ProstateCancer101.org

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Prostate Cancer 101, Kingston, NY - Main Page

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Welcome

In spite of the fact that almost everything about Prostate Cancer (PCa) is controversial, you've found an excellent source of information.

Diagnosis

PCa is diagnosed primarily through a combination of two widely used diagnostic tests-Prostate Specific Antigen (PSA) and the Digital Rectal Exam (DRE). A PSA of 4.0 ng/mL or less is less suggestive of PCa; however, the cutoff value may be dependent on your age. A higher PSA level by itself does not necessarily mean that you have PCa, and a lower PSA level does not necessarily mean that you don't have PCa. The DRE enables your doctor to feel the size, shape, and texture of your prostate to determine if you have a clinically important prostate. However, you can have PCa without having a palpable tumor, and palpable nodules or abnormalities are not always PCa.

Other diagnostic tests which your doctor may perform on a blood or tissue sample include the PSA II or Free PSA, which should rule out prostatitis and/or BPH. The Reverse Transcriptase-polymerase chain reaction test (RT-PCR)test, which can determine the presence of small numbers of PCa cells; the serum acid phosphate test, and the alkaline phosphatase test (Alk Phos); the prostatic acid phosphatase (PAP); or the ProstaScint, which involves injecting a radioisotope into the blood-stream which attaches itself to the cancer, then using a gamma-ray camera to locate the PCa, if any, in your body. None of these tests or procedures are 100% accurate.

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