Prostate Cancer????
My dad is 84 Years old and He recently had a routine blood work and I had the results. Can you halp me to understand it?
Results(Written by doctor Genreal doctor)
84 y/o male no regular medical f/u with elevated PSA noted on recent routine blood work (PSA= 14.99). On P.E. prostate enlarged 1 1/2 X’s firm non-tender & nodules Pt denies SX’s of hesitancy frequency.
An urologist made a rectal test and said he probably has prostate cancer but that dosn’t not matter anymore because he is 84. I’m not happy with that and i would like to have different opinions about it. This doctor told my dad to take DOXAZOSIN 2 Mg about six weeks.
Does this indicate cancer symptoms??
Is it a good idea to do a surgery?
Elevated PSA levels do not necessarily mean prostate cancer. – especially in the elderly. PSA levels increase normally with age. Because of this , several prominent medical journals have recently published articles that do not recommend PSA test in men over 75. Surgery is rarely recommended in this age group because of the risks of any type of surgery requiring anesthetic. Prostate cancers are very slow growing. At your father’s age – he has a much greater chance of dying from other causes including complications of surgery than he would actually dying from prostate cancer. I know dealing with health problems in elderly parents is difficult – mine are in the same age group as your father. It sounds like your doctor is following guidelines and doing what is best to give your dad a higher quality of life by treating this conservatively. Best wishes!
also – a PSA of 14 is not extremely high – indicating if it is cancer it is probably in the earlier stages.
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Elevated PSA levels do not necessarily mean prostate cancer. – especially in the elderly. PSA levels increase normally with age. Because of this , several prominent medical journals have recently published articles that do not recommend PSA test in men over 75. Surgery is rarely recommended in this age group because of the risks of any type of surgery requiring anesthetic. Prostate cancers are very slow growing. At your father’s age – he has a much greater chance of dying from other causes including complications of surgery than he would actually dying from prostate cancer. I know dealing with health problems in elderly parents is difficult – mine are in the same age group as your father. It sounds like your doctor is following guidelines and doing what is best to give your dad a higher quality of life by treating this conservatively. Best wishes!
also – a PSA of 14 is not extremely high – indicating if it is cancer it is probably in the earlier stages.
References :
My father had a similar count at the same age, just two years after my mother died. He was told that in men of that age the prostate factor progresses very slowly. (They mentioned 17 yrs. at that time.) I don’t know what meds, but he got his P count down to a 4 after he overcame his depression and lived to be 92……He died of a concussion to the brain after a fall…. This was our experience. Everyone can be different. …………… God Bless….
References :
experience…… Just recommending an active life full of new ideas and love interests…………..No surgery. It causes other concerns for an older person.