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PSA - Annual Screening
Test CodeCPT Codes
G0103
Preferred Specimen
Green
Minimum Volume
Other Acceptable Specimens
Instructions
This test is the "PSA - Annual Screening" test. For the "PSA - Diagnostic" test, order PRSA.
Transport Container
Serum (gold top) tube or Lithium Heparin Plasma (green top) tube
Transport Temperature
Specimen Stability
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Methodology
Chemiluminescence
Setup Schedule
Daily upon receipt
Report Available
Reference Range
0 - 4.0 ng/mL
Clinical Significance
Prostate cancer is the most common type of cancer found in men in the United States, and is the second leading cause of cancer deaths among American men. As with other cancers, it is more successfully treated if diagnosed early. Prostate Specific Antigen is found in normal, benign hyperplastic and malignant prostatic tissue as well as in prostatic fluid and seminal plasma. In serum, PSA exists in several different forms. However, only free and alpha-1-antichymotrypsin (ACT)-complexed PSA are immunologically active. This PSA test measures total PSA (free and ACT-complexed PSA). Elevated serum PSA concentrations are found in men with prostate cancer, benign prostatic hypertrophy (BHP) or inflammatory conditions of other adjacent genitourinary tissues, but not in apparently healthy men or in men with cancers other than prostate cancer. Measurement of serum PSA by itself is not recommended as a screening procedure for the diagnosis of cancer because elevated PSA levels are also observed in patients with benign prostatic hypertrophy. When employed for the management of prostate cancer patients, serial measurement of PSA is useful in detecting residual tumor and recurrent cancer after radical prostatectomy. PSA has been demonstrated to be an accurate marker for monitoring advancing clinical stage in untreated patients and for monitoring response to therapy by radical prostatectomy, radiation therapy and anti-androgentherapy.PSA is also important in determining the potential and actual effectiveness of surgery or other therapies. This test is the "PSA - Annual Screening" test. For the "PSA - Diagnostic" test, order PRSA.