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Prostrate Tests Done. What Does Findings Suggest?
Hello Doctor,
My father is 61 years old and detected with following results with respect to prostate:
1. An enlarged prostate weighing 120 grams with mildly irregular outline and 201 ml PVR.
2. Prostate size - 6.3 x 6.2 x 5.8 cm
3. No Ascites is visualized.
4. No significant Lymphadenopathy is seen.
5. PSA - 14.0 ng/ml
Kindly give your review whether he has BPH or does he have prostate cancer....
My father is 61 years old and detected with following results with respect to prostate:
1. An enlarged prostate weighing 120 grams with mildly irregular outline and 201 ml PVR.
2. Prostate size - 6.3 x 6.2 x 5.8 cm
3. No Ascites is visualized.
4. No significant Lymphadenopathy is seen.
5. PSA - 14.0 ng/ml
Kindly give your review whether he has BPH or does he have prostate cancer....
Tue, 6 Aug 2013
Hello,
Thanks for the query to H.C.M. Forum.
Normal weight of prostate is 18 grams and PVR is 20-30
Prostate size is 1.5 x 1.5 x 1.5 cm
PSA ( Prostate-Specific Antigen ) is not more than 4 ng/mL.
In my opinion the size of prostate of your father is enlarged and residual urine is high in volume.
This may be due benign enlargement of prostate or enlargement of prostate may be due co cancer.
In my opinion at once consult a surgeon and get excisional biopsy and deal accordingly.
Good luck for your father.
Dr. HET
Thanks for the query to H.C.M. Forum.
Normal weight of prostate is 18 grams and PVR is 20-30
Prostate size is 1.5 x 1.5 x 1.5 cm
PSA ( Prostate-Specific Antigen ) is not more than 4 ng/mL.
In my opinion the size of prostate of your father is enlarged and residual urine is high in volume.
This may be due benign enlargement of prostate or enlargement of prostate may be due co cancer.
In my opinion at once consult a surgeon and get excisional biopsy and deal accordingly.
Good luck for your father.
Dr. HET
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Thanks for writing in. The normal prostrate levels according to the age you have provided is less than 4.0 ng/ml. Based on the results you have provided, it would seem your father is having a active disease process. I would highly suggest you to make an appointment with a urologist so that a Trans Urethral Resection of Prostrate (TURP) can be done for your father. These prostatic chips can then be sent for a histopathological examination to rule out a malignancy or nodular hyperplasia of prostrate (benign prostatic hyperplasia).
Best regards..
Best regards..
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Hi,
Thanks for writing in.
From the above report, the following is interpreted.
1. Prostate size is significantly enlarged at 120 grams (normal 25 grams) and causing significant bladder outlet obstruction.
2. Prostate size enlargement (6.3 x 6.2 x 5.8 cm) confirmed by measurements.
3. No Ascites - normal finding.
4. No Lymphadenopathy - normal finding.
5. PSA 14.0 ng/ ml. Higher than normal range.
Coming to the features favoring BPH:
1. Size of prostate is very high to present as malignancy at first look.
2. No lymphaenopathy.
Coming to the features favoring cancer prostate:
The PSA level is high but if he already had PSA done earlier and there was a high baseline PSA level at that time, then chances of cancer are less.
Next step:
He can go for Trans rectal prostate ultrasound (TRUS). Depending on results of TRUS, ultrasound guided prostate biopsy may be necessary.
Hope this helps.
Thanks for writing in.
From the above report, the following is interpreted.
1. Prostate size is significantly enlarged at 120 grams (normal 25 grams) and causing significant bladder outlet obstruction.
2. Prostate size enlargement (6.3 x 6.2 x 5.8 cm) confirmed by measurements.
3. No Ascites - normal finding.
4. No Lymphadenopathy - normal finding.
5. PSA 14.0 ng/ ml. Higher than normal range.
Coming to the features favoring BPH:
1. Size of prostate is very high to present as malignancy at first look.
2. No lymphaenopathy.
Coming to the features favoring cancer prostate:
The PSA level is high but if he already had PSA done earlier and there was a high baseline PSA level at that time, then chances of cancer are less.
Next step:
He can go for Trans rectal prostate ultrasound (TRUS). Depending on results of TRUS, ultrasound guided prostate biopsy may be necessary.
Hope this helps.
I find this answer helpful
2 Doctors agree with this answer
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