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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

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