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Sorted By Test Name - Mayo Medical Laboratories

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FPSAP<br />

91775<br />

PSA<br />

9284<br />

Prostate Specific Antigen (PSA), Post Prostatectomy<br />

Reference Values:<br />

Less than 0.10 ng/mL AFTER RADICAL PROSTATECTOMY.<br />

4.0 ng/mL OR LESS IN HEALTHY MALES WITHOUT<br />

PROSTATECTOMY.<br />

PSA values obtained with different assay methods or kits cannot<br />

be used interchangeably.<br />

This test was performed using DPC IMMULITE 2000 method. PSA,<br />

ICMA is not to be used as a diagnostic procedure without<br />

confirmation of the diagnosis by another established product or<br />

procedure.<br />

The lower limit of accurate quantification for this assay is 0.01 ng/mL.<br />

PSA va;ues less than 0.01 ng/mL can not be accurately measured<br />

and will be reported out as “less than 0.01 ng/mL.†Specimens with<br />

PSA levels below the lower limit of accurate quantification should<br />

be considered as negative. In patients with a negative result for post<br />

prostatectomy PSA, serial monitoring of PSA levels at regular<br />

intervals, along with physical examinations and other tests, may<br />

help to detect recurrent prostate cancer.<br />

<strong>Test</strong> Performed by: Quest Diagnostics Nichols Institute<br />

33608 Ortega Highway<br />

San Juan Capistrano, CA 92690<br />

Prostate-Specific Antigen (PSA) Diagnostic, Serum<br />

Clinical Information: Prostate-specific antigen (PSA) is a glycoprotein that is produced by the<br />

prostate gland, the lining of the urethra, and the bulbourethral gland. Normally, very little PSA is secreted<br />

in the blood. Increases in glandular size and tissue damage caused by benign prostatic hypertrophy,<br />

prostatitis, or prostate cancer may increase circulating PSA levels. In patients with previously diagnosed<br />

prostate cancer, PSA testing is advocated as an early indicator of tumor recurrence and as an indicator of<br />

response to therapy. The role of PSA in early detection of prostate cancer is controversial. The American<br />

Cancer Society recommends annual examination with digital rectal examination and serum PSA<br />

beginning at age 50, and also for those men with a life expectancy of at least 10 years after detection of<br />

prostate cancer. For men in high-risk groups, such as African Americans or men with a first-degree<br />

relative diagnosed at a younger age, testing should begin at a younger age. It is generally recommended<br />

that information be provided to patients about the benefits and limitations of testing and treatment so they<br />

can make informed decisions.<br />

Useful For: Evaluating patients with documented prostate problems in whom multiple prostate-specific<br />

antigen tests may be necessary per year Monitoring patients with a history of prostate cancer as an early<br />

indicator of recurrence and response to treatment<br />

Interpretation: Prostate-specific antigen (PSA) values are reported with the 95th percentile limits by<br />

decade of age. These reference limits include men with benign prostatic hyperplasia. They exclude all<br />

cases with proven cancer. PSA values exceeding the age-specific limits are suspicious for prostate<br />

disease, but further testing, such as prostate biopsy, is needed to diagnose prostate pathology. The<br />

minimal reporting value is 0.1 ng/mL. Values >0.2 ng/mL are considered evidence of biochemical<br />

recurrence of cancer in men after prostatectomy.<br />

Reference Values:<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1486

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