Our expert says:
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.
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