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Some tests might be used to help determine if a man who has already had a prostate biopsy that didn’t find cancer should have another biopsy.
PSA velocity: The PSA velocity is not a separate test.
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If the PSA is more than 10, the chance of having prostate cancer is over 50%.
If your PSA level is high, your doctor may advise either waiting a while and repeating the test, or getting a prostate biopsy to find out if you have cancer.
This test is sometimes used to help decide if you should have a prostate biopsy if your PSA results are in the borderline range (like between 4 and 10).
A lower percent-free PSA means that your chance of having prostate cancer is higher and you should probably have a biopsy.
About 15% of men with a PSA below 4 will have prostate cancer on a biopsy.