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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.
The simple answer to this is no. An elevated PSA number does not always indicate a man has prostate cancer. The PSA test is a blood test used to measure a substance in the blood called prostate specific antigen. It is often the first step in screening for prostate cancer along with the second screening test which is a digital rectal exam (DRE).