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PSA SPIKE TO 3.9

I am 59 and had a routine PSA 11 months after a previous physical, Overall healthy and no family history, The result came back 3.9 and my levels were sub 1 for 10 years. I am being sent to a urologist but the closest apt is weeks away. Anyone have experience with this as everything i am reading is that this is probably an aggressive form if I am diagnosed. Should i go straight for MRI, take another test etc. Anxiety is getting best of me,

  1. Hi . Just a little bit ago I posted you a response under a different Forum that I hope is helpful. I want to add here that usually PSA doesn't trigger next steps in testing until it hits 4.0. I'm sure yours did because of the amount of increase, which is called velocity, from the low level you had. The PSA in and of itself does not necessarily indicate the aggressiveness of the cancer (see: https://www.mskcc.org/news/myths-about-psa-tests-and-prostate-cancer-screening). There is also, given a 3.9 level, the possibility that there is some other cause of the increase. It is understandable that the wait is creating anxiety and you may want to ask the urologist's office if you can get on a cancellation list to potentially get an earlier appointment. Hoping you get some answers soon. Best, Richard (Team Member)

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