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PSA Test: A Key Tool For Monitoring Prostate Cancer Recurrence

by Shreeya
Enlarged Prostate

Prostate cancer is a serious concern for men worldwide, and understanding the role of the prostate-specific antigen (PSA) test in monitoring prostate health is vital for patients. PSA is a protein produced by the prostate gland, which can be detected in the blood. The standard PSA level for a healthy individual is typically below 4 ng/ml. When PSA levels are elevated, it can indicate the presence of prostate cancer or other prostate-related conditions.

What is the PSA Test?

The PSA test serves two main purposes:

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  1. Detection of Prostate Cancer: Doctors may use a PSA test to diagnose prostate cancer, especially in men exhibiting urinary symptoms or those with a family history of prostate cancer.
  2. Routine Monitoring of Prostate Cancer: After prostate cancer treatment, PSA levels are carefully monitored. Prostate cancer cells secrete higher levels of PSA, and any increase in PSA levels can indicate the recurrence or growth of cancer.

PSA Testing After Prostate Cancer Treatment

After treatment for prostate cancer, PSA levels are expected to drop. For example, after a radical prostatectomy (removal of the prostate), PSA levels should fall to nearly undetectable levels (less than 0.1 ng/ml). In the case of radiotherapy, PSA levels typically decrease but may not reach such low levels because the prostate gland remains in the body, continuing to produce PSA from both normal and cancerous cells.

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If PSA levels remain detectable or begin to rise after surgery, it may indicate that the cancer is still present or has returned. Similarly, if PSA levels increase after radiotherapy, this suggests the cancer is regrowing. In these cases, doctors may recommend further treatment, often starting with hormonal therapy.

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Health Advice for Men Post-Treatment

Men who have been treated for prostate cancer should continue to have regular PSA tests as part of their ongoing care. Monitoring PSA levels closely helps healthcare providers detect any recurrence early, allowing for more effective intervention. It’s important for men to discuss their PSA test results with their doctors and to follow through with recommended treatment plans.

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