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Cancer

Question
Posted by: G. Thompson | 2020/01/21

Q.

Prostate cancer psa level rising

Good day, I'm actually asking this question on behalf of my father. He had prostate cancer about 10 years ago and was declared to be in remission after surgery, brachytherapy, and external beam radiation. His specialist told him he only has to have his PSA blood test to check levels every five years, but his GP ran other blood tests recently and saw that his PSA has gone up a bit - not by a lot. I think it used to be 0.1 and now it's 0.11. This is over the course of two or so years. He's not worried, but I am because it's still an increase. What should he do? He doesn't think he needs to see a specialist and the GP only said he'll send the report to the specialist without saying anything else. Should he be worried? Thank you in advance for your help. Regards G. Thompson

Expert's Reply

A.

Cancer expert
- 2020/01/22

Dear Mr Thompson

Thank you for referring your question. A Prostate Specific Antigen (PSA) reading of 0.1ng/ml represents “zero” PSA. Technically speaking a PSA reading of 0.1ng/ml or less represents remission.

A “normal” PSA reading is considered any reading not exceeding 2ng/ml.

The presence of detectable levels of over 0.1ng/ml means that there are still some PSA-producing prostate cells somewhere in the body. After a radical prostatectomy (surgical removal of the prostate gland), with a rise in PSA of 0.2ng/ml may indicate a recurrence of cancer – but seeing that your father did not have a prostatectomy, a PSA reading of 0.11ng/ml shows that there is only a very slight increase in his PSA level.

You should not be overly concerned, however, it is good to hear that the General Practitioner forwarded the report to your father’s specialist. It is now essential that you follow-up with the specialist to confirm whether your father needs any additional testing to alleviate any concerns that you may have. (MCH).


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.

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