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Prostate cancer is a malignant tumor that develops in the prostate gland, one of the most common cancers affecting men. It occurs when cells in the prostate gland grow uncontrollably, often influenced by hormones like dihydrotestosterone (DHT). The Prostate-Specific Antigen (PSA) test is the most important blood test for early detection and monitoring of prostate cancer.
Prostate cancer is caused by uncontrolled cell growth in the prostate gland, often influenced by hormonal factors, particularly dihydrotestosterone (DHT). Age is the strongest risk factor, with most cases occurring in men over 65, and genetic mutations can increase susceptibility. Family history, race (African American men have higher risk), and lifestyle factors like diet and obesity also contribute to prostate cancer development.
The Prostate-Specific Antigen (PSA) test is the most important blood test for prostate cancer screening and monitoring because it detects elevated levels of PSA protein produced by prostate cells. For more detailed assessment, the PSA Free and Total test is essential as it calculates the ratio of free to bound PSA, with a lower percentage indicating higher cancer likelihood. The Prostatic Acid Phosphatase (PAP) test provides additional diagnostic information, while the PSA Ultrasensitive test is critical for men after prostate surgery to detect any cancer recurrence early.
You should get tested if you are over 50 years old, have a family history of prostate cancer, are African American (higher risk group), experience urinary symptoms like difficulty urinating or weak stream, or notice blood in urine or semen. Men with elevated risk factors should consider starting screening at age 45, and those with multiple family members affected should begin at age 40. Regular PSA monitoring is important for early detection when cancer is most treatable.
What this means
Your PSA level is slightly elevated above the standard reference range. While this doesn't necessarily indicate cancer, it warrants attention and may suggest an enlarged prostate, inflammation, or other prostate changes. Your doctor may recommend additional testing or monitoring to determine the cause.
Recommended actions
Schedule a follow-up consultation with a urologist for further evaluation
Maintain a healthy diet rich in fruits, vegetables, and omega-3 fatty acids
Stay physically active with regular exercise to support prostate health
Retest PSA in 3-6 months to monitor trends and changes
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