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PSA numbers

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Posted 12/5/2012 8:15 PM (GMT 0)
For men age 57, what is good number for PSA.

Thank you to everyone for their great information.  Keep up the good work.

Posted 12/5/2012 8:27 PM (GMT 0)
The lower the better. I am 58. In July mine was 1.2. Last month it jumped to 7.8. The urologist did the DRE and found a lump!
Posted 12/5/2012 9:31 PM (GMT 0)
Roughly speaking if you are between 50 and 60 with a PSA of over 3.5 you should probably see a urologist for further evaluation and testing. Other things that matter is the trendline if you have multiple years of PSA; if it is rising steadily or accelerating they will be more aggressive in doing follow up tests than if it has been jumping around but more or less in the same range for several years.
Posted 12/5/2012 9:34 PM (GMT 0)
Here's a table - there are many others but the ranges are pretty consistent:

http://imaging.ubmmedica.com/cancernetwork/journals/oncology/images/o9704bt1.gif

Also a good overview of PSA from The National Cancer Institute:

http://www.cancer.gov/cancertopics/factsheet/detection/PSA
Posted 12/6/2012 1:25 AM (GMT 0)
There is really no fixed number. My PSA was 3.78 at the age of 67 which according to the table mentioned in the above post is considered normal ye I had PCa Gleason 8. High Gleason cancer doesn't produce as much PSA. You need to look at the velocity of your PSA from one year to the next. Mine went up from 2.45 to 3.78 in 14 months.
Posted 12/12/2012 12:14 PM (GMT 0)
Unless the number is abnormally high, it is more the progression of the number that is important. Men in their 50s can have PSA of 5-10 and be cancer free. Then there is my brother's brother-in-law whose PSA was 1 and he had PCa G9 in his early 50s. Surgery, radiation, and two HT treatments and it is 10 years later still fighting it. A steadily rising PSA is a very reliable determinant. Other things that cause PSA to rise will usually result in erratic changes.
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