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Question: high PSA

Discussion in 'Step III' started by regulator2000, May 9, 2008.

  1. regulator2000

    regulator2000 2+ Year Member

    Jul 20, 2007
    pt with high PSA... whats the next step in the algorithm? prostate USG or straight biospy??

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  3. Peeshee

    Peeshee Senior Member 10+ Year Member

    Mar 16, 2000
    As I understand it, if PSA is greater than 4.0, then you go straight to biopsy.
  4. Yosh

    Yosh Livin' in the WINDY CITY 10+ Year Member

    Oct 25, 1999
    NW Indiana
    A "high" PSA is relative to the patient's age and race...younger people have a lower threshold for elevation in PSA. There are specific guidelines established.

    The Standard of Care for "elevated PSA" would be a Prostate Bx, which if negative would reset the PSA threshold...therefore a 50 year old man with a PSA of 3.4 and a negative bx, the following year, if he has a PSA of 3.6 the number is high, but the "PSA Velocity" is not, and there would be less cause for concern.

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