Prostate PSA greater than 20 is cancer?

Prostate specific antigen (PSA) is one of the tumor markers of prostate cancer, but elevated PSA does not necessarily mean prostate cancer. The following are some of the possible causes of elevated PSA: 1. Prostate inflammation: Inflammation of the prostate can lead to elevated PSA levels, but usually the increase is small, usually between 10 - 20 ng/ml. 2. Prostate hyperplasia: BPH can also lead to elevated PSA levels, especially when the prostate is large. 3. Other diseases: In some cases, elevated PSA levels may be associated with other diseases, such as prostatitis, prostate massage, urethral manipulations, etc. 4. Prostate cancer: When PSA is greater than 10 ng/ml, the possibility of prostate cancer increases gradually. When PSA is greater than 20 ng/ml, the possibility of prostate cancer is greater, but further tests are still needed to /confirm/i. To determine the cause of elevated PSA, your doctor may recommend the following tests: 1. Prostate digital examination: The doctor touches the prostate through rectal digital examination to understand the size, texture, presence of nodules, etc. 2. Prostate ultrasound: It can observe the shape and structure of the prostate and help the doctor find abnormalities in the prostate. 3. Prostate magnetic resonance imaging (MRI): A more detailed examination of the prostate can help detect microscopic changes in the prostate. 4. Prostate biopsy: This is the gold standard for diagnosing prostate cancer. A biopsy of the prostate is performed to determine whether cancer cells are present. In summary, when PSA is greater than 20 ng/ml, further examination is needed to rule out the possibility of prostate cancer. Prostate cancer can be diagnosed by surgery, radiotherapy, chemotherapy, etc. The specific treatment plan should be determined according to factors such as tumor stage and patient health status. For elderly men or people with a family history of prostate cancer, regular prostate cancer screening should be performed, including PSA testing and rectal diagnosis. If PSA is found to be elevated, seek medical attention for early diagnosis and treatment. At the same time, maintaining a healthy lifestyle, such as a balanced diet, moderate exercise, smoking and alcohol restriction, can also help prevent prostate disease.