What Is The Probability Of Cancer And Mspc?

Posted on Wed, 3 Jun 2020

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

Wed, 3 Jun 2020 Answered on

Thu, 9 Oct 2025 Last reviewed on

Question : Hello
My psa had been in the low 1’s with my most recent reading @ 1.09 10 months ago and 1.44 18 months ago. I had a pirad score of 4 last summer with a subsequent targeted/mapping biopsy(30 cores) last August that showed normal tissue. The reason for mri was a mildly elevated k score in March 2019 and symptoms(frequency). I’m in otherwise good health and not engaged in any activity that might provoke the increase except sex 60 hours prior to test. What is the probability of cancer and mspc?
Thank you! XXXXXXX

Answered by Dr. Anders Mark Christensen (5 hours later)

Brief Answer:
Very low risk of cancer

Detailed Answer:
Hi

Thank you for the detailed report. The risk of anything serious such as cancer is extremely low. I suggest you simply have another psa reading in a few months time.

Hope this helps. Please let me know if you have further questions.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Anders Mark Christensen (7 hours later)

Does psa velocity have any weight in risk assessment? I’ve read that psa increases of .4ng are reason to consider biopsy and I’m plus .93.
Should I get a Dre since it’s been over a year? Would a urologist be better for a Dre as opposed to my pcp? Why is my risk so low?

Thanks! XXXXXXX

Answered by Dr. Anders Mark Christensen (16 hours later)

Brief Answer:
Your risk is low because of recent biopsies

Detailed Answer:
Hi again

It is true that increases should raise suspicion. However, you recently had biopsies, so the risk of cancer is very low. A DRE would not inform on much, since you also recently had one. A new PSA in a weeks to months can help guide further actions; if it decreases, fine, if it increases, new biopsies or an MRI could be relevant.

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

Answered by Dr. Anders Mark Christensen (0 minute later)

Brief Answer:
Your risk is low because of recent biopsies

Detailed Answer:
Hi again XXXXXXX

It is true that increases should raise suspicion. However, you recently had biopsies, so the risk of cancer is very low. A DRE would not inform on much, since you also recently had one. A new PSA in a weeks to months can help guide further actions; if it decreases, fine, if it increases, new biopsies or an MRI could be relevant.

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