Is TPSA Level Of 2.5 Ng/ml A Cause Of Concern In An Elderly Person?

Posted on Tue, 10 Jan 2017

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

Tue, 10 Jan 2017 Answered on

Mon, 13 Feb 2017 Last reviewed on

Question : I am a 83 y/o white male who had a Greenight" proceedure done some 3-4 years ago. Diagnosis was scar tissue.Had ssome post -op bleeding buy disappered ith drinking PLEATY of water. I subsequently had a hip fx with a Hemi performed sucessfully Placed on Perdaxa but bruising I was moved to 325 Ecotrin, on for about 6 months and taken off because of bruising a year ago. Three months ago I had a significant TIA, back on ASA.
Now reoccuurance of bleeding resolved with water drinking. TPSA 2.5........I am a retired Physician Assistant from Orthopedic Surgery. Do I need invasive biopsey or MRI orn what?

Answered by Dr. Dr. Naveen Kumar Sharma (10 hours later)

Brief Answer:
You might need biopsy

Detailed Answer:
Hello,
I have studied your case. You said that you are having repeated bleeding. This is an indication of biopsy to make sure everything is normal. TPSA below 5 ng/ml is normal in your age. So chances of cancer are very less, though. But continuous bleeding is a warning signal and can not be ignored.
Thanks

Above answer was peer-reviewed by : Dr. Nagamani Ng