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Question
Posted by: johan | 2007/04/25

prostate gland tests

Doc,

If the PSA of a male (early 50's) is below 1.4 but a rectum test indicates an enlarged prostate (however smooth in texture). Could this person still be found to have cancer? Please provide me with some high level averages of males with a low PSA having prostate cancer.

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Our expert says:
Expert ImageCyberDoc

Dear Johan
A PSA single value under 4 is usually normal but one should do serial tests to see whether it stays stable or goes up. With a Normal PSA and Normal ( smooth) rectal examination, the chances of having prostate cancer is very low. At 50 years old, 1/2 of men do have enlarged prostrates anyway. If you are worried, just follow up with a PSA in about 3 months time again.

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