PCA3 Test For Prostate Cancer

PCA3 Test For Prostate Cancer

PCA3 test is a diagnostic test for prostate cancer that measures the level of a specific gene in urine samples. PCA3 
(Prostate Cancer Gene 3) test helps identify the risk of prostate cancer and assists in decision-making regarding further diagnostic procedures.

 

PCA3 Test

Here are the basic details of the PCA3 Test.

Also Known As Prostate Cancer Gene Test
Type Genetic Test
Purpose Assess Prostate Cancer Risk
Sample Type Urine
Preparation No Special Preparation Required
Fasting Not Applicable
Gender Relevant to Males
Age Group 18+ Adult Males
Normal Value PCA3 Score < 25
Reporting Time Few Days
Cost 2000-5000 INR*

*PCA3 Test Price range may vary as per location, lab type, and procedure of lab test.

 

PCA3 Test Means

The PCA3 test is used to assess the risk of prostate cancer.

  • It measures the expression of PCA3, a gene associated with prostate cancer.
  • Higher PCA3 scores may indicate an increased risk of prostate cancer.
  • The test aids in personalized prostate cancer management.
  • It's particularly useful for men with elevated PSA levels but negative biopsies.
  • PCA3 testing complements other prostate cancer diagnostic tools.

 

PCA3 Test Purpose

The purpose of the PCA3 Test is to:

  • Assess the risk of prostate cancer.
  • Measure the expression of the PCA3 gene.
  • Aid in personalized prostate cancer management.
  • Complement other prostate cancer diagnostic tools.
  • Assist in decision-making for prostate biopsies.

PCA3 Test Price, Normal Range, Result, Purpose, Procedure Meaning and Interpretation - Drlogy Test

 

PCA3 Test Preparation

Here is the basic preparation for the PCA3 Test.

 

Before Test

  • Consult with your healthcare provider to understand the test's purpose.
  • Inform your healthcare provider about any medications, supplements, or allergies.
  • There are typically no specific dietary or fasting requirements.

 

During Test

  • Stay relaxed and cooperate with the healthcare professionals.
  • A urine sample is usually collected for this test.

 

After Test

  • Resume your regular activities and medications as advised by your healthcare provider.
  • Wait for the test results from your healthcare provider.
  • Discuss the results with your healthcare provider to understand their implications and any necessary follow-up actions.

 

PCA3 Test Procedure

Here is the basic PCA3 Test Procedure.

  • The test involves a urine sample.
  • Before the test, a digital rectal examination (DRE) is performed to release prostate cells into the urine.
  • The urine sample is analyzed to measure the expression of the PCA3 gene.
  • The score obtained helps assess the risk of prostate cancer.
  • Results complement other diagnostic tools and guide biopsy decisions.

 

PCA3 Test Result

The PCA3 test result is a score based on the ratio of PCA3 mRNA to PSA mRNA, with a laboratory-established cut-off number to determine positivity. However, it does not provide a definitive diagnosis of cancer. Healthcare practitioners use the result alongside other clinical data to assess the likelihood of a positive repeat biopsy.

  • PCA3 score below the cutoff: Negative result, decreased likelihood of a positive biopsy.
  • PCA3 score above the cutoff: Positive result, increased likelihood of a positive biopsy. Caution near the cutoff due to test variability.
  • PCA3 does not diagnose or rule out prostate cancer but informs the decision on whether to perform another biopsy, as the biopsy remains the gold standard for diagnosis.

 

PCA3 Test Normal Result

Here is the normal result of the PCA3 Test

PCA3 Test Result Interpretation
Normal PCA3 score below the laboratory's cutoff

 

PCA3 Test Interpretation

Here is the Interpretation of the PCA3 Test.

PCA3 Score Interpretation
< 25 Low likelihood of prostate cancer
25 - 35 Moderate likelihood of prostate cancer
> 35 High likelihood of prostate cancer

 

High PCA3 Score

Here are High PCA3 Score Potential Causes:

Potential Cause Explanation
Prostate Cancer Elevated PCA3 scores are associated with prostate cancer as the test is designed to detect this condition.
Prostatitis Inflammation of the prostate can lead to higher PCA3 scores, but this doesn't necessarily indicate cancer.
Recent Biopsy or Surgery A recent prostate biopsy or surgery can cause elevated PCA3 scores temporarily due to tissue manipulation.
Urinary Tract Infections Infections in the urinary tract can sometimes lead to increased PCA3 scores.

 

Low PCA3 Score

Here are Low PCA3 Score Potential Causes:

Potential Cause Explanation
No Prostate Cancer A low PCA3 score often indicates a reduced likelihood of having prostate cancer.
Sample Collection Issues Improper urine sample collection or handling may result in lower PCA3 scores that don't reflect the actual condition.
Recent Antibiotics Recent antibiotic use may decrease PCA3 scores, as it can affect the presence of certain molecules in the urine.
Small Tumor or Early Stage Low PCA3 scores may be seen in the early stages of prostate cancer or if the tumor is small and less active.

 

Specimen Requirements For PCA3 Test

Here are the specimen requirements for the PCA3 Test.

Specimen Urine
Volume Typically 20-30 mL, but may vary. Follow laboratory instructions.
Container Sterile urine collection container provided by the healthcare provider.
Collection
  • Collection is often done after a digital rectal examination (DRE).
  • The patient is asked to void into the sterile container provided.
Storage Transport to the laboratory promptly at room temperature. Do not refrigerate.
Sample Stability Samples should be analyzed within a specific time frame as per laboratory guidelines.
Causes for Rejection Contaminated samples, Specimen leakage, Improper labelling, Extended storage delays, Insufficient volume.

 

PCA3 Test is Safe?

Generally safe with minimal risk.

  • May cause mild discomfort during a digital rectal examination (DRE).
  • Risks are associated with the DRE rather than the PCA3 test itself.

 

When Do You Get PCA3 Test Results? 

  • Usually, PCA3 test results are ready within a few days.
  • Patients receive results during a follow-up consultation.

 

PCA3 Test Limitation

Here is the basic limitation of PCA3 Test.

  • It's used to assess the risk of prostate cancer but doesn't confirm or rule out the disease.
  • Test accuracy can vary, and results should be interpreted alongside clinical findings.
  • The PCA3 score may not reflect cancer severity or specific cancer types.
  • Factors like recent biopsies can affect PCA3 scores.
  • False-positive and false-negative results are possible.

 

PCA3 Test Risk Factors

Here are some of the risk factors of the PCA3 Test.

  • Minimal physical risk, with potential discomfort during a digital rectal examination (DRE).
  • Psychological concerns related to the DRE.
  • Risk of false-positive or false-negative results.
  • Limited risk associated with the PCA3 test itself.
  • Risks primarily associated with the DRE procedure.

 

Doctor Recommendations After PCA3 Test Result

 Here are the Doctor's recommendations or consult a specialist after the PCA3 Test.

CA3 Score Doctor to Visit Reason
High Urologist Prostate cancer assessment
Normal Urologist or PCP* Routine evaluation or follow-up
Low Urologist or PCP* Prostate health monitoring

 

PCA3 Test Price

Here are the estimated PCA3 Test Prices in India with different top cities:

City

Price Range (INR)*

Mumbai

2000-5000

New Delhi

2500-5000

Bangalore

2000-5000

Hyderabad

2500-5000

Kolkata

2000-5000

Pune

2500-5000

Lucknow

2000-5000

Noida

2500-5000

Surat

2500-5000

Gurugram

2000-5000

Patna

2500-5000

Chennai

2000-5000

Jaipur

2500-5000

Ahmedabad

2000-5000

*Prices are approximate and vary depending on a specific laboratory or healthcare facility.

 

 

Summary

Overall, PCA3 Test assesses prostate cancer risk but does not confirm the disease, helping in personalized prostate cancer management. Also check Drlogy Test for detailed information about all medical tests for patients, doctors, scholers and medical students.

 

Reference

  • PCA3 Test - Wikipedia [1].
  • PCA3 Test - NIH [2].
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PCA3 Test FAQ

What is the PCA3 test for prostate cancer?

The PCA3 test, or Prostate Cancer Antigen 3, is a diagnostic tool used to assess the risk of prostate cancer. It detects the levels of a specific RNA molecule associated with prostate cancer in urine samples. It complements traditional prostate-specific antigen (PSA) testing.

Who should consider the PCA3 test?

Men at risk for prostate cancer, especially those with rising PSA levels or previous negative biopsies, can benefit from the PCA3 test. It aids in making informed decisions about further diagnostic procedures.

How is the PCA3 test performed?

A urologist performs a digital rectal examination (DRE) to collect a urine sample from the patient. The urine is then sent to a lab for analysis. The test detects PCA3 RNA levels, which are associated with prostate cancer.

What do the PCA3 test results indicate?

A high PCA3 score may suggest an increased risk of prostate cancer, while a low score indicates a lower risk. It can help determine whether a prostate biopsy is necessary. It's essential to interpret the results in consultation with a urologist.

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