarged glands, 60% at 60 years and 70% at 70 years. Doing a CTscan of the prostate is expensive way of monitoring it - rather do prostate sonar, serial PSA's and regular physical examination ( rectal examination - I know it is unpleasant but still very important).
Having the biopsy will give you peace of mind though...? In that way I agree with your oncologist as it is important for your general immunity that you do not stress over unneccesary things.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

Have your say

Thanks for commenting! Your comment will appear on the site shortly.
Thanks for commenting! Your comment will appear on the site shortly.
advertisement