Treatments & Services

Elevated PSA Evaluation Clinic at Florida Cancer Affiliates (FCA)

Specialized Evaluation. Coordinated Care. Clear Answers for Men and Their Loved Ones.

Monitoring Prostate Cancer Risk

The Florida Cancer Affiliates Elevated PSA Evaluation Clinic helps patients understand what an elevated PSA level may mean and what steps, if any, should come next. PSA testing is an important tool for monitoring prostate health because it can help detect prostate cancer before symptoms develop. When prostate cancer is found early, patients have more treatment options, including approaches that are less invasive.

Our team provides a thorough, guideline-based evaluation to determine whether a patient needs more testing, a prostate biopsy, or careful monitoring over time. This helps avoid unnecessary procedures when the risk is low, while also making sure patients with concerning results are evaluated as early as possible.

Using advanced risk assessment, modern imaging, and shared decision-making, our medical oncologists work with each patient to provide personalized recommendations. We also coordinate care with local urologists and keep referring providers informed throughout the process, so patients receive timely, connected care.

 

Getting Started with the Prostate Clinic

Request an appointment online, or call 850.763.0036 to schedule an evaluation or refer a patient.

 
 

Understanding an Elevated PSA

What Is PSA?

PSA (Prostate Specific Antigen) is a protein produced by the prostate gland. While PSA is normal in small amounts, higher levels can occur for many reasons. Because many noncancerous conditions can raise PSA, an elevated PSA alone cannot diagnose prostate cancer.

What Happens If Your PSA Levels are Consistently Higher than Normal?

An elevated PSA level does not automatically mean you have prostate cancer. It can be related to other non-cancerous conditions. However, if PSA levels remain higher than normal for a period of months, the Florida Cancer Affiliates PSA Evaluation Clinic may recommend additional testing to determine if cancer has started to develop.

Before more tests are recommended, our physicians will evaluate:

  • Your PSA level and how it has changed over time

  • Your age and overall health

  • Family history of prostate cancer

  • Urinary symptoms such as frequent urination or the flow of urine slows or stops while urinating

  • Any previous prostate biopsy test results

  • Any prior imaging studies, including prostate MRI results, if available

Depending on your individual situation, our recommendations may include:

  • Repeat PSA testing to monitor whether it continues to rise

  • mpMRI - an MRI specific to the prostate

  • Specialized blood or urine biomarker testing to see if there are genetic changes related to cancer

  • A referral for a prostate biopsy, when appropriate, to have samples of prostate tissue examined for signs of cancer.

Not every patient requires every test. Your evaluation is personalized to your individual risk.

Who is an Ideal Patient for the Elevated PSA Evaluation Clinic at Florida Cancer Affiliates?

  • Men over 50 with high or rapidly rising PSA results

  • Men over 45 who are at higher risk of prostate cancer due to family history or African ancestry

  • Anyone seeking clarity on their prostate risk or looking for a second opinion

 

Getting Started with the Prostate Clinic

Request an appointment online, or call 850.763.0036 to schedule an evaluation or refer a patient.

 
 

Why Choose Florida Cancer Affiliates for PSA Assessment

We help avoid unnecessary biopsies.
We offer other types of testing for those with a high PSA to avoid biopsies before they are needed.

We can identify prostate cancer earlier.
Risk-based evaluation makes it possible for us to identify prostate cancer at an earlier stage than if you wait until symptoms begin, which makes it easier to treat. However, we will not recommend treatment before it’s clinically necessary.

We coordinate care.
Our clinic serves as the central point for PSA evaluation and collaborates closely with primary care physicians and local urologists. We will communicate our recommendations to them and, in some cases, recommend your urologist perform a biopsy to test for prostate cancer. Based on the results, we will provide recommended next steps, ranging from active surveillance to starting treatments.

We follow current guidelines for prostate cancer diagnosis and treatment.
Our clinical recommendations are based on current evidence and align with guidance from the American Urological Association (AUA), the National Comprehensive Cancer Network (NCCN), and the European Association of Urology (EAU).

 

Getting Started with the Prostate Clinic

Request an appointment online or call 850.763.0036 to schedule an evaluation or refer a patient.

 
 

Will You Need a Prostate Biopsy?

If your evaluation suggests a significant risk of prostate cancer, a prostate biopsy may be recommended. A biopsy is the only way to determine whether cancer is present. If a biopsy is needed, we will coordinate a referral to a trusted local urologist if you do not already have one. Urologists specialize in performing prostate biopsies.

What Happens After the Biopsy?

After your prostate biopsy is completed, you will return to Florida Cancer Affiliates to review your results.

During your follow-up visit, we will:

  • Explain your biopsy findings in clear, understandable language.

  • Discuss whether cancer was found and, if so, its grade and risk level.

  • Review any additional testing that may be recommended.

  • Discuss all appropriate treatment options, including whether active surveillance is appropriate.

  • Answer your questions and help you make an informed decision about your care.

What Happens After a Prostate Cancer Diagnosis?

Not all prostate cancers require immediate treatment. Depending on your biopsy results and overall health, options may include:

  • Active surveillance

  • Radiation therapy

  • Surgery

  • Hormone therapy

  • Other advanced treatments, when appropriate

We will explain the benefits, risks, and expected outcomes of each option so that your treatment plan reflects both the medical evidence and your personal goals.

The Florida Cancer Affiliates Elevated PSA Evaluation Clinic Is Committed to You

Our goal is to determine the cause of your elevated PSA and, if necessary, guide you through the next steps with confidence and clarity. Some of our patients will never need a biopsy or prostate cancer treatment. Others may be diagnosed. From your initial PSA evaluation through diagnosis and treatment planning, our team is committed to providing expert guidance every step of the way.

The Florida Cancer Affiliates Elevated PSA Evaluation Clinic is conveniently located in Panama City, serving the Florida Panhandle area.

 

Getting Started with the Prostate Clinic

Request an appointment online, or call 850.763.0036 to schedule an evaluation or refer a patient.

 
 

Frequently Asked Questions

Does an elevated PSA mean I have cancer?

No. Many men with elevated PSA levels do not have prostate cancer.

Do all patients in the PSA Evaluation Clinic need a biopsy?

No. Modern evaluation often includes MRI and biomarker testing to help determine who is most likely to benefit from a biopsy.

Why am I being referred to a urologist?

Urologists are specialists who perform prostate biopsies. If a biopsy is recommended, we will coordinate your referral and work closely with your urologist throughout the process.

Who will explain my biopsy results?

After your biopsy, you will return to Florida Cancer Affiliates, where we will review the results with you, explain what they mean, and discuss all appropriate treatment options.