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On call. I've had my PSA tested every year since 1992 and I'm happy to say it's always been normal. But now my doctor doesn't want to do the test anymore because I'm 78 years old. Should I go to another doctor for my test?

作者信息

Simon H B

出版信息

Harv Mens Health Watch. 2000 Dec;5(5):8.

PMID:11114879
Abstract
摘要

相似文献

1
On call. I've had my PSA tested every year since 1992 and I'm happy to say it's always been normal. But now my doctor doesn't want to do the test anymore because I'm 78 years old. Should I go to another doctor for my test?随时待命。自1992年以来，我每年都进行前列腺特异性抗原（PSA）检测，我很高兴地说结果一直正常。但现在我的医生不想再给我做这项检测了，因为我已经78岁了。我应该去找另一位医生做这项检测吗？
Harv Mens Health Watch. 2000 Dec;5(5):8.
2
On call. I developed severe ulcerative colitis in my late teens, and I had my entire colon and rectum removed at age 24. It was certainly worthwhile, since I adjusted easily and I've been healthy ever since. But now I'm 52, and I'm starting to think about prostate cancer. My doctor obviously can't do a rectal exam, and he doesn't want to do a PSA test because he says he won't be able to send me for a prostate biopsy if the test is high. Do I have any options?随叫随到。我在十八九岁时患上了严重的溃疡性结肠炎，24岁时切除了整个结肠和直肠。这当然是值得的，因为我很容易就适应了，从那以后一直很健康。但现在我52岁了，开始考虑前列腺癌的问题。我的医生显然不能做直肠检查，而且他不想做前列腺特异性抗原（PSA）检测，因为他说如果检测结果高，他无法安排我做前列腺活检。我还有其他选择吗？
Harv Mens Health Watch. 2004 Jul;8(12):8.
3
On call. I just reviewed your July 2009 article on PSA testing. After talking with my wife, I've decided to skip the PSA test when I go for my annual physical next month. But your article doesn't say much about rectal exams. Should I skip that also?正在值班。我刚看了你2009年7月那篇关于前列腺特异性抗原（PSA）检测的文章。和我妻子商量后，我决定下个月去做年度体检时不做PSA检测了。但你的文章没怎么提到直肠指检。我也应该不做那个吗？
Harv Mens Health Watch. 2009 Dec;14(5):8.
4
On call. I am 58-year-old diabetic. I've had my PSA checked every year since I turned 50, but I'm now on kidney dialysis. Will dialysis change my PSA results?随时待命。我58岁，患有糖尿病。自从50岁起我每年都做前列腺特异抗原（PSA）检查，但我现在正在接受肾脏透析。透析会改变我的PSA检查结果吗？
Harv Mens Health Watch. 2001 Jun;5(11):8.
5
On call. I'm a 76-year-old man with an enlarged prostate. I've been taking Cardura and it's helped a lot, but my doctor stopped it because he said a study found the drug could cause heart failure. Now I'm getting up three or four times a night again. Is Cadura safe?随时待命。我是一名76岁的男性，患有前列腺肿大。我一直在服用可多华，它帮了大忙，但我的医生停药了，因为他说一项研究发现这种药物可能会导致心力衰竭。现在我每晚又要起床三四次。可多华安全吗？
Harv Mens Health Watch. 2001 Jul;5(12):8.
6
On call. My prostate is not enlarged and I have no urinary tract symptoms, but I've had three prostate biopsies over the past four years because my PSA has gone from 3.2 to 4.8. The first two biopsies were normal, but the new one found "PIN" but no cancer. Please explain "PIN" and tell me what it means for me. I'm 59 years old, and except for my prostate, I don't have a worry in the world.随叫随到。我的前列腺没有肿大，也没有尿路症状，但在过去四年里我做了三次前列腺活检，因为我的前列腺特异抗原（PSA）值从3.2升至4.8。前两次活检结果正常，但这次新的活检发现了“前列腺上皮内瘤变（PIN）”，不过没有发现癌症。请解释一下“PIN”，并告诉我这对我意味着什么。我59岁，除了前列腺问题，我没什么可担心的。
Harv Mens Health Watch. 2010 Dec;15(5):8.
7
My total prostate-specific antigen (PSA) level is 0.2 nanograms per milliliter, which I'm told is normal. But my free-to-total PSA ratio is 8 percent, which I've read indicates a high risk of prostate cancer. What do these seemingly contradictory PSA results mean?我的总前列腺特异性抗原（PSA）水平为每毫升0.2纳克，我被告知这是正常的。但我的游离PSA与总PSA的比值为8%，我读过的资料表明这意味着患前列腺癌的高风险。这些看似矛盾的PSA结果是什么意思呢？
Health News. 2003 Jun;9(6):12.
8
On call. I am a 69-year-old man who had a radical prostatectomy three years ago. I feel fine and my PSA is undetectable. I've heard that a special scan can detect prostate cancer, but my hospital doesn't seem to know about it. Should I try to arrange one?待命状态。我是一名69岁的男性，三年前做了根治性前列腺切除术。我感觉良好，前列腺特异性抗原（PSA）检测不到。我听说有一种特殊的扫描可以检测前列腺癌，但我的医院似乎对此并不了解。我应该尝试安排一次这样的扫描吗？
Harv Mens Health Watch. 2000 Jun;4(11):8.
9
On call. I've always been completely healthy. At my last check-up, my cholesterol was 295. I'm worried, but my doctor tells me I don't need treatment. What do you suggest?随时待命。我一直都很健康。在我上次体检时，我的胆固醇值是295。我很担心，但我的医生告诉我不需要治疗。你有什么建议？
Harv Mens Health Watch. 2000 Nov;5(4):8.
10
On call. I am 76 years old, and I've had an enlarged prostate for at least 10 years. I've been taking Proscar for about a year, and it seems to be helping quite a bit. I have not noticed any side effects, but I'm worried that if the medicine reduces testosterone levels enough to shrink my prostate, it will also give me osteoporosis. Should I change medications, or take Fosamax like my wife?正在值班。我76岁了，前列腺肿大至少有10年了。我服用保列治大约一年了，似乎很有帮助。我没有注意到任何副作用，但我担心如果这种药物降低睾酮水平到足以缩小我的前列腺，它也会导致我患骨质疏松症。我应该换药吗，还是像我妻子一样服用福善美？
Harv Mens Health Watch. 2009 Apr;13(9):8.