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Is Prostate Size Of 84 Cc Normal?

Posted on Thu, 18 Feb 2016

Question: Hi. I am 70 years old male and diagnosed with BPH with a prostate size 84 cc with normal echotexture 1.5 years back
Today i went for a PSA test. And my result is
PSA - 21.52
Free PSA - 4.55
As per this result . The free PSA percentage is somewhere around 21%..
I am bit worried about the chances of prostate cancer... please help me out.

Answered by Dr. Deepak Sundriyal (32 minutes later)

Brief Answer:
Hello dear. You require a biopsy for definite diagnosis

Detailed Answer:
hello dear. As you have a high level of serum PSA, you require a biopsy(needle test for tissue). Also a MRI of the abdomen and pelvis area will be required.
Further test may be carried out depending upon the results.
You need not to worry as even if turn out to be cancer, it is a slow growing disease and patient usually survive long(upto 10 years or more) with proper treatment.
But first of all, diagnosis needs to be established.
Thanks and regards

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Deepak Sundriyal (22 minutes later)

But my free psa level is also elevated at 4.55. Do i still need biospy.

Answered by Dr. Deepak Sundriyal (1 hour later)

Brief Answer:
Hello dear. Yes it is mandatory

Detailed Answer:
Hello once again. It is mandatory to establish the diagnosis by a biopsy before proceeding to any treatment. Also in the rarest of circumstances you may not have a cancer(uncommon). So it is must. Also sometimes, very uncommonly, there are different types of cancer based on pathology of the prostate and their treatment is also different. So, again biopsy is must.
Hope that is clear.
Thanks

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Deepak Sundriyal (18 minutes later)

But sir i read on many sites that if percent free PSA is above 20%.. the chances of cancer is very low.
And as per my report percent free PSA is 21.1%

Answered by Dr. Deepak Sundriyal (2 days later)

Brief Answer:
please upload the report

Detailed Answer:
Hello sir,,please upload the report.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepak Sundriyal (5 minutes later)

Sir i am done with transrectal ultrasound. And i am.updating its report.. u can give some idea with this report that if i have cancer. Then which stage it could be.

Answered by Dr. Deepak Sundriyal (23 minutes later)

Brief Answer:
Sorry. You require an MRI and a bone scan for staging.

Detailed Answer:
Hello sir. I thought you have done an MRI. But it is an USG report. Stage can only be determined after MRI and a bone scan. Please consult your surgeon for ordering these tests. Also as i said earlier, a biopsy will be required for ascertaining the diagnosis.
Please revert back with the reports.
Thanks

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepak Sundriyal (4 minutes later)

Sir i have uploaded the report. Please check

Answered by Dr. Deepak Sundriyal (8 minutes later)

Brief Answer:
This report gives a high suspicion of malignancy.

Detailed Answer:
hello sir. This report only gives a high suspicion of malignancy which needs to be confirmed by a biopsy. Together with a raised PSA, it is high probability of cancer.
Now you require an MRI, biopsy and a bone scan. Treatment will depend upon all these reports.
Thanks and regards.
Please revert back with the reports

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepak Sundriyal (4 minutes later)

Does this report not give any idea. Because instead of 2 small hypoechoic areas. Rest is normal.