It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Cancer: Prostate Message Board

A man over 50 years what should the PSA reading be?

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 11-25-2008, 06:06 AM   #1
Join Date: Nov 2008
Location: Australia
Posts: 1
Vchlim HB User
A man over 50 years what should the PSA reading be?

A man over 50 years what should the PSA reading be?

Sponsors Lightbulb
Old 11-28-2008, 06:49 PM   #2
Senior Veteran
Join Date: Nov 2007
Location: VA, USA
Posts: 1,988
Blog Entries: 3
IADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB User
Re: A man over 50 years what should the PSA reading be?

Originally Posted by Vchlim View Post
A man over 50 years what should the PSA reading be?
Here is what is known about the PSA level "for men without clinical evidence of prostate cancer, and I'll bet it will surprise you:

Age..........PSA (median, meaning average (half lower/half higher)




I have this information in the "Program" book from the IMPaCT Conference (Innovative Minds in Prostate Cancer Today), held in September 2007, page 40. The source is a table and statement by Dr. William Catalona, a famous prostate cancer and especially a PSA researcher and surgeon, now at Northwestern University in the Chicago, Illinois area. Dr. Catalona is more or less effectively the dean of American urologists.

Dr. Catalona goes on to state that "... If a man's PSA level is at the median value or less for his age group, then the risk for prostate cancer is very low. If a man's PSA is higher than the median for his age group, his risk of having prostate cancer is higher and the risk that the cancer is aggressive is higher...."

What struck me in the table was how low the median values are.

It seems to me the great benefit of the table and Dr. Catalona's statement is the assurance it gives for men whose PSAs fall below the median. Even though the risk is higher for men above the median, risk is still fairly low, and we would get an abundance of negative biopsies if all men above the median values were to have biopsies.

Based on his research, Dr. Catalona has been the moving force for lowering the PSA biopsy threshold to 2.5 instead of 4.0, after challenging with antibiotics and repeated PSA measurements to try to rule out prostatitis as a cause. Personally, I'm not impressed that that many extra cases of prostate cancer are found or that the earlier discovery gains much, but I'm a layman veteran of this disease and have no medical credentials. Looking at the numbers for results with a threshold of 2.5 versus 4.0, perhaps with age adjustments, the increase in detection is no more than a few percent.

Here are PSA levels that almost all men with healthy prostates will fall below. Naturally, these values are much higher than the median values. These are the values normally used by doctors as the PSA part of the evidence for deciding whether to recommend a biopsy. These are the values that most of us are familiar with, especially the general threshold of 4.0, which Dr. Catalona suggests be reduced to 2.5.

.............Most Men...American




70 & up....<=6.5.....<=6.0

The source is a book by Drs. Onik and Centeno, and I've seen those or similar numbers in other books.

I hope this helps.

Take care,


Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
total hip replacement 8 weeks ago - questions for you happyhip Knee & Hip Problems 26 04-12-2010 07:16 PM
17 years? canyouhelpme Herpes 5 03-21-2010 08:16 PM
9 Years of Nausea. Please Help. Badstomach1978 Digestive Disorders 17 02-24-2010 06:32 AM
Original DX of SLE 5 years ago now includes.... Gypsylady Lupus 8 09-12-2009 08:43 AM
Been lurking for years, need advice Uhoh71 Addiction & Recovery 11 10-27-2006 02:25 PM
2 Asthma issues in 6 years and nonmedicated - HOW? WHY? iriscristata Asthma 12 12-26-2004 08:54 PM
I have lived in hell for 6 years please help laser3838 HIV Prevention 7 01-18-2004 09:50 PM
Fateful disease from years of abuse darkangels Anxiety 5 09-29-2003 07:45 PM
PRK 4 years later Starzmajyck Eye & Vision 1 08-31-2002 07:22 PM

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 05:40 PM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!