Indian Journal of Clinical Biochemistry

, Volume 26, Issue 2, pp 182–186

Serum total PSA and free PSA in breast tumors


    • Department of BiochemistryS.C.B.Medical College
    • Department of BiochemistryIMS and SUM Hospital, Siksha O Anusandhan University
  • Sanghamitra Pati
    • Department of BiochemistryS.C.B.Medical College
  • Manaswini Mangaraj
    • Department of BiochemistryS.C.B.Medical College
  • Pratima Kumari Sahu
    • Department of BiochemistryS.C.B.Medical College
  • Prakash Chandra Mohapatra
    • Department of BiochemistryS.C.B.Medical College
Original Article

DOI: 10.1007/s12291-011-0115-5

Cite this article as:
Dash, P., Pati, S., Mangaraj, M. et al. Ind J Clin Biochem (2011) 26: 182. doi:10.1007/s12291-011-0115-5


Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Several studies have demonstrated the production of PSA in female tissues, such as breast. The present piece of work has been undertaken with an objective to estimate the relative proportion of the molecular forms of PSA in serum along with serum testosterone in benign and malignant breast tumor cases and to analyze their association with the severity of the disease process 34 malignant and 26 benign breast disease cases along with 33 healthy controls of same age group were enrolled in this study for evaluation. Serum testosterone was measured by ELISA, whereas serum total PSA (TPSA) and free PSA (FPSA) were estimated by electrochemiluminescence immunoassay. A significant rise of fasting plasma glucose along with prominent dyslipidemia was observed in breast tumor cases. Marked rise in serum testosterone as well as TPSA and FPSA was documented in both benign and malignant breast tumor cases. Serum testosterone revealed a significant positive association with both TPSA and FPSA pointing towards an etiological association between them. However, surgical removal of tumor mass resulted in a marked decline of presurgical value of both TPSA and FPSA with a non-significant fall in serum testosterone revealing tumor tissue as the source of FPSA and TPSA. Thus, estimation of PSA provides prognostic information that may assist in future treatment.


Breast tumorsTestosteroneTPSAFPSA

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© Association of Clinical Biochemists of India 2011