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Is the high psa index necessarily cancer?

BY Polly Steele 2020-07-24

   There are many reasons for the increase of PSA in patients. Inflammation or tumors may be caused. If you are not worried, you can perform a prostate puncture. The full name of PSA is prostate-specific antigen, which refers to a protein produced by prostate cells that can be secreted into the serum.

  Prostate cancer has one feature, namely Prostate cancer cells like to engulf free PSA, so the total PSA in prostate cancer patients is increased, but free PSA will be eaten up by prostate cancer cells, so the proportion of free PSA is reduced. If the free PSA ratio is less than 15% it is highly suspected that there is a problem. This patient''s total PSA is 10, which is beyond the gray area we said. In addition, the ratio of free PSA to total PSA is only 3% and also lower than what we said 15%, the patient is at risk of prostate cancer. Who should go for a PSA test?
  Almost all patients with prostate cancer are around 45-60 years old. Men generally start at age 45 and undergo PSA screening once a year or two years to help detect early prostate cancer. In addition, prostate cancer is a very slow-growing disease. For men over 75 years old, if there is no problem with PSA before, screening after 75 years old can also be done without risking life. An increase in the PSA value once does not explain the problem, and the inspection must be repeated.
  The treatment of prostate cancer is currently only surgery and radiotherapy promising to cure prostate cancer, but only a few patients are suitable for these two therapies. Many therapies are only palliative and can relieve symptoms, but will not affect the survival of the patient. At present, there are the following common treatment methods in clinic:   1. Endocrine therapy for prostate cancer is typically hormone-dependent. In clinical practice, endocrine therapy can significantly relieve prostate lesions and symptoms, but has no significant impact on the survival of patients. 2. The role of chemotherapy in the treatment of prostate cancer is as an adjunct treatment for advanced prostate cancer.
  3. Radiation therapy Radiation therapy is an effective method for the treatment of prostate cancer. Radiotherapy can often make prostate tumors shrink significantly. 4. In cryosurgery, a cryogenic rod is inserted into the prostate through the urethra, so that the local temperature of the prostate reaches about 180°C, causing glandular tissue necrosis and shedding, thereby destroying the tumor tissue. 5. Surgical treatment Surgical treatment is still the preferred method of treatment for prostate cancer. The above information is only for reference, and the individual''s condition should be determined according to his own actual situation. Early prevention, early detection, and early treatment of any disease is the foundation of maintaining health.

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