At age 75, you have about
75% chance that you have prostate cancer (PC) in a mild form. It is a natural part of aging. Doctors have established different cut-off points for triggering biopsies based upon age because the development of low-risk PC, and the resultant increase in PSA, occurs naturally with age. There are several different but similar versions of this same table available online by searching for "age specific prostate specific antigen"
Age-Specific Reference Ranges for Serum PSA
Age Range (Years)....Asian Americans....African Americans....Caucasians
....40 to 49...............0 to 2.0 ng/mL....0 to 2.0 ng/mL....0 to 2.5 ng/mL
....50 to 59...............0 to 3.0 ng/mL....0 to 4.0 ng/mL....0 to 3.5 ng/mL
....60 to 69...............0 to 4.0 ng/mL....0 to 4.5 ng/mL....0 to 4.5 ng/mL
....70 to 79...............0 to 5.0 ng/mL....0 to 5.5 ng/mL....0 to 6.5 ng/mL
This should put you at ease. There is not reason to run out and buy Dr. Walsh's book (which is heavily focused on an aggressive surgical treatment, which there is no indication you should even start thinking about
now), but it doesn't hear to start learning more about
the natural part of prostate aging, which is a topic most men don't know much about
. Be aware that being in the PSA "gray zone" (under 10 ng/mL) often lead men to having a prostate biopsy, which is an invitation to the "slippery slope" of PC overtreatment for very low levels of PC...prostate cancer has gotten a bad name due to the high levels of PC overtreatment in this country in the last 10-15 years.
Start your prostate education by knowing this: today, a prostate biopsy is not done to look for prostate cancer, because with today's capabilities to find tiny amounts, you will likely find some low-risk PC. Rather, the purpose of a prostate biopsy today is to identify whether there is aggressive PC which actually needs treatment.
Proceed towards the "slippery slope" with caution...this is what your doctor is doing...
Post Edited (NKinney) : 10/11/2016 8:15:17 AM (GMT-6)