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Cancer
The PSA test for prostate cancer
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What is the PSA test? :
What is the PSA test?
Finding information about the PSA test
Deciding whether or not to have the PSA test :
Deciding whether or not to have the PSA test
Why some men have not had a PSA test
Symptoms
Family history and other concerns about cancer
Encouraged by family, friends and the media
Routine health checks
Follow-up after treatment
Results and treatment choices :
Waiting for the results of a PSA test
Getting the results and understanding them
What may happen when a PSA test result is abnormal
Biopsy of the prostate
Choosing a treatment if cancer is diagnosed
Views about a national screening programme :
The pros & cons of a national screening programme
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The PSA test for prostate cancer
Subject index
Clip
Cancer
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The PSA test for prostate cancer
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Age 71-80
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Interview 21
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The biopsy was all over in a few minutes and didn't hurt.
Told his GP he was passing urine frequently during the night. After a digital rectal examination the GP suggested a PSA test, which was raised. The consulted did a biopsy, which showed prostate cancer. This was treated with hormone injections and radiotherapy.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 29
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Says that the biopsy was uncomfortable but didn't hurt.
In 2004 he had urinary symptoms. PSA 9.5ng/mL. After a biopsy, prostate cancer diagnosed, and it was also found that cancer had spread to the bone of one arm. Hormone treatment with some side-effects, but feels well.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 31
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Thinks he had the biopsy before the local anaesthetic had time to work.
He had urinary symptoms. The GP found he had an 'enlarged' prostate, and did a PSA test, which was 'raised'. He was referred to the hospital, where he had a biopsy, which was negative. Symptoms treated with Finasteride and Flomax.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 35
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He found the biopsy very painful and needed 'gas and air' (Entonox).
He decided to have a PSA test because of a family history of prostate cancer. The PSA result was slightly raised, so he had a biopsy. Cancer was diagnosed. In May 2005 he had a radical prostatectomy.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 31
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He tried to dispel another man's fears while waiting to see the urologist in the out-patient clinic
He had urinary symptoms. The GP found he had an 'enlarged' prostate, and did a PSA test, which was 'raised'. He was referred to the hospital, where he had a biopsy, which was negative. Symptoms treated with Finasteride and Flomax.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 23
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He wasn't offered an anaesthetic but thought other men might consider it if faced with a biopsy.
He did not have any urinary symptoms, but in 2001 he asked for a PSA test, which was found to be 5ng/ml. A biopsy was performed and prostate cancer diagnosed. He had a radical prostatectomy. His PSA is now 0.2ng/ml.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 10
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Says that a raised PSA result may lead to an unnecessary biopsy. Prefers to live life in an 'optimistic way', having a test only if really necessary.
He has not had any urinary symptoms. Has looked at information about the PSA test and has decided that he would only have a test if he developed symptoms.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 16
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His GP explained that the PSA test is unreliable and that a false positive result might lead to a painful and unnecessary biopsy.
He has not had urinary symptoms, but asked his GP for a PSA test when two friends developed prostate cancer. He decided not to have the test (at the moment), having heard that it is not reliable, and that the biopsy can be painful.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 39
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He had lost weight and had mild erectile problems. His PSA test showed that it was raised, so the doctor suggested a biopsy.
He had lost weight and had erectile problems. In 2004, at his annual check up, he asked for a PSA test, which was slightly raised. After a biopsy he was diagnosed with prostate cancer, and treated with hormones and brachytherapy.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 15
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Had biopsies on two different occasions. He describes how they were done and what they were like.
Having had testicular cancer he wondered if he might be susceptible to prostate cancer and so asked for a PSA test. His PSA was slightly raised, so he was referred to a specialist. A biopsy showed prostate cancer. He is now waiting to have a radical prostatectomy.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 27
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His consultant wanted to do a biopsy almost immediately.
He had mild urinary symptoms. GP suggested a PSA test [4.8ng/mL]. A consultant performed a biopsy, and found some "suspicious cells", so performed another biopsy, which led to side effects. No cancer diagnosed. Symptoms improved with saw palmetto.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 27
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He wanted to discuss how treatment might affect quality of life before agreeing to have a biopsy.
He had mild urinary symptoms. GP suggested a PSA test [4.8ng/mL]. A consultant performed a biopsy, and found some "suspicious cells", so performed another biopsy, which led to side effects. No cancer diagnosed. Symptoms improved with saw palmetto.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 39
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Says that the biopsy 'wasn't that bad' and that he would have liked to have seen the ultrasound screen during the procedure.
He had lost weight and had erectile problems. In 2004, at his annual check up, he asked for a PSA test, which was slightly raised. After a biopsy he was diagnosed with prostate cancer, and treated with hormones and brachytherapy.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 28
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He was given an oral painkiller and a local anaesthetic - the biopsy wasn't painful.
No urinary symptoms, but felt tired. His GP suggested a PSA test. The PSA was raised, so he was referred to a consultant, who performed a biopsy. Prostate cancer was diagnosed, and treated with 3D conformal radiotherapy in 2005.
Cancer
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The PSA test for prostate cancer
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Age 61-70
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Interview 33
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He was told that the biopsy would be uncomfortable but he found it very painful and wouldn't let the doctor take all the samples.
In 1996 he consulted his GP because his urinary flow wasn't as powerful as previously. Investigations, including a blood test and biopsy, indicated prostate cancer with metastases in bones. He is treated intermittently with hormones. He also finds spiritual healing helpful.
Cancer
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The PSA test for prostate cancer
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Age 71-80
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Interview 36
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After the biopsy he felt a bit sore when he opened his bowels and he passed blood in his urine for a short while.
Ten years ago had urinary symptoms and had TURP operation for enlarged prostate. In 2002 he found blood in his urine. His PSA was "raised" so he had a biopsy, and prostate cancer was diagnosed. This has been treated with hormones.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 27
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He developed a bad urinary infection (cystitis) after the first biopsy, during which ten samples of tissue were taken.
He had mild urinary symptoms. GP suggested a PSA test [4.8ng/mL]. A consultant performed a biopsy, and found some "suspicious cells", so performed another biopsy, which led to side effects. No cancer diagnosed. Symptoms improved with saw palmetto.
Cancer
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The PSA test for prostate cancer
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Age 51-60
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Interview 27
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He suffered elements of 'post traumatic stress' for several weeks after he passed blood in his sperm.
He had mild urinary symptoms. GP suggested a PSA test [4.8ng/mL]. A consultant performed a biopsy, and found some "suspicious cells", so performed another biopsy, which led to side effects. No cancer diagnosed. Symptoms improved with saw palmetto.
Cancer
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The PSA test for prostate cancer
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Wife
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Interview 43
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Regrets encouraging her husband (Interview 27) to have a PSA test. Also says her husband's shocking experience affected their sexual relationship.
She encouraged her husband (interview number PSA27) to have a PSA test, but with the wisdom of hindsight she regrets this. Says that the consequences of the test (her husband's biopsy and its side-effects), affected her husband's sexual confidence for months.
Cancer
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The PSA test for prostate cancer
>>
Age 71-80
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Interview 34
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He was worried that the biopsy might allow cancerous cells to spread throughout his body.
He had urinary symptoms for about 5 years, and in February 2005 had a PSA test which was slightly raised. After a biopsy, prostate cancer was diagnosed and treated with High Intensity Focused Ultrasound (HIFU). He recovered quickly from the operation with few side effects and little discomfort.
Cancer
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The PSA test for prostate cancer
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Age 71-80
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Interview 34
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He was concerned that the biopsy might have allowed cancerous cells to get into his sperm and pass into his wife during sex.
He had urinary symptoms for about 5 years, and in February 2005 had a PSA test which was slightly raised. After a biopsy, prostate cancer was diagnosed and treated with High Intensity Focused Ultrasound (HIFU). He recovered quickly from the operation with few side effects and little discomfort.
Topic
Cancer
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The PSA test for prostate cancer
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Biopsy of the prostate
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Biopsy of the prostate
Biopsy of the prostate
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