Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: Chronic Pain | psa | test | prostate | cancer

Should I Have PSA Test?

By    |   Tuesday, 11 Feb 2014 05:22 PM

What’s your take on the PSA? My father has been living with prostate cancer for 15 years and I’m not sure if I should be doing the PSA test, which my doctor says is not recommended for most men any more. 

Dr. Hibberd's answer:
 
PSA can be a marker of prostate cancer, but also other conditions. It has been overused as a screening tool. While it's no longer routinely recommended, it is often used to track treatment response of prostate cancer.

The treatment of asymptomatic elevations in PSA has led to overly aggressive and unnecessary surgery and treatments, and this is the reason why routine use of PSA has been discouraged in general health evaluations of low-risk populations of patients, but can be a useful tool in men who face increased risks. You should discuss the pros and cons of having a PSA test with your doctor.
 
Keep in mind that PSA elevations are also seen with prostate inflammation and infection. Some cancers of prostate do not produce PSA, so normal PSAs do not exclude malignancy or infection.

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PSA can be a marker of prostate cancer, but other conditions as well.
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