10 minute consultation: High result in prostate specific antigen test
Max Mokete, Kieran O'Flynn and Alison Palmer guide you through what to do if the prostate antigen levels are raised
A 52 year old man has been advised to see you after having had a prostate specific antigen test. He is worried that he may have prostate cancer, as his 75 year old father died of the disease a year ago. His company offers an annual medical examination, and he had asked for a prostate specific antigen test to be done as well as his other tests. The test result was a concentration of 5.7 ng/ml.
Although it is common for men to be worried about prostate cancer, it is best that you explore the issues before ordering a prostate specific antigen test.
History--Focus on the lower urinary tract. Ask about symptoms of bladder outflow obstruction, such as hesitancy, poor flow, and post-micturition dribbling, and symptoms of irritation, such as dysuria, frequency, and urgency.
Family history--Between 3% and 5% of cases of prostate cancer are thought to have a genetic