Definition:
PSA stands for prostate-specific antigen. It is a protein found in prostate cells. It can be detected at a low level in the blood of all adult men. This article discusses the blood test to measure the amount of PSA in a man's blood.
Alternative Names:
Prostate-specific antigen; Prostate cancer screening test
How the test is performed:
Blood is typically drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood. Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
How to prepare for the test:
No special preparation is usually needed.
How the test will feel:
When the needle is inserted to draw blood, some people feel moderate pain while others feel only a prick or stinging sensation. Afterward, there may be some throbbing or a bruise.
Why the test is performed:
This test is done to screen for prostate cancer. It is also used to monitor patients after prostate cancer treatment. Several conditions besides cancer can cause the PSA level to rise, including: Discuss with your doctor or health care provider whether a PSA test is appropriate for you.
References:
American Urological Association. Prostate-specific antigen best practice statement: 2009 update. April 2009. Accessed July 10, 2009. Lin K, Lipsitz R, Miller T, Janakiraman S. U.S. Preventive Services Task Force. Benefits and harms of prostate-specific antigen screening for prostate cancer: an evidence update for the U.S. Preventive Services Task Force. Ann Intern Med. 2008;149:192-199. Lim LS, Sherin K; ACPM Prevention Practice Committee. Screening for prostate cancer in U.S. men ACPM position statement on preventive practice. Am J Prev Med. 2008;34:164-170. Walsh PC, DeWeese TL, Eisenberger MA. Clinical practice. Localized prostate cancer. N Engl J Med. 2007;357:2696-2705. Walter LC, Bertenthal D, Lindquist K, Konety BR. PSA screening among elderly men with limited life expectancies. JAMA. 2006;296:2336-2342.
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