Tag: PSA

  • PSA, free PSA, and the impact of intercourse on PSA

    There was a good question asked on a prior entry: Robotic Surgery Blog: Is Prostate Cancer Transmissible?: “Would you please comment on whether there is a connection between sexual activity and elevated PSA. Also, why would test results given to a patient not break down PSA into free and that with protein. Thank you.” PSA…

  • Salvage radiation after prostate cancer surgery

    UroToday – Predicting the Outcome of Salvage Radiation Therapy for Recurrent Prostate Cancer after Radical Prostatectomy This retrospective study with a large cohort of patients treated with salvage radiotherapy after prostatectomy suggests that up to 50% of patients may remain free of disease 6 years after treatment if it is instituted before their serum PSA…

  • Prostate Cancer: Prostate cancer can metastasize after surgery with even low PSAs rarely

    UroToday – Prostate Cancer Progression in the Presence of Undetectable or Low Serum Prostate-Specific Antigen Level Overall, 10 (22%) had undetectable serum PSA levels and 30 patients (65%) had PSA of less than 1ng/ml at the time of disease progression. Of the 25 men who had undergone radical prostatectomy, 7 were hormone na�ve at the…

  • Prostate Cancer: Is PSA Screening effective

    There were 2 articles summarized from the EAU 2007 conference on Urotoday. They seemed to be conflicting, with one saying that delaying therapy did not seem to hurt many people and the other concluding that screening helped. UroToday – EAU 2007 – Session on Prostate Cancer Screening: Dr. Pelzer, Innsbruck presented data that the pathologic…

  • You probably should perform a repeat biopsy after high grade pin (HGPIN)

    IngentaConnect The incidence of high-grade prostatic intraepithelial neoplasia a…: CONCLUSION: Identifying multifocal HGPIN on first saturation biopsy is associated with an overall cancer detection rate of 80% on repeat 10-12-core biopsy. Although there were few patients, the detection of multifocal HGPIN warrants additional searches for concurrent invasive carcinoma by repeated biopsy. The diagnosis of high…

  • Quality of life after a negative biopsy

    UroToday – “False-Positive” Prostate Cancer Screenings Assessed “Men can discuss the pros and cons of getting a PSA test with their doctors. However, once a man decides to go ahead and get a PSA test, if its results are abnormal, he typically should have ongoing follow-up and surveillance for prostate cancer,” Katz said. Katz said…

  • What is a normal PSA?

    Age Adjustment of PSA Measures Might Improve Prostate Cancer Screening: Source (Medscape) The team concludes that standard PSA and PSA velocity cutoff points could be decreased to 2.0 ng/ml and 0.40 ng/ml per year in order to improve cancer detection in these younger men. The author of an editorial comment, Dr. H. Ballentine Carter of…

  • Hair loss prevention does lower PSA

    UroToday – Effect of 1 mg/day Finasteride on Concentrations of Serum Prostate-Specific Antigen in Men with Androgenic Alopecia: A Randomized Controlled Trial At completion of the study, 1mg/day finasteride resulted in a median serum PSA decrease of 40% (95% CI 34 to 46) in men ages 40-49 years (mean PSA 0.8 ng/ml) and 50% in…

  • New “normal” PSA velocity

    PSA screening has led to the earlier diagnosis of prostate cancer in many men.  Most urologists feel that this will lead to less prostate cancer mortality in the future. What is considered to be a normal value of PSA has changed over the years.  A PSA of 4 is too high for men that are less than…