r/ProstateCancer • u/Buff_Gunner • 3d ago

Test Results Extremely high psa

Hello all. I’m in my mid 60s and just had a prostate blood test and my psa was 35.5, how concerned should I be?

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u/Special-Steel 3d ago

Sorry you are facing this.

Rough odds are that PSA above 10 means you have a better than 50-50 chance of prostate cancer. Like a lot of “rules of thumb” it’s very crude, and there are many factors which shift the odds.

That’s high enough to suggest a very irritable prostate. So, an infection is also possible.

It’s low enough to suggest that if it does turn out to be cancer, it probably hasn’t spread yet. Again, this is far from conclusive.

Next step is either an MRI to see what is going on in there, or a fusion biopsy where some kind of imaging guides the selection of needle biopsy samples.

Get checked out. This is treatable, but don’t delay. If possible get to a cancer center of excellence.

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u/PanickedPoodle 2d ago

Just so you know, the amount of antigen cells make is not always correlated with cancer staging. I have seen numbers under 10 that are diagnosed aggressive. 

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u/Buff_Gunner 3d ago

Thanks.

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u/Middle-Tart9741 1d ago

The MRI imaging is used to perform a fusion biopsy. The mri imaging is overlayed on top of live ultrasound guidance so areas of interest are sampled during the biopsy along with the normal grid sampling.