Is PSA Value Of 7.8 A Cause For Concern?

Posted on Wed, 12 Aug 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 12 Aug 2015 Answered on

Tue, 1 Sep 2015 Last reviewed on

Question : I am 64 years old and had a psa test of 4.4 in 2014, 4.7 in 2014 and 7.8 today. what level of concern should i have.
What % of psa tests at 7.8 turn out to be cancer?

Answered by Dr. Dr. P. T. Patil (17 minutes later)

Brief Answer:
Read detail answer below.

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that your sequential readings of PSA show rising trend .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Have you consulted qualified Urologist ?
2) has he carried out your Digital rectal examination
3) Have you done ultrasound Scanning and Trans Rectal Ultrasound ?

Normal value of serum PSA is up to 4 .This can get raised in following conditions
1) Cancer of the prostate (Common cause)
2) Benign Enlargement of prostate
3) Infection of prostate (Prostatitis )

Raised PSA is always suspected to be due to Cancer of the prostate unless proved /ruled out by ultrasound Guided Biopsy of the prostate .

Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
4) Prostate biopsy.

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar