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Your doctor will examine you and do a digital rectal exam (DRE) to feel the prostate gland. During a DRE, the doctor inserts a gloved, lubricated finger into the rectum. The doctor can feel part of the prostate through the rectal wall. Swelling, lumps, firm spots, or enlargement may indicate prostate cancer.
High levels of PSA (and 15 is high), can be an indication of prostate cancer but it could also indicate other benign prostate diseases. Free PSA indicates the amount of PSA that is freely circulating in the blood stream...a percentage below 25 (someone correct me if I have this one wrong) is cause for concern.