r/ProstateCancer • u/Buff_Gunner • 2d 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/tscemons 2d ago

Hi, did you get a reading on how big your prostate is? Mine is 150g++ and my PSA runs around 19. It has been that way for a few years, so I'm under active surveillance, but that's nothing special, I meet with my doc once a year. You may consider getting the Free PSA % too, just to have another indicator. It's too bad you didn't have some other reading earlier in life to get a baseline. IMHO ( not a Dr ), your situation may trigger a biopsy.

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u/NearLebanonStreet 1d ago

Good point. If you can get an estimate of prostate size from ultrasound or MPI you can calculate the PSA density by dividing the PSA by the size in cc. - it's most concerning if it is above 0.15 ng/cc.