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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.
1 15% of men with prostate cancer have a normal PSA. 2  There is no conclusive evidence that detection of early prostate cancer leads to longer survival. 3  The test cannot distinguish between aggressive and slow-growing cancers and may detect tumours that would not otherwise become evident in the patient's lifetime. 15% of men with prostate cancer have a normal PSA. 2  There is no conclusive evidence that detection of early prostate cancer leads to longer survival. 3  The test cannot distinguish between aggressive and slow-growing cancers and may detect tumours that would not otherwise become evident in the patient's lifetime.