Prostate Cancer Survivors

 

YANA - YOU ARE NOT ALONE NOW

PROSTATE CANCER SUPPORT SITE

 

 

This forum is for the discussion of anything to do with Prostate Cancer.
There are only four rules:

  • No fundraisers, no commercials (although it is OK to recommend choices of treatment or medical people based on your personal research; invitations to participate in third-party surveys are also acceptable, provided there is no compensation to YANA);
  • No harvesting e-mail addresses for Spam;
  • No insults or flaming - be polite and respectful at all times and understand that there may be a variety of points of view, all of which may have some validity;
  • Opinions are OK, but please provide as much factual evidence as possible for any assertions that you are making

Failure to abide by these simple rules will result in the immediate and permanent suspension of your posting privileges.

Since this is an International Forum, please specify your location in your post.

General Forum
Start a New Topic 
Author
Comment
View Entire Thread
Re: to biopsy or not to biopsy?

that's not a crazy-high PSA number. how old are you? a PSA history is helpful as well, to give proper advice.

Re: to biopsy or not to biopsy?

Sorry

About 4-5 years ago my psa was under 2 I think. Not checked for a few years - partially due to doctor error checking wrong box.

Checked twice this year and about 3.79 each time - I can dig around for exact numbers if needed.

I am 55 years old.

DRE showed slightly enlarged prostate but no bumps or irregularities.

Here is the info I shared in another post:

Current age 55

PSA history:

2000 0.8
2005 1.1
2006 1
2007 1.3
2008 1.6
2009 2.6
2010 not done?
2011 not done - dr checked wrong box apparently
2012 not done
2013 3.78 - May
2013 3.79 - June

Re: to biopsy or not to biopsy?

PSA tests closer than 3 months apart are useless. you could have an infection. take the ABs and wait 3 months.

Before the PSA, don't have sex or do anything sexual for 72 hours.

Then, get back to us. :)

Re: to biopsy or not to biopsy?

so waiting is recommended at least for a few months - if not longer.

Thanks

Re: to biopsy or not to biopsy?

yes, wait the proper interval and see. that's not a high PSA at all for your age. DRE showed nothing unusual.

Re: to biopsy or not to biopsy?

UPDATE - QUESTION - TO BIOPSY OR NOT TO BIOPSY?

After two years of 3.7 readings the PSA test today was 4.7

Dr recommending biopsies.

What do you think?

His stats - which I also wanted to check for accuracy;
at 4.7 PSA

40% chance of finding cancer
10% chance that it is aggressive cancer - the kind worth treating
2% chance of serious infection from biopsy

History of PSA
2000 0.8
2005 1.1
2006 1
2007 1.3
2008 1.6
2009 2.6
2010 not done?
2011 not done - dr checked wrong box apparently
2012 not done
2013 3.78 - May
2013 3.79 - June
2014 3.7 - (Not sure of date or exact figure)
2014 3.5 - October
2015 4.7 - March

Age now 57 years

Thanks

Re: to biopsy or not to biopsy?

what's the harm? it's not like you've had one every year. that's a fairly significant PSA rise.

W

Re: to biopsy or not to biopsy?

What is the harm? Up to 7% sepsis possible? (John Hopkins article)

Also some sites say a second PSA test is in order - 1/2 of high PSAs go down in a couple months.

"The number of men whose elevated levels returned to normal in a subsequent test ran from 44 to 55 percent, depending on the threshold. Of those who could be tested again after their level had dropped down to normal, a great majority, 65 to 83 percent, remained normal."

I will have to look up the source if needed.

All that said - I am leaning towards getting biopsied.

Also wondering if I should I put this on the front page as a new thread for more input or is that pointless?

Thanks

RETURN TO HOME PAGE LINKS