Ask the Doctor

Psa level and prostate cancer

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Kindly let me know if it is possible to have a normal PSA level and still develop Prostate Cancer.

Dagogo (by SMS)

Although this is possible, it is highly unlikely. The PSA is a test for the antigen that stimulates production of the antibody to fight prostate cancer. It is possible that due to some genetic abnormality, your prostate doesn’t produce that antigen. 

The PSA test is very good at ruling out the possibility of cancer because the level of “normal” is so low. Many other things can cause a slightly elevated level, and since the purpose is to detect cancer as early as possible, those slightly elevated levels are not dismissed. But there is also a secondary test. The “Free PSA” test. If your prostate is producing PSA, but its not being used, then it’s a pretty sure sign that the elevated PSA is because of something else….like maybe recent sexual activity.

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