Suggest Ways To Manage Fluctuating PSA Levels

Posted on Sun, 15 May 2016

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

Sun, 15 May 2016 Answered on

Fri, 24 Jun 2016 Last reviewed on

Question : 56 old male. psa test lat year 3.7. This year 5.25 then 2 weeks later 4.25 Free PSA 13%

Doctor found asymetrical lump one side. Can this just be enlarged or would this point to cancer?

Odds are 1 in 4 I was told. If not cancer then what? Whats next a biopsy?

Answered by Dr. Chobufo Ditah (1 hour later)

Brief Answer:
Could be simple hypertrophy of the prostate.

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this fluctuating PSA levels and all the inconveniences this has caused you. I have reviewed this information is fully and this enlarged lump could be a hypertrophy of the prostate gland. I will like to see this followed up with a biopsy to establish what the exact cause of this finding is. These results would provide definitive answers and guide the treatment process. Even if this were to be cancer, there is little to worry about because cancers of the prostate can be treated with surgery especially in the early phases.

I hope this helps. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications if need be.

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