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  • Prostate (PSA)

Prostate (PSA)

    If the PSA in the blood is elevated, this may indicate prostate cancer, but it does not have to be. PSA is also elevated in inflammation of the prostate and in the benign disease BPH.

    € 29,-

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    1265 reviews

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    James

    Great customer service!

    10/10

    Dex Hermans

    I am very satisfied with the company and regularly load my blood tests. The only pity is that you don't get a confirmation when the blood has arrived. That would be an added value...

    Product Description

    Prostate (PSA)

    The test is done to see if prostate cancer may be present.
    The test measures the amount of Prostate Specific Antigen (PSA) in the blood.

    If the PSA in the blood is elevated, it may indicate prostate cancer, but it does not have to be. In fact, the PSA is also elevated in inflammation of the prostate (prostatitis) and in benign disease of the prostate (benign prostatic hypertrophy, and BPH). BPH means that the prostate tissue is more active than normal, but there is no cancer. Furthermore, slight elevations of PSA may be seen in people of African American origin. In any man, the level of PSA in the blood will slowly increase with age.

    Have your PSA value determined starting at 35 or 40. It is important to know then that every man has an individual baseline PSA value. In fact, every man aged 45 should know this value. Men, whose close relatives suffer from prostate cancer, should actually have a test done at the age of 35 or 40.

    Without a test, one often only notices that something is wrong when it is already too late. Possible symptoms, such as a weak urine stream and frequent urge to urinate, are common with benign prostate enlargement and (Benign Prostate Hyperplasia, BPH). An elevated PSA value can have several causes. There may be inflammation, but there may also be a benign or malignant tumor present.

    In nine out of ten cases, prostate cancer is curable if detected early.

    PSA is currently the most important substance in the blood to diagnose prostate cancer. Since its discovery (it was only in 1971 that PSA was first found), it has been increasingly investigated and this has led to a sharp increase in the number of prostate cancers detected early. However, it soon became apparent that not all prostate cancers have an elevated PSA and that not every elevation is associated with cancer.

    With values in the gray area (see also values and interpretation), it is useful to also measure the ratio between free PSA and total PSA (free ratio). If this value is less than 0.25, the probability for prostate cancer increases. 1 out of 6 patients with a value of less than 0.25 actually has prostate cancer.

    Recent research has shown that most life-threatening prostate tumors grow very slowly. As a result, the PSA rises only slowly. The influence of prostate enlargement and inflammation is then so great that the ability to predict aggressive tumors from an elevated PSA level is completely gone.

    The interpretation of the PSA result is not easy because with age the PSA level in the blood increases, without necessarily any abnormality of the prostate. Over the age of 50, 2 out of every 10 men (20%) have an elevated PSA value. These elevated levels can indicate prostate cancer, but also occur with benign prostate enlargement, a urinary tract infection or prostatitis. Therefore, an elevated PSA value always requires additional testing. However, the higher the PSA value is, the more likely it is that prostate cancer is present.

    As the prostate ages and grows, the PSA will also increase.

    When the PSA total is greater than and 4.0 then free PSA can be added.
    From a value greater than 10 this is recommended.









     

    To decide whether it makes sense for you to apply for PSA, use this decision aid: https://www.thuisarts.nl/keuzehulpen/psa

    Advantages and disadvantages at a glance

    Benefits of PSA testDisadvantages of PSA test
    If the test result is normal, that's reassuring.If your results are normal, there is a very small chance that you do have prostate cancer.
    The PSA test can help detect prostate cancer before you may have symptoms. If prostate cancer is growing rapidly, it is good to know. Because then immediate treatment may be needed.If the PSA is elevated, prostate cancer is often not found. You have then worried unnecessarily. The anxiety can sometimes be permanent.
    If prostate cancer is found, you can decide whether to have it treated or not.If prostate cancer is found, the chances are that you will never be affected. In that case, you will have to live with the idea of being a cancer patient unnecessarily. It may be difficult to say no to possible treatments.
    If your treatment is successful, you will not get (complaints of) metastases later on.Treatment for prostate cancer can have a variety of side effects, including erection problems, incontinence, and bowel problems.
    Your chance of dying from this disease is slightly reduced.If prostate cancer is detected early by a PSA test, you are unlikely to live longer, but it can reduce your quality of life.

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      Prostate (PSA)

      Prostate (PSA)

      € 29,-

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