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I won't say not to be concerned but do not borrow trouble and worry before it is warranted. Make a list of ALL your questions and concerns before going for your check up and insist on answers YOU can understand. Medical people often operate under the pretense that "you don't need to know or that you won't understand anyway" so you may have to press for more concise answers to your questions. It is wise to observe your rising PSA but your number is really low and the rise could be a fluke, infection, mistake, variable etc. You don't have enough evidence to be a solid cause for worry at this point. You didn't state your age which is also a factor to some point. Back and neck pain can have a lot of different causes and are not uncommon maladies. I understand your fear of cancer after having had it - four times! Definitely pay attention and insist on covering all possibilities that are practical. Hope your check up will give you some answers and you get good news. Jon