How is prostate cancer diagnosed?

Diagnosis of prostate cancer has two stages - to detect suspected cancer and the second stage - to prove or disprove these doubts. These two stages run like this:

Patient examinates total PSA and preferably free PSA. Urologist performs digital rectal examination of the prostate.


By this method the urologist palpates the prostate and looks for hard, susceptible to cancer prostate sections. This method examines the periphery of the gland, which most often originates cancer. The method is binding and irrevocable. It is independent of PSA values. After performing the two methods - digital rectal examination and PSA, urologist may also apply transrectal ultrasound, if the diagnosis is unclear. .


In suspected prostate cancer patient is to undergo prostate biopsy. Prostate biopsy is the only method to prove prostate gland carcinoma.


The examination of genetic marker PSAZ neither proves nor rejects the diagnosis, and can not replace biopsy.



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